کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2804524 1156879 2008 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Coronary heart disease among diabetic and nondiabetic people — socioeconomic differences in incidence, prognosis and mortality
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی علوم غدد
پیش نمایش صفحه اول مقاله
Coronary heart disease among diabetic and nondiabetic people — socioeconomic differences in incidence, prognosis and mortality
چکیده انگلیسی

ObjectiveTo investigate coronary heart disease (CHD) morbidity and mortality and their patterning by socioeconomic status among diabetic and nondiabetic individuals in Finland.MethodsAll diabetic persons aged 35–74 years entitled to free anti-diabetic medication were drawn from the 1991–1996 national health insurance files along with nondiabetic referents. Outcome events for up to 6 years of follow-up, corresponding to 418 987 and 867 813 person-years in diabetic and nondiabetic people, respectively, were identified from national health insurance, hospital discharge and causes of death registers using personal identification codes.ResultsThe annual CHD incidence for diabetic women and men was 2.7% and 3.7%, respectively, corresponding to relative risks of 3.55 (95% CI: 3.43–3.67) and 2.64 (95% CI: 2.56–2.72) compared to nondiabetic persons. The impact of diabetes on CHD mortality was greater, with relative death rates of 6.04 and 3.42 for women and men, respectively. CHD mortality and incidence displayed systematic socioeconomic trends with higher rates among worse-off diabetic and nondiabetic people, although gradients were generally steeper for nondiabetics. In the diabetic population, socioeconomic differences were rather similar for sudden CHD deaths and nonfatal CHD incident cases. For both genders, socioeconomic differences in mortality after CHD diagnosis were small in both diabetic and nondiabetic persons, except for the lowest compared to the highest income quintile.ConclusionsSocioeconomic CHD mortality differences among diabetic people in Finland were mainly explained by higher CHD incidence and particularly sudden deaths without prior CHD diagnosis. No systematic socioeconomic differences were found in long-term prognosis after CHD diagnosis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Diabetes and its Complications - Volume 22, Issue 1, January–February 2008, Pages 10–17
نویسندگان
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