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Area social characteristics and carotid atherosclerosis.

Rosvall, Maria LU ; Engström, Gunnar LU ; Hedblad, Bo LU ; Janzon, Lars LU and Berglund, Göran LU (2007) In European Journal of Public Health 17(4). p.333-339
Abstract
Objectives: To explore the effect of social characteristics of residential areas on carotid atherosclerosis

prevalence.

Methods and results: The associations among area social characteristics and B-mode ultrasound

determined carotid plaque-score (a semi-quantitative scale measuring the degree of atherosclerosis in

the carotid bifurcation area) were cross-sectionally investigated in a general population sample of 4033

men and women. Area socioeconomic circumstances were described through a social deprivation index

calculated from migration rate, percentage residents with foreign citizenship among those with foreign

background, dependency on social welfare support, and employment... (More)
Objectives: To explore the effect of social characteristics of residential areas on carotid atherosclerosis

prevalence.

Methods and results: The associations among area social characteristics and B-mode ultrasound

determined carotid plaque-score (a semi-quantitative scale measuring the degree of atherosclerosis in

the carotid bifurcation area) were cross-sectionally investigated in a general population sample of 4033

men and women. Area socioeconomic circumstances were described through a social deprivation index

calculated from migration rate, percentage residents with foreign citizenship among those with foreign

background, dependency on social welfare support, and employment rate. Living in socially deprived

areas was associated with an increased carotid plaque-score in both men (P for trend ¼ 0.004) and

women (P for trend ¼ 0.007). These associations were only slightly reduced after adjustment for

individual level indicators with a decrease of the absolute mean difference in carotid plaque-score

between worse-off and better-off areas of 9% for men and 13% for women, whereas adjustment for

risk factors turned the trend non-significant in women, however, not in men.

Conclusions: Those living in socially deprived areas in general had more extensive carotid

atherosclerosis. However, in these areas there were a substantial number of individuals with low

degrees of carotid atherosclerosis and vice versa. Thus, with regard to conceptual ideas of causal

inference, the social characteristics of an area seem to be associated with the prevalence of carotid

atherosclerosis. However, with regard to benefits of prevention, focusing on geographical areas would

probably give a restricted benefit, where only some high-risk individuals would be reached. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
social context, cardiovascular diseases, socioeconomic factors, carotid arteries, atherosclerosis
in
European Journal of Public Health
volume
17
issue
4
pages
333 - 339
publisher
Oxford University Press
external identifiers
  • wos:000249370300005
  • scopus:34547754018
ISSN
1101-1262
DOI
10.1093/eurpub/ckl239
language
English
LU publication?
yes
id
b64454bf-e613-4347-964a-41f993df5a20 (old id 163029)
date added to LUP
2007-07-25 08:14:50
date last changed
2017-01-01 04:51:59
@article{b64454bf-e613-4347-964a-41f993df5a20,
  abstract     = {Objectives: To explore the effect of social characteristics of residential areas on carotid atherosclerosis<br/><br>
prevalence.<br/><br>
Methods and results: The associations among area social characteristics and B-mode ultrasound<br/><br>
determined carotid plaque-score (a semi-quantitative scale measuring the degree of atherosclerosis in<br/><br>
the carotid bifurcation area) were cross-sectionally investigated in a general population sample of 4033<br/><br>
men and women. Area socioeconomic circumstances were described through a social deprivation index<br/><br>
calculated from migration rate, percentage residents with foreign citizenship among those with foreign<br/><br>
background, dependency on social welfare support, and employment rate. Living in socially deprived<br/><br>
areas was associated with an increased carotid plaque-score in both men (P for trend ¼ 0.004) and<br/><br>
women (P for trend ¼ 0.007). These associations were only slightly reduced after adjustment for<br/><br>
individual level indicators with a decrease of the absolute mean difference in carotid plaque-score<br/><br>
between worse-off and better-off areas of 9% for men and 13% for women, whereas adjustment for<br/><br>
risk factors turned the trend non-significant in women, however, not in men.<br/><br>
Conclusions: Those living in socially deprived areas in general had more extensive carotid<br/><br>
atherosclerosis. However, in these areas there were a substantial number of individuals with low<br/><br>
degrees of carotid atherosclerosis and vice versa. Thus, with regard to conceptual ideas of causal<br/><br>
inference, the social characteristics of an area seem to be associated with the prevalence of carotid<br/><br>
atherosclerosis. However, with regard to benefits of prevention, focusing on geographical areas would<br/><br>
probably give a restricted benefit, where only some high-risk individuals would be reached.},
  author       = {Rosvall, Maria and Engström, Gunnar and Hedblad, Bo and Janzon, Lars and Berglund, Göran},
  issn         = {1101-1262},
  keyword      = {social context,cardiovascular diseases,socioeconomic
factors,carotid arteries,atherosclerosis},
  language     = {eng},
  number       = {4},
  pages        = {333--339},
  publisher    = {Oxford University Press},
  series       = {European Journal of Public Health},
  title        = {Area social characteristics and carotid atherosclerosis.},
  url          = {http://dx.doi.org/10.1093/eurpub/ckl239},
  volume       = {17},
  year         = {2007},
}