Socioeconomic variation in absolute cardiovascular disease risk and treatment in the Australian population
Date
2018-09
Authors
Paige, Ellie
Welsh, Jennifer
Agostino, Jason
Calabria, Bianca
Banks, Emily
Korda, Rosemary
Journal Title
Journal ISSN
Volume Title
Publisher
Preventive Medicine
Abstract
Cardiovascular disease (CVD), preventable through appropriate management of absolute CVD risk, disproportionately affects socioeconomically disadvantaged individuals. The aim of this study was to estimate absolute and relative socioeconomic inequalities in absolute CVD risk and treatment in the Australian population using cross-sectional representative data on 4,751 people aged 45-74 from the 2011-12 Australian Health Survey. Poisson regression was used to calculate prevalence differences (PD) and ratios (PR) for prior CVD, high 5-year absolute risk of a primary CVD event and guideline-recommended medication use, in relation to socioeconomic position (SEP, measured by education). After adjusting for age and sex, the prevalence of high absolute risk of a primary CVD event among those of low, intermediate and high SEP was 12.6%, 10.9% and 7.7% (PD, low vs. high=5.0 [95% CI: 2.3, 7.7], PR=1.6 [1.2, 2.2]) and for prior CVD was 10.7%, 9.1% and 6.7% (PD=4.0 [1.4, 6.6], PR=1.6 [1.1, 2.2]). The proportions using preventive medication use among those with high primary risk were 21.3%, 19.5% and 29.4% for low, intermediate and high SEP and for prior CVD, were 37.8%, 35.7% and 17.7% (PD=20.1 [9.7, 30.5], PR=2.1 [1.3, 3.5]). Proportions at high primary risk and not using medications among those of low, intermediate and high SEP were 10.6%, 8.8% and 4.7% and with prior CVD not using medications were 8.5%, 6.3% and 4.1%. Findings indicate substantial potential to prevent CVD and reduce inequalities through appropriate management of high absolute risk in the population.
Description
Keywords
Cardiovascular disease, Absolute risk, Socioeconomic position, Inequalities
Citation
Paige, Ellie, et al. "Socioeconomic variation in absolute cardiovascular disease risk and treatment in the Australian population." Preventive medicine (2018).
Collections
Source
Preventive Medicine
Type
Journal article
Book Title
Entity type
Access Statement
Open Access
License Rights
DOI
10.1016/j.ypmed.2018.07.011