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Heart failure in different occupational classes in Sweden
Maria Schaufelberger1, Annika Rosengren
1Department of Medicine, Sahlgrenska University Hospital/Ostra, SE-416 85 Göteborg, Sweden.
European Heart Journal
|December 23, 2006
Summary
Low socioeconomic status (SES) is a significant risk factor for developing heart failure (HF) in men. This study found that individuals with lower occupational classes had a substantially increased risk of HF over 28 years.
Area of Science:
- Cardiovascular Epidemiology
- Social Determinants of Health
- Public Health
Background:
- Socioeconomic status (SES) is linked to coronary heart disease (CHD).
- Limited data exists on the association between SES and heart failure (HF).
Purpose of the Study:
- To investigate the relationship between SES and the long-term risk of developing HF in men.
Main Methods:
- A population-based cohort study of 6999 men aged 47-55 years.
- Follow-up for 28 years, recording hospital discharge or death due to HF.
- SES assessed by occupational class; adjusted for confounders.
Main Results:
- A total of 1004 men (14.3%) developed HF.
- An inverse relationship was observed between SES and HF risk.
- Men in lower occupational classes had significantly higher hazard ratios for HF compared to the highest class.
Conclusions:
- Low socioeconomic status is an independent risk factor for long-term heart failure risk in men.
- Findings highlight the importance of socioeconomic factors in cardiovascular health disparities.
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