Downward trend in the risk of second myocardial infarction in Sweden, 1987–2007: breakdown by socioeconomic position, gender, and country of birth
Background Second myocardial infarction (SMI) is a significant health problem. There are no nationwide studies on SMI among foreign-born populations that include detailed information about country of birth. Design Nationwide cohort study of 331,748 men and 186,755 women aged 30–84, living in Sweden,...
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| Veröffentlicht in: | European journal of preventive cardiology 2014-05, Vol.21 (5), p.549-558 |
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| creator | Dzayee, Dashti Ali M Beiki, Omid Ljung, Rickard Moradi, Tahereh |
| description | Background
Second myocardial infarction (SMI) is a significant health problem. There are no nationwide studies on SMI among foreign-born populations that include detailed information about country of birth.
Design
Nationwide cohort study of 331,748 men and 186,755 women aged 30–84, living in Sweden, and diagnosed with first myocardial infarction (FMI) between January 1987 and December 2007.
Methods
Trends in, and risk of, SMI after day 28 of FMI association with gender, educational level, and country of birth were analysed. A hazard ratio (HR) with a 95% confidence interval (CI) yielded a risk estimate of SMI among FMI patients based on the Cox proportional hazard model.
Results
Men had a higher risk of SMI than women (HR 1.14, 95% CI 1.12–1.55) with a downward trend over time, regardless of country of birth (p-trend |
| doi_str_mv | 10.1177/2047487312469123 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_533274</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2047487312469123</sage_id><sourcerecordid>1518813963</sourcerecordid><originalsourceid>FETCH-LOGICAL-c447t-a4e359334c63c707a99312ff40ebafc51cb40ebbc0a0d36082293ff1b02f3d293</originalsourceid><addsrcrecordid>eNp1kc1u1DAUhSNERau2e1bIGyQWE-q_xA47VH6lSiyAtWU71607iT3YiUaz4x3gCXmSOpphQEh446Or756je29VPSX4JSFCXFHMBZeCEcrbjlD2qDpbSjWXkjw-asFOq8uc73F5LaZUyifVKWWkbUQjzqqfb-I2bHXq0ZQg9MgHNN0BSj6vUXQog42lOu6iLYzXQwGcTnbyMSzs5y30EFaIdFL8-v6DYixeIZNAr_vii8wO5Wh9XFzi6C3axOyX3hW6LWmQVkgXexvnMKXdEmh8mu4uqhOnhwyXh_-8-vru7ZfrD_XNp_cfr1_f1JZzMdWaA2s6xrhtmRVY6K4ry3COYzDa2YZYs0hjscY9a7GktGPOEYOpY33R51W9981b2MxGbZIfddqpqL06lNZFgWoYo4IX_sWe36T4bYY8qdFnC8OgA8Q5K9KQsnvWtaygeI_aFHNO4I7mBKvlfOrf85WWZwf32YzQHxt-H6sAzw-AzlYPLulgff7DSc6x7PBfY-lbUPdxTqFs8f_BD0aLsEk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1518813963</pqid></control><display><type>article</type><title>Downward trend in the risk of second myocardial infarction in Sweden, 1987–2007: breakdown by socioeconomic position, gender, and country of birth</title><source>MEDLINE</source><source>Oxford Academic Journals (OUP)</source><source>SAGE Journals Online</source><source>Alma/SFX Local Collection</source><creator>Dzayee, Dashti Ali M ; Beiki, Omid ; Ljung, Rickard ; Moradi, Tahereh</creator><creatorcontrib>Dzayee, Dashti Ali M ; Beiki, Omid ; Ljung, Rickard ; Moradi, Tahereh</creatorcontrib><description>Background
Second myocardial infarction (SMI) is a significant health problem. There are no nationwide studies on SMI among foreign-born populations that include detailed information about country of birth.
Design
Nationwide cohort study of 331,748 men and 186,755 women aged 30–84, living in Sweden, and diagnosed with first myocardial infarction (FMI) between January 1987 and December 2007.
Methods
Trends in, and risk of, SMI after day 28 of FMI association with gender, educational level, and country of birth were analysed. A hazard ratio (HR) with a 95% confidence interval (CI) yielded a risk estimate of SMI among FMI patients based on the Cox proportional hazard model.
Results
Men had a higher risk of SMI than women (HR 1.14, 95% CI 1.12–1.55) with a downward trend over time, regardless of country of birth (p-trend <0.0001). Low educational level increased the HR of SMI irrespective of gender or country of birth. Foreign-born men and women had a slightly increased HR than Sweden-born.
Men born in India, Palestine, Uganda, Algeria, and Tunisia and women born in India, Palestine, and Lebanon had approximately a 2-fold risk. Men born in the Netherlands had the lowest risk (HR 0.65, 95% CI 0.44–0.94). Foreign-born who had lived in Sweden for less than 35 years had a higher risk than those that had lived there for 35 years or longer.
