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How Could Cardiovascular Disease Occurrence Be so Different in Two Close Cities?
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Faculty of Health Sciences, Engelska: Faculty of Health Sciences, Medical Programme.
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-4224-1032
2011 (English)Conference paper, Published paper (Other academic)
Abstract [en]

Background: The leading cause of death and loss of disability-adjusted life years globally are cardiovascular diseases. Conventional risk factors for cardiovascular diseases only partly account for the social gradient. The aim of this study was to estimate the occurrence of common cardiovascular diseases and cardiovascular mortality in defined populations in two geographical close but socially different cities, a white-collar and a blue-collar twin city - “The Twincities”.

Methods: We focused on the total population in these two neighbouring and equally sized cities with a population of around 135 000 inhabitants respectively, representing two close but different social environments in the same Swedish county. Data about morbidity for the two cities was derived from an administrative health care register based on medical records assigned by the physicians at both hospitals and primary care and calculated as cumulative incidence rates. Mortality for ischemic heart diseases is based on official Swedish national statistics.

Results: The cumulative incidence of cardiovascular diagnoses for younger as well as elderly men and women revealed significant differences between these two cities. The relative risks for both sexes were highest for all cardiovascular diagnosis studied and cardiovascular mortality in the population of the blue-collar twin city.

Conclusions: There are major differences in cardiovascular morbidity and mortality between the studied twin cities representing two close but different social environments. Since these differences seem to be profound and stable over time preventive measures is warranted in the blue-collar city.

Place, publisher, year, edition, pages
2011.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-70795OAI: oai:DiVA.org:liu-70795DiVA: diva2:441776
Conference
9th International Congress on Coronary Artery Disease, October 23-26, 2011,Venice, Italy
Available from: 2011-09-19 Created: 2011-09-19 Last updated: 2013-09-05

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Wennerholm, CarinaJern, MichaelaJohansson, AnnaKarinFaresjö, Tomas

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Wennerholm, CarinaJern, MichaelaJohansson, AnnaKarinFaresjö, Tomas
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Nursing ScienceFaculty of Health SciencesEngelska: Faculty of Health Sciences, Medical ProgrammeGeneral Practice
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CiteExportLink to record
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