Journal
BMC PUBLIC HEALTH
Volume 15, Issue -, Pages -Publisher
BMC
DOI: 10.1186/s12889-015-2630-4
Keywords
Coronary heart disease; Myocardial infarction; Risk factors; Income; Education; Social determinants of health; Health disparities
Categories
Funding
- National Institute of Neurological Disorders and Stroke [U01NS041588]
- National Heart, Lung, and Blood Institute [R01 HL080477, R01 HL080477-06, K24 HL111154]
- Amgen Corporation
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Background: We investigated the association between income-education groups and incident coronary heart disease (CHD) in a national prospective cohort study. Methods: The REasons for Geographic And Racial Differences in Stroke study recruited 30,239 black and white community-dwelling adults between 2003 and 2007 and collected participant-reported and in-home physiologic variables at baseline, with expert adjudicated CHD endpoints during follow-up. Mutually exclusive income-education groups were: low income (annual household income <$35,000)/low education (= 65 years, risk of incident CHD was similar across income-education groups after full adjustment. Conclusion: For younger individuals, low income, regardless of education, was associated with higher risk of CHD, but not observed for >= 65 years. Findings suggest that for younger participants, education attainment may not overcome the disadvantage conferred by low income in terms of CHD risk, whereas among those >= 65 years, the independent effects of income and education are less pronounced.
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