neighbourhood socioeconomics status predicts non-cardiovascular mortality in cardiac patients with access to universal health care地区社会经济情况状态预测non-cardiovascular死亡率心脏患者获得全民医疗保健.pdfVIP

Neighbourhood Socioeconomics Status Predicts Non- Cardiovascular Mortality in Cardiac Patients with Access to Universal Health Care 1 2 1 Claire L. Heslop *, Gregory E. Miller , John S. Hill 1 Atherosclerosis Specialty Laboratory, James Hogg iCAPTURE Centre for Cardiovascular and Pulmonary Research, Providence Heart+Lung Institute, Department of Pathology and Laboratory Medicine, University of British Columbia-St. Paul’s Hospital, Vancouver, Canada, 2 Department of Psychology, Faculty of Arts, University of British Columbia, Vancouver, Canada Abstract Background: Although the Canadian health care system provides essential services to all residents, evidence suggests that socioeconomic gradients in disease outcomes still persist. The main objective of our study was to investigate whether mortality, from cardiovascular disease or other causes, varies by neighbourhood socioeconomic gradients in patients accessing the healthcare system for cardiovascular disease management. Methods and Findings: A cohort of 485 patients with angiographic evidence of coronary artery disease (CAD) and neighbourhood socioeconomic status information was followed for 13.3 years. Survival analyses were completed with adjustment for potentially confounding risk factors. There were 64 cases of cardiovascular mortality and 66 deaths from non-cardiovascular chronic diseases. No socioeconomic differentials in cardiovascular mortality were observed. However, lower neighbourhood employment, education, and median family income did predict an increased risk of mortality from non-cardiovascular chronic diseases. For each quintile decrease in neighbourhood socioeconomic status, non- cardiovascul