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Smoking as a determinant of the geographical pattern of cardiac events among women in an urban population

Janzon, Ellis; Engström, Gunnar LU ; Hedblad, Bo LU ; Berglund, Göran LU and Janzon, Lars LU (2007) In Scandinavian Journal of Public Health 35(3). p.272-277
Abstract
Background: Smoking is the major risk factor for cardiac events in younger women and is most common in groups with the least favourable socioeconomic circumstances. Objective: To assess to what extent geographical differences in the female incidence of myocardial infarction in the city of Malmo in Sweden can be accounted for by smoking and to what extent intra-urban variances of smoking are related to socioeconomic circumstances. Method: Area specific prevalences of smokers is based on a sample of 17,319 women, aged 45 - 73 years. A comprehensive score was used to rank the 17 residential areas in terms of socioeconomic circumstances. Incidence of myocardial infarction and death is based on official statistics 1989 - 97. Results: The... (More)
Background: Smoking is the major risk factor for cardiac events in younger women and is most common in groups with the least favourable socioeconomic circumstances. Objective: To assess to what extent geographical differences in the female incidence of myocardial infarction in the city of Malmo in Sweden can be accounted for by smoking and to what extent intra-urban variances of smoking are related to socioeconomic circumstances. Method: Area specific prevalences of smokers is based on a sample of 17,319 women, aged 45 - 73 years. A comprehensive score was used to rank the 17 residential areas in terms of socioeconomic circumstances. Incidence of myocardial infarction and death is based on official statistics 1989 - 97. Results: The area-specific prevalence of female smokers, which ranged from 17.5 to 32.5%, was inversely related to the socioeconomic score in 45- to 54 and 55- to 64-year-olds, r=-0.65 ( p < 0.05) and 20.59 ( p < 0.05). No correlation was found for women above 65 years of age. The annual age-adjusted incidence of cardiac events in the residential areas, which ranged from 151 to 414 per 100,000 person years, was strongly related to the prevalence of smokers, r=0.75 ( p < 0.001). Conclusion: Between 50% and 60% of the intra-urban variance of the female incidence of myocardial infarction was accounted for by smoking in this urban population. The geographical pattern of smoking was strongly related to inferior socioeconomic circumstances. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cardiac events, risks and prevention, smoking women
in
Scandinavian Journal of Public Health
volume
35
issue
3
pages
272 - 277
publisher
Taylor & Francis
external identifiers
  • wos:000246809400008
  • scopus:34447101961
ISSN
1651-1905
DOI
10.1080/14034940601011735
language
English
LU publication?
yes
id
40b1a7f2-693e-4218-8af9-ea319d7794cc (old id 661067)
date added to LUP
2007-12-11 13:44:39
date last changed
2017-01-01 06:43:02
@article{40b1a7f2-693e-4218-8af9-ea319d7794cc,
  abstract     = {Background: Smoking is the major risk factor for cardiac events in younger women and is most common in groups with the least favourable socioeconomic circumstances. Objective: To assess to what extent geographical differences in the female incidence of myocardial infarction in the city of Malmo in Sweden can be accounted for by smoking and to what extent intra-urban variances of smoking are related to socioeconomic circumstances. Method: Area specific prevalences of smokers is based on a sample of 17,319 women, aged 45 - 73 years. A comprehensive score was used to rank the 17 residential areas in terms of socioeconomic circumstances. Incidence of myocardial infarction and death is based on official statistics 1989 - 97. Results: The area-specific prevalence of female smokers, which ranged from 17.5 to 32.5%, was inversely related to the socioeconomic score in 45- to 54 and 55- to 64-year-olds, r=-0.65 ( p &lt; 0.05) and 20.59 ( p &lt; 0.05). No correlation was found for women above 65 years of age. The annual age-adjusted incidence of cardiac events in the residential areas, which ranged from 151 to 414 per 100,000 person years, was strongly related to the prevalence of smokers, r=0.75 ( p &lt; 0.001). Conclusion: Between 50% and 60% of the intra-urban variance of the female incidence of myocardial infarction was accounted for by smoking in this urban population. The geographical pattern of smoking was strongly related to inferior socioeconomic circumstances.},
  author       = {Janzon, Ellis and Engström, Gunnar and Hedblad, Bo and Berglund, Göran and Janzon, Lars},
  issn         = {1651-1905},
  keyword      = {cardiac events,risks and prevention,smoking women},
  language     = {eng},
  number       = {3},
  pages        = {272--277},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Public Health},
  title        = {Smoking as a determinant of the geographical pattern of cardiac events among women in an urban population},
  url          = {http://dx.doi.org/10.1080/14034940601011735},
  volume       = {35},
  year         = {2007},
}