Risks of socioeconomic deprivation on mortality in hypertensive patients

Stewart, L., McInnes, G.T., Murray, L., Sloan, B., Walters, M., Morton, R., Padmanabhan, S., Reid, J.L. and Morrison, D.S. (2009) Risks of socioeconomic deprivation on mortality in hypertensive patients. Journal of Hypertension, 27(4), pp. 730-735. (doi:10.1097/HJH.0b013e328324ed58)

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Abstract

Objective To determine if the increased risk of cardiovascular disease in patients with lower socioeconomic status could be explained by higher prevalence of known risk factors including hypertension or whether there was an independent effect of deprivation. Methods A retrospective cohort study of mortality was carried out on 3360 patients who attended Glasgow Blood Pressure Unit between 1991 and 2000, followed for a mean period of 8.1 years. Cox proportional hazards models were used to adjust for the effects of age, sex, socioeconomic circumstances, systolic and diastolic blood pressures at baseline and on treatment, smoking, diabetes mellitus, history of angina and myocardial infarction, excessive alcohol consumption, BMI and serum cholesterol. Results Of 442 deaths, 244 (55%) were from cardiovascular diseases. After adjustment, residents of the most deprived areas had a hazard ratio for all cause mortality of 1.46 (95% confidence interval 1.04, 2.04). Adjusted hazard ratio for death from cardiovascular disease in the most deprived areas was 1.65 (1.04, 2.60) compared with those from the most affluent areas. Conclusion Socioeconomic deprivation appears to have a significant independent effect on risks of death from cardiovascular disease.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Morrison, Dr David and Morton, Dr Richard and Murray, Dr Lilian and McInnes, Professor Gordon and Walters, Professor Matthew and Padmanabhan, Professor Sandosh and Reid, Professor John
Authors: Stewart, L., McInnes, G.T., Murray, L., Sloan, B., Walters, M., Morton, R., Padmanabhan, S., Reid, J.L., and Morrison, D.S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Public Health
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Centre for Population and Health Sciences
College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:Journal of Hypertension
Publisher:Lippincott Williams & Wilkins
ISSN:0263-6352

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