Are social inequalities in mortality in Britain narrowing? Time trends from 1978 to 2005 in a population-based study of older men Export

@article{ramsay_et_al_2008, abstract = {ObjectiveTo examine whether social inequalities in all-cause and coronary heart disease (CHD) mortality in Britain have reduced between 1978 and 2005. DesignA prospective study of a socioeconomically representative population. Setting24 British towns. Participants7735 Men, aged 40-59 years at recruitment in 1978-1980 and followed up until 2005 through the National Health Service Central Register (164 120 person-years). Main outcome measuresRelative hazards and absolute risk differences for all-cause and CHD death comparing manual with non-manual social classes, calculated for different calendar periods. Results3009 Deaths from all causes (1003 from CHD) occurred during follow-up. The overall hazard ratio (manual versus non-manual) was 1.56 (95\% CI 1.45 to 1.69, p<0.001) for all-cause mortality and 1.54 (95\% CI 1.35 to 1.76, p<0.001) for CHD mortality. The relative difference between these social groups tended to increase over time. The overall relative increase in hazard ratio comparing manual with non-manual groups over a 20-year calendar period was 1.22 (95\% CI 0.83 to 1.80, p = 0.31) for all-cause mortality and 1.75 (95\% CI 0.89 to 3.45, p = 0.11) for CHD mortality. The absolute difference in probability of survival to age 65 years between non-manual and manual groups fell from 29\% in 1981 to 19\% in 2001 for all-cause mortality and from 17\% to 7\% for CHD mortality. ConclusionRelative differences in all-cause and CHD mortality between manual and non-manual social class groups persisted and may have increased during this period. Absolute differences in mortality between these social groups decreased as a result of falling overall mortality rates. Greater effort is needed to reduce social inequalities in all-cause and CHD mortality in the new millennium. 10.1136/jech.2006.053207}, author = {Ramsay, S. E. and Morris, R. W. and Lennon, L. T. and Wannamethee, S. G. and Whincup, P. H.}, citeulike-article-id = {3413426}, citeulike-linkout-0 = {http://dx.doi.org/10.1136/jech.2006.053207}, citeulike-linkout-1 = {http://jech.bmj.com/cgi/content/abstract/62/1/75}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/18079337}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=18079337}, comment = {Study of health inequality trends in Britain between 1978 and 2005, using all-cause and CHD mortality as the outcome. Relative differences in mortality across occupation groups (manual and non-manual) have persisted and maybe increased, though absolute differences have been reduced as a result of mortality falling overall. This highlights the dilemma of choosing between relative and absolute measures.}, day = {1}, doi = {10.1136/jech.2006.053207}, journal = {J Epidemiol Community Health}, keywords = {british-heart-study, chd, health-inequalities, mortality, social-class, uk}, month = {January}, number = {1}, pages = {75--80}, posted-at = {2008-10-15 19:32:16}, priority = {0}, title = {Are social inequalities in mortality in Britain narrowing? Time trends from 1978 to 2005 in a population-based study of older men}, url = {http://dx.doi.org/10.1136/jech.2006.053207}, volume = {62}, year = {2008} }

TY - JOUR ID - ramsay_et_al_2008 L3 - citeulike-article-id:3413426 N2 - ObjectiveTo examine whether social inequalities in all-cause and coronary heart disease (CHD) mortality in Britain have reduced between 1978 and 2005. DesignA prospective study of a socioeconomically representative population. Setting24 British towns. Participants7735 Men, aged 40-59 years at recruitment in 1978-1980 and followed up until 2005 through the National Health Service Central Register (164 120 person-years). Main outcome measuresRelative hazards and absolute risk differences for all-cause and CHD death comparing manual with non-manual social classes, calculated for different calendar periods. Results3009 Deaths from all causes (1003 from CHD) occurred during follow-up. The overall hazard ratio (manual versus non-manual) was 1.56 (95% CI 1.45 to 1.69, p<0.001) for all-cause mortality and 1.54 (95% CI 1.35 to 1.76, p<0.001) for CHD mortality. The relative difference between these social groups tended to increase over time. The overall relative increase in hazard ratio comparing manual with non-manual groups over a 20-year calendar period was 1.22 (95% CI 0.83 to 1.80, p = 0.31) for all-cause mortality and 1.75 (95% CI 0.89 to 3.45, p = 0.11) for CHD mortality. The absolute difference in probability of survival to age 65 years between non-manual and manual groups fell from 29% in 1981 to 19% in 2001 for all-cause mortality and from 17% to 7% for CHD mortality. ConclusionRelative differences in all-cause and CHD mortality between manual and non-manual social class groups persisted and may have increased during this period. Absolute differences in mortality between these social groups decreased as a result of falling overall mortality rates. Greater effort is needed to reduce social inequalities in all-cause and CHD mortality in the new millennium. 10.1136/jech.2006.053207 IS - 1 JF - J Epidemiol Community Health EP - 80 TI - Are social inequalities in mortality in Britain narrowing? Time trends from 1978 to 2005 in a population-based study of older men VL - 62 SP - 75 KW - british-heart-study KW - chd KW - health-inequalities KW - mortality KW - social-class KW - uk N1 - Study of health inequality trends in Britain between 1978 and 2005, using all-cause and CHD mortality as the outcome. Relative differences in mortality across occupation groups (manual and non-manual) have persisted and maybe increased, though absolute differences have been reduced as a result of mortality falling overall. This highlights the dilemma of choosing between relative and absolute measures. AU - Ramsay, SE AU - Morris, RW AU - Lennon, LT AU - Wannamethee, SG AU - Whincup, PH PY - 2008/01/01/ UR - http://dx.doi.org/10.1136/jech.2006.053207 ER -