Conclusions
Although the risk of SMI continued to decrease over time, low socioeconomic position independent of country of birth and gender remained an important risk indicator deserving further attention.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487312469123</identifier><identifier>PMID: 23165757</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiology. Vascular system ; Continental Population Groups ; Coronary heart disease ; Educational Status ; Female ; Health Surveys ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - ethnology ; Myocarditis. Cardiomyopathies ; Recurrence ; Registries ; Residence Characteristics ; Risk Assessment ; Risk Factors ; Sex Factors ; Social Class ; Sweden - epidemiology ; Time Factors</subject><ispartof>European journal of preventive cardiology, 2014-05, Vol.21 (5), p.549-558</ispartof><rights>The European Society of Cardiology 2012 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-a4e359334c63c707a99312ff40ebafc51cb40ebbc0a0d36082293ff1b02f3d293</citedby><cites>FETCH-LOGICAL-c447t-a4e359334c63c707a99312ff40ebafc51cb40ebbc0a0d36082293ff1b02f3d293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487312469123$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487312469123$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28440890$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23165757$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:129035629$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Dzayee, Dashti Ali M</creatorcontrib><creatorcontrib>Beiki, Omid</creatorcontrib><creatorcontrib>Ljung, Rickard</creatorcontrib><creatorcontrib>Moradi, Tahereh</creatorcontrib><title>Downward trend in the risk of second myocardial infarction in Sweden, 1987–2007: breakdown by socioeconomic position, gender, and country of birth</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Background
Second myocardial infarction (SMI) is a significant health problem. There are no nationwide studies on SMI among foreign-born populations that include detailed information about country of birth.
Design
Nationwide cohort study of 331,748 men and 186,755 women aged 30–84, living in Sweden, and diagnosed with first myocardial infarction (FMI) between January 1987 and December 2007.
Methods
Trends in, and risk of, SMI after day 28 of FMI association with gender, educational level, and country of birth were analysed. A hazard ratio (HR) with a 95% confidence interval (CI) yielded a risk estimate of SMI among FMI patients based on the Cox proportional hazard model.
Results
Men had a higher risk of SMI than women (HR 1.14, 95% CI 1.12–1.55) with a downward trend over time, regardless of country of birth (p-trend <0.0001). Low educational level increased the HR of SMI irrespective of gender or country of birth. Foreign-born men and women had a slightly increased HR than Sweden-born.
Men born in India, Palestine, Uganda, Algeria, and Tunisia and women born in India, Palestine, and Lebanon had approximately a 2-fold risk. Men born in the Netherlands had the lowest risk (HR 0.65, 95% CI 0.44–0.94). Foreign-born who had lived in Sweden for less than 35 years had a higher risk than those that had lived there for 35 years or longer.
Conclusions
Although the risk of SMI continued to decrease over time, low socioeconomic position independent of country of birth and gender remained an important risk indicator deserving further attention.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Continental Population Groups</subject><subject>Coronary heart disease</subject><subject>Educational Status</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - ethnology</subject><subject>Myocarditis. Cardiomyopathies</subject><subject>Recurrence</subject><subject>Registries</subject><subject>Residence Characteristics</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Social Class</subject><subject>Sweden - epidemiology</subject><subject>Time Factors</subject><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhSNERau2e1bIGyQWE-q_xA47VH6lSiyAtWU71607iT3YiUaz4x3gCXmSOpphQEh446Or756je29VPSX4JSFCXFHMBZeCEcrbjlD2qDpbSjWXkjw-asFOq8uc73F5LaZUyifVKWWkbUQjzqqfb-I2bHXq0ZQg9MgHNN0BSj6vUXQog42lOu6iLYzXQwGcTnbyMSzs5y30EFaIdFL8-v6DYixeIZNAr_vii8wO5Wh9XFzi6C3axOyX3hW6LWmQVkgXexvnMKXdEmh8mu4uqhOnhwyXh_-8-vru7ZfrD_XNp_cfr1_f1JZzMdWaA2s6xrhtmRVY6K4ry3COYzDa2YZYs0hjscY9a7GktGPOEYOpY33R51W9981b2MxGbZIfddqpqL06lNZFgWoYo4IX_sWe36T4bYY8qdFnC8OgA8Q5K9KQsnvWtaygeI_aFHNO4I7mBKvlfOrf85WWZwf32YzQHxt-H6sAzw-AzlYPLulgff7DSc6x7PBfY-lbUPdxTqFs8f_BD0aLsEk</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Dzayee, Dashti Ali M</creator><creator>Beiki, Omid</creator><creator>Ljung, Rickard</creator><creator>Moradi, Tahereh</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20140501</creationdate><title>Downward trend in the risk of second myocardial infarction in Sweden, 1987–2007: breakdown by socioeconomic position, gender, and country of birth</title><author>Dzayee, Dashti Ali M ; Beiki, Omid ; Ljung, Rickard ; Moradi, Tahereh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-a4e359334c63c707a99312ff40ebafc51cb40ebbc0a0d36082293ff1b02f3d293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Continental Population Groups</topic><topic>Coronary heart disease</topic><topic>Educational Status</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - ethnology</topic><topic>Myocarditis. Cardiomyopathies</topic><topic>Recurrence</topic><topic>Registries</topic><topic>Residence Characteristics</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Social Class</topic><topic>Sweden - epidemiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dzayee, Dashti Ali M</creatorcontrib><creatorcontrib>Beiki, Omid</creatorcontrib><creatorcontrib>Ljung, Rickard</creatorcontrib><creatorcontrib>Moradi, Tahereh</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><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dzayee, Dashti Ali M</au><au>Beiki, Omid</au><au>Ljung, Rickard</au><au>Moradi, Tahereh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Downward trend in the risk of second myocardial infarction in Sweden, 1987–2007: breakdown by socