Myocardial infarction events and cardiovascular risk factor levels in Finnish- and Swedish-speaking populations of Finland

Abstract Background. The Swedish-speaking minority of Finland is unique, because it has a higher socioeconomic status (SES) and longer life expectancy than the Finnish-speaking majority. We hypothesized that this minority may have a lower attack rate of coronary events and analysed whether this coul...

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Veröffentlicht in:Annals of medicine (Helsinki) 2011-11, Vol.43 (7), p.562-569
Hauptverfasser: Lammintausta, Aino, Immonen-Räihä, Pirjo, Lehtonen, Aapo, Räihä, Ismo, Harald, Kennet, Torppa, Jorma, Airaksinen, Juhani K. E., Salomaa, Veikko
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container_end_page 569
container_issue 7
container_start_page 562
container_title Annals of medicine (Helsinki)
container_volume 43
creator Lammintausta, Aino
Immonen-Räihä, Pirjo
Lehtonen, Aapo
Räihä, Ismo
Harald, Kennet
Torppa, Jorma
Airaksinen, Juhani K. E.
Salomaa, Veikko
description Abstract Background. The Swedish-speaking minority of Finland is unique, because it has a higher socioeconomic status (SES) and longer life expectancy than the Finnish-speaking majority. We hypothesized that this minority may have a lower attack rate of coronary events and analysed whether this could be explained by their higher SES. Methods. The population-based myocardial infarction (MI) registers recorded 4,845 MI events in Turku during 1988-1998. Individual-level indicators of SES were obtained from Statistics Finland. The population-based FINRISK surveys recorded cardiovascular risk factors and native languages of 10,432 people in 1987, 1997, and 2002. Results. The age-standardized attack rate of MI was lower among the 35-64-year-old Swedish-speaking men than among Finnish-speaking men (rate ratio 0.66; 95% confidence interval 0.47-0.85) and the difference remained significant after adjustment for SES. The Swedish-speaking inhabitants had higher age-, sex-, and SES-adjusted high-density lipoprotein cholesterol, and lower triglycerides, body mass index, and diastolic blood pressure. Conclusion. The Swedish-speaking inhabitants of Turku had lower MI morbidity and coronary mortality than the Finnish-speaking inhabitants. After controlling for SES, these differences remained significant among men, suggesting that other factors, such as differences in the risk factor profiles may also play a role.
doi_str_mv 10.3109/07853890.2010.526136
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E. ; Salomaa, Veikko</creator><creatorcontrib>Lammintausta, Aino ; Immonen-Räihä, Pirjo ; Lehtonen, Aapo ; Räihä, Ismo ; Harald, Kennet ; Torppa, Jorma ; Airaksinen, Juhani K. E. ; Salomaa, Veikko</creatorcontrib><description>Abstract Background. The Swedish-speaking minority of Finland is unique, because it has a higher socioeconomic status (SES) and longer life expectancy than the Finnish-speaking majority. We hypothesized that this minority may have a lower attack rate of coronary events and analysed whether this could be explained by their higher SES. Methods. The population-based myocardial infarction (MI) registers recorded 4,845 MI events in Turku during 1988-1998. Individual-level indicators of SES were obtained from Statistics Finland. The population-based FINRISK surveys recorded cardiovascular risk factors and native languages of 10,432 people in 1987, 1997, and 2002. Results. The age-standardized attack rate of MI was lower among the 35-64-year-old Swedish-speaking men than among Finnish-speaking men (rate ratio 0.66; 95% confidence interval 0.47-0.85) and the difference remained significant after adjustment for SES. The Swedish-speaking inhabitants had higher age-, sex-, and SES-adjusted high-density lipoprotein cholesterol, and lower triglycerides, body mass index, and diastolic blood pressure. Conclusion. The Swedish-speaking inhabitants of Turku had lower MI morbidity and coronary mortality than the Finnish-speaking inhabitants. After controlling for SES, these differences remained significant among men, suggesting that other factors, such as differences in the risk factor profiles may also play a role.