Impact of neighbourhood-level socioeconomic status, traditional coronary risk factors, and ancestry on age at myocardial infarction onset: A population-based register study

There is consensus that low socioeconomic status (SES) is associated with an increased risk of acute myocardial infarction (AMI), but the extent to which traditional coronary risk factors and other characteristics of low SES mediate this effect remains uncertain. This study examined AMI patients res...

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Bibliographic Details
Published in:BMC cardiovascular disorders 2022-10, Vol.22 (1), p.447-11, Article 447
Main Authors: Kolden, Mathias Øie, Nymo, Ståle H, Øie, Erik
Format: Article
Language:English
Subjects:
Acute myocardial infarction (AMI)
Age
Ancestry
Body mass index
Cardiovascular disease
Child
Child, Preschool
Cholesterol
Cigarettes
Coronary risk factors
Demographic aspects
Diabetes
Diabetes mellitus
Ethnicity
Health aspects
Heart attack
Heart attacks
Hospitalization
Hospitals
Humans
Hypertension
Immigrants
Low density lipoprotein
Mortality
Myocardial infarction
Myocardial Infarction - diagnosis
Myocardial Infarction - epidemiology
Non-ST Elevated Myocardial Infarction
Non-ST-elevation myocardial infarction (NSTEMI)
Patients
Population studies
Population-based studies
Risk Factors
Smoking
Social Class
Social classes
Socioeconomic disadvantage
Socioeconomic factors
Socioeconomic status
Socioeconomic status (SES)
Statistical analysis
Statistics
Variables
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Summary:There is consensus that low socioeconomic status (SES) is associated with an increased risk of acute myocardial infarction (AMI), but the extent to which traditional coronary risk factors and other characteristics of low SES mediate this effect remains uncertain. This study examined AMI patients residing in neighbouring city districts with the same local hospital despite having among the most considerable differences in mean SES in Norway. Our purpose was to assess low SES as a coronary risk factor and examine whether traditional coronary risk factors or ancestry mediate this effect. Six hundred six patients (215 and 391 with a low and high neighbourhood-level SES, respectively) admitted to Diakonhjemmet Hospital with non-ST-elevation myocardial infarction (NSTEMI) between 2014 and 2017, entered analysis. Data from the Norwegian Myocardial Infarction Register were used to identify patient characteristics, and the STATA/SE 15.1 software was used to perform the statistical analyses. Patients from socioeconomically disadvantaged city-districts had a 4.9 years earlier onset of AMI (68.99 vs. 73.89 years; p 
ISSN:1471-2261
1471-2261
DOI:10.1186/s12872-022-02880-7