Neighborhood socioeconomic characteristics and statin medication in patients with myocardial infarction : A Swedish nationwide follow-up study
(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
- Forsberg, Per Ola LU ; Li, Xinjun LU and Sundquist, Kristina LU
- organization
- publishing date
- 2016
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Myocardial infarction, Neighborhood deprivation, Socioeconomic status, Statins
- in
- BMC Cardiovascular Disorders
- volume
- 16
- issue
- 1
- article number
- 146
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:84991764819
- wos:000379413600003
- pmid:27391128
- 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
- 2024-01-04 15:39:40
@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>}},
author = {{Forsberg, Per Ola and Li, Xinjun and Sundquist, Kristina}},
issn = {{1471-2261}},
keywords = {{Myocardial infarction; Neighborhood deprivation; Socioeconomic status; Statins}},
language = {{eng}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
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}},
doi = {{10.1186/s12872-016-0319-y}},
volume = {{16}},
year = {{2016}},
}