</description><identifier>ISSN: 0785-3890</identifier><identifier>EISSN: 1365-2060</identifier><identifier>DOI: 10.3109/07853890.2010.526136</identifier><identifier>PMID: 20964582</identifier><language>eng</language><publisher>London: Informa Healthcare</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood Pressure ; Body Mass Index ; Cardiology. Vascular system ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cholesterol, HDL - blood ; Coronary heart disease ; Epidemiology ; Female ; Finland - epidemiology ; General aspects ; Health Surveys - statistics &amp; numerical data ; Heart ; Humans ; Language ; Male ; Medical sciences ; Middle Aged ; Morbidity ; myocardial infarction ; Myocardial Infarction - epidemiology ; Myocardial Infarction - etiology ; Public health. Hygiene ; Public health. 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E.</creatorcontrib><creatorcontrib>Salomaa, Veikko</creatorcontrib><title>Myocardial infarction events and cardiovascular risk factor levels in Finnish- and Swedish-speaking populations of Finland</title><title>Annals of medicine (Helsinki)</title><addtitle>Ann Med</addtitle><description>Abstract Background. The Swedish-speaking minority of Finland is unique, because it has a higher socioeconomic status (SES) and longer life expectancy than the Finnish-speaking majority. We hypothesized that this minority may have a lower attack rate of coronary events and analysed whether this could be explained by their higher SES. Methods. The population-based myocardial infarction (MI) registers recorded 4,845 MI events in Turku during 1988-1998. Individual-level indicators of SES were obtained from Statistics Finland. The population-based FINRISK surveys recorded cardiovascular risk factors and native languages of 10,432 people in 1987, 1997, and 2002. Results. The age-standardized attack rate of MI was lower among the 35-64-year-old Swedish-speaking men than among Finnish-speaking men (rate ratio 0.66; 95% confidence interval 0.47-0.85) and the difference remained significant after adjustment for SES. The Swedish-speaking inhabitants had higher age-, sex-, and SES-adjusted high-density lipoprotein cholesterol, and lower triglycerides, body mass index, and diastolic blood pressure. Conclusion. The Swedish-speaking inhabitants of Turku had lower MI morbidity and coronary mortality than the Finnish-speaking inhabitants. 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Vascular system</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cholesterol, HDL - blood</subject><subject>Coronary heart disease</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>General aspects</subject><subject>Health Surveys - statistics &amp; numerical data</subject><subject>Heart</subject><subject>Humans</subject><subject>Language</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>myocardial infarction</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Myocardial Infarction - etiology</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>socioeconomic status</subject><subject>Triglycerides - blood</subject><issn>0785-3890</issn><issn>1365-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFvFCEUxonR2LX6HxjDxXiaCgwww0XTNFZNajzYO3nLgEvLwggzbda_Xqa7q_GiFwjw-z7e-x5CLyk5aylRb0nXi7ZX5IyReiWYpK18hFZ1FQ0jkjxGqwVpFuYEPSvlhhDCOkqeohNGlOSiZyv088suGciDh4B9dJDN5FPE9s7GqWCIA354TXdQzBwg4-zLLXZgppRxqFgoVYcvfYy-bJoHxbd7OyyHMlq49fE7HtNYtYtxwcktcKjcc_TEQSj2xWE_RdeXH64vPjVXXz9-vji_agzn3dQ4RdpOtlIKwdZcSSO5kUJaRbmhnLN17zhjoCylhEoAC4yrTjgOHePStafozd52zOnHbMukt74YG2oJNs1F96pV1YuLSvI9aXIqJVunx-y3kHeaEr1kro-Z6yVzvc-8yl4dPpjXWzv8Fh1DrsDrA1BDhOAyROPLH07U_qjqK_d-z9VBpLyF-5TDoCfYhZSPovY_pbz7y2FjIUybOkGrb9KcY4353738AsPzsY8</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Lammintausta, Aino</creator><creator>Immonen-Räihä, Pirjo</creator><creator>Lehtonen, Aapo</creator><creator>Räihä, Ismo</creator><creator>Harald, Kennet</creator><creator>Torppa, Jorma</creator><creator>Airaksinen, Juhani K. 