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Community types, socio-economic structure and IHD mortality--a contextual analysis based on Swedish aggregate data
B Starrin1, C Hagquist, G Larsson
1Center for Public Health Research, Karlstad, Sweden.
Social Science & Medicine (1982)
|June 1, 1993
Summary
Socio-economic factors significantly impact cardiovascular health. The link between these factors and ischemic heart disease (IHD) mortality is stronger in urban, white-collar communities compared to rural, blue-collar ones.
Area of Science:
- Public Health
- Sociology
- Epidemiology
Background:
- Growing recognition of social and economic determinants of health.
- Investigating the influence of socio-economic status on cardiovascular mortality.
Purpose of the Study:
- To examine if the association between socio-economic factors and cardiovascular mortality varies across different socio-geographical contexts.
- To analyze urban-rural and occupational work contexts in relation to cardiovascular mortality.
Main Methods:
- Utilized aggregated data on social and economic conditions for men in Swedish municipalities (1983-1987).
- Analyzed data across urban-rural and occupational (white-collar vs. blue-collar) dimensions.
Main Results:
- The association between socio-economic factors and ischemic heart disease (IHD) rates was more pronounced in urban and white-collar communities.
- Conversely, the association was less pronounced in rural and blue-collar communities.
- Higher pronounced associations correlated with lower IHD rates, and less pronounced associations with higher IHD rates.
Conclusions:
- Socio-geographical context modifies the relationship between socio-economic status and cardiovascular mortality.
- Urban and white-collar settings exhibit a stronger link between socio-economic factors and IHD, yet show lower IHD rates.
- Findings suggest complex interactions between socio-economic position, environment, and cardiovascular health outcomes.