Neighborhood deprivation and inequities in coronary heart disease among patients with diabetes mellitus: A multilevel study of 334,000 patients

被引:27
作者
Chaikiat, Asa [1 ]
Li, Xinjun [1 ]
Bennet, Louise [1 ]
Sundquist, Kristina [1 ]
机构
[1] Lund Univ, Ctr Primary Hlth Care Res, Malmo, Sweden
基金
瑞典研究理事会;
关键词
Coronary heart disease; Diabetes mellitus; Multilevel modeling; Neighborhood deprivation; Sweden; COURSE SOCIOECONOMIC POSITION; CARDIOVASCULAR RISK-FACTORS; BRITISH WOMENS HEART; AREA DEPRIVATION; HEALTH; PREVALENCE; POPULATION; OUTCOMES; PEOPLE; CARE;
D O I
10.1016/j.healthplace.2012.03.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We used multilevel models to investigate whether the odds of coronary heart disease (CHD) is higher in patients with diabetes mellitus (DM) living in deprived neighborhoods versus those living in wealthy neighborhoods. The Swedish nationwide prescription register was used to identify 334,000 patients aged 30 years and older with DM. The OR of CHD was significantly higher among patients with DM living in deprived neighborhoods than among patients with DM living in wealthy neighborhoods. These findings are useful for clinicians working in deprived neighborhoods. Future research could focus on how to reduce inequities in CHD among patients with DM. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:877 / 882
页数:6
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