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E. ; Salomaa, Veikko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-f90376366552b496c64c656e914c1442b8f422a9e11016aaea24975f4a7246f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood Pressure</topic><topic>Body Mass Index</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cholesterol, HDL - blood</topic><topic>Coronary heart disease</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>General aspects</topic><topic>Health Surveys - statistics &amp; numerical data</topic><topic>Heart</topic><topic>Humans</topic><topic>Language</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>myocardial infarction</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Myocardial Infarction - etiology</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><topic>socioeconomic status</topic><topic>Triglycerides - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lammintausta, Aino</creatorcontrib><creatorcontrib>Immonen-Räihä, Pirjo</creatorcontrib><creatorcontrib>Lehtonen, Aapo</creatorcontrib><creatorcontrib>Räihä, Ismo</creatorcontrib><creatorcontrib>Harald, Kennet</creatorcontrib><creatorcontrib>Torppa, Jorma</creatorcontrib><creatorcontrib>Airaksinen, Juhani K. E.</creatorcontrib><creatorcontrib>Salomaa, Veikko</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of medicine (Helsinki)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lammintausta, Aino</au><au>Immonen-Räihä, Pirjo</au><au>Lehtonen, Aapo</au><au>Räihä, Ismo</au><au>Harald, Kennet</au><au>Torppa, Jorma</au><au>Airaksinen, Juhani K. E.</au><au>Salomaa, Veikko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myocardial infarction events and cardiovascular risk factor levels in Finnish- and Swedish-speaking populations of Finland</atitle><jtitle>Annals of medicine (Helsinki)</jtitle><addtitle>Ann Med</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>43</volume><issue>7</issue><spage>562</spage><epage>569</epage><pages>562-569</pages><issn>0785-3890</issn><eissn>1365-2060</eissn><abstract>Abstract Background. The Swedish-speaking minority of Finland is unique, because it has a higher socioeconomic status (SES) and longer life expectancy than the Finnish-speaking majority. We hypothesized that this minority may have a lower attack rate of coronary events and analysed whether this could be explained by their higher SES. Methods. The population-based myocardial infarction (MI) registers recorded 4,845 MI events in Turku during 1988-1998. Individual-level indicators of SES were obtained from Statistics Finland. The population-based FINRISK surveys recorded cardiovascular risk factors and native languages of 10,432 people in 1987, 1997, and 2002. Results. The age-standardized attack rate of MI was lower among the 35-64-year-old Swedish-speaking men than among Finnish-speaking men (rate ratio 0.66; 95% confidence interval 0.47-0.85) and the difference remained significant after adjustment for SES. The Swedish-speaking inhabitants had higher age-, sex-, and SES-adjusted high-density lipoprotein cholesterol, and lower triglycerides, body mass index, and diastolic blood pressure. Conclusion. The Swedish-speaking inhabitants of Turku had lower MI morbidity and coronary mortality than the Finnish-speaking inhabitants. After controlling for SES, these differences remained significant among men, suggesting that other factors, such as differences in the risk factor profiles may also play a role.</abstract><cop>London</cop><pub>Informa Healthcare</pub><pmid>20964582</pmid><doi>10.3109/07853890.2010.526136</doi><tpages>8</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
Blood Pressure
Body Mass Index
Cardiology. Vascular system
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - etiology
Cholesterol, HDL - blood
Coronary heart disease
Epidemiology
Female
Finland - epidemiology
General aspects
Health Surveys - statistics & numerical data
Heart
Humans
Language
Male
Medical sciences
Middle Aged
Morbidity
myocardial infarction
Myocardial Infarction - epidemiology
Myocardial Infarction - etiology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Registries
Risk Factors
Sex Factors
Socioeconomic Factors
socioeconomic status
Triglycerides - blood
title Myocardial infarction events and cardiovascular risk factor levels in Finnish- and Swedish-speaking populations of Finland
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