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Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7134-8256
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7234-3510
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, article id 1403494818790406Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIMS: Research is scarce regarding studies on income and educational inequality trends in cardiovascular disease in Sweden. The aim of this study was to assess trends in educational and income inequalities in first hospitalizations due to cardiovascular disease (CVD) from 1993 to 2010 among middle-aged women and men in Northern Sweden.

METHODS: The study comprised repeated cross-sectional register data from year 1993-2010 of all individuals aged 38-62 years enrolled in the Västerbotten Intervention Programme (VIP). Data included highest educational level, total earned income and first-time hospitalization for CVD from national registers. The relative and slope indices of inequality (RII and SII, respectively) were used to estimate educational and income inequalities in CVD for six subsamples for women and men, and interaction analyses were used to estimate trends across time periods.

RESULTS: Educational RII and SII were stable in women, while they decreased in men. Income inequalities in CVD developed differently compared with educational inequalities, with RII and SII for both men and women increasing during the study period, the most marked for RII in women rising from 1.52 in the 1990s to 2.62 in the late 2000s.

CONCLUSIONS: The trend of widening income inequalities over 18 years in the middle-aged in Northern Sweden, in the face of stable or even decreasing educational inequalities, is worrisome from a public health perspective, especially as Swedish authorities monitor socioeconomical inequalities exclusively by education. The results show that certain social inequalities in CVD rise and persist even within a traditionally egalitarian welfare regime.

Place, publisher, year, edition, pages
2018. article id 1403494818790406
Keywords [en]
Inequalities, Sweden, cardiovascular diseases, education, income
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health; Social Medicine; Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-154002DOI: 10.1177/1403494818790406PubMedID: 30113264OAI: oai:DiVA.org:umu-154002DiVA, id: diva2:1269749
Available from: 2018-12-11 Created: 2018-12-11 Last updated: 2019-04-04

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Waenerlund, Anna-KarinMosquera, PaolaGustafsson, Per ESan Sebastian, Miguel

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Scandinavian Journal of Public Health
Public Health, Global Health, Social Medicine and Epidemiology

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