American Journal of Epidemiology Vol. 150, No. 2: 142-148
Copyright © 1999 by The Johns Hopkins University School of Hygiene and Public Health
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Socioeconomic Status and Aortic Atheroscierosis in Dutch Elderly People
The Rotterdam Study
1 Department of Epidemiology and Biostatistics, Erasmus University Medical School Rotterdam, The Netherlands
2 Department of Public Health, Erasmus University Medical School Rotterdam, The Netherlands
3 Julius Center for Patient Oriented Research, Utrecht University Medical School Utrecht, The Netherlands
An inverse association has been reported between socioeconomic status (SES) and cardiovascular morbidity and mortality. Studies on subclinical manifestations of atherosclerotic disease are limited and have not been carried out among elderly persons. The authors investigated the relation between SES and aortic atherosclerosis among elderly people. As part of the Rotterdam Study, data on SES and atherosclerosis were collected for 4,451 persons aged 55–94 years. Atherosclerosis was estimated by radiographic assessment of calcified deposits in the abdominal aorta. Aortic atheroscierosis was more common among women in the lower educational and occupational strata. The lowest educational group and the lowest occupational group had increased risks of aortic atherosclerosis compared with the highest groups (odds ratios were 1.3 (95% confidence interval (Cl) 1.0–1.6) and 1.3 (95% Cl 1.0–1.8), respectively). The odds ratios for severe atherosclerosis among women in the lowest socioeconomic stratum compared with those in the highest stratum were 1.6 (95% Cl 1.0–2.7) for education, 2.8 (95% Cl 1.1–7.5) for occupation, and 1.7 (95% Cl 0.9–3.3) for income. After exclusion of persons with a history of cardiovascular disease, the same trends still emerged. No relations were observed among men. These findings show that SES is related to aortic atherosclerosis in women. This suggests that SES affects the incidence of cardiovascular disease before its clinical manifestation. Am J Epidemiol 1999;150:142-8.
aged; atherosclerosis; cardiovascular diseases; socioeconomic factors
Reprint requests to Dr. Caroline T. M. van Rossum, Department of Epidemiology and Biostatistics, Erasmus University Medical School, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
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