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Neighborhood socioeconomic characteristics and statin medication in patients with myocardial infarction : A Swedish nationwide follow-up study

Forsberg, Per Ola LU ; Li, Xinjun LU and Sundquist, Kristina LU (2016) In BMC Cardiovascular Disorders 16(1).
Abstract

Background: Coronary heart disease (CHD) and myocardial infarction (MI) are associated with neighborhood-level socioeconomic status (SES). Statins are important drugs for secondary prevention of MI. However, no study has determined whether neighborhood-level SES is associated with statin medication in MI patients. We aimed to determine whether there is a difference in statin medication rate in MI patients across different levels of neighborhood SES. Methods: All patients in Sweden, diagnosed with incident MI from January 1st, 2000 until December 31st 2010, were followed (n = 116,840). Of these, 89.7 % received statin medication. Data were analyzed by multilevel logistic regression, with individual-level characteristics (age,... (More)

Background: Coronary heart disease (CHD) and myocardial infarction (MI) are associated with neighborhood-level socioeconomic status (SES). Statins are important drugs for secondary prevention of MI. However, no study has determined whether neighborhood-level SES is associated with statin medication in MI patients. We aimed to determine whether there is a difference in statin medication rate in MI patients across different levels of neighborhood SES. Methods: All patients in Sweden, diagnosed with incident MI from January 1st, 2000 until December 31st 2010, were followed (n = 116,840). Of these, 89.7 % received statin medication. Data were analyzed by multilevel logistic regression, with individual-level characteristics (age, marital status, family income, educational attainment, country of origin, urban/rural status and comorbidities/chronic conditions related to MI) as covariates. Results: Low neighborhood-level SES was significantly associated with low statin medication rate (Odds Ratio 0.80). In the full model, which took into account individual-level socioeconomic characteristics and MI comorbidities, the odds no longer remained significant. Conclusions: Individual-level approaches may be most important in health care policies regarding statin medication in MI patients.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Myocardial infarction, Neighborhood deprivation, Socioeconomic status, Statins
in
BMC Cardiovascular Disorders
volume
16
issue
1
publisher
BioMed Central
external identifiers
  • scopus:84991764819
  • wos:000379413600003
ISSN
1471-2261
DOI
10.1186/s12872-016-0319-y
language
English
LU publication?
yes
id
ec070a23-9454-44d1-86db-fad84ab26bbf
date added to LUP
2016-11-04 13:50:23
date last changed
2017-02-04 03:00:14
@article{ec070a23-9454-44d1-86db-fad84ab26bbf,
  abstract     = {<p>Background: Coronary heart disease (CHD) and myocardial infarction (MI) are associated with neighborhood-level socioeconomic status (SES). Statins are important drugs for secondary prevention of MI. However, no study has determined whether neighborhood-level SES is associated with statin medication in MI patients. We aimed to determine whether there is a difference in statin medication rate in MI patients across different levels of neighborhood SES. Methods: All patients in Sweden, diagnosed with incident MI from January 1st, 2000 until December 31<sup>st</sup> 2010, were followed (n = 116,840). Of these, 89.7 % received statin medication. Data were analyzed by multilevel logistic regression, with individual-level characteristics (age, marital status, family income, educational attainment, country of origin, urban/rural status and comorbidities/chronic conditions related to MI) as covariates. Results: Low neighborhood-level SES was significantly associated with low statin medication rate (Odds Ratio 0.80). In the full model, which took into account individual-level socioeconomic characteristics and MI comorbidities, the odds no longer remained significant. Conclusions: Individual-level approaches may be most important in health care policies regarding statin medication in MI patients.</p>},
  articleno    = {146},
  author       = {Forsberg, Per Ola and Li, Xinjun and Sundquist, Kristina},
  issn         = {1471-2261},
  keyword      = {Myocardial infarction,Neighborhood deprivation,Socioeconomic status,Statins},
  language     = {eng},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {BMC Cardiovascular Disorders},
  title        = {Neighborhood socioeconomic characteristics and statin medication in patients with myocardial infarction : A Swedish nationwide follow-up study},
  url          = {http://dx.doi.org/10.1186/s12872-016-0319-y},
  volume       = {16},
  year         = {2016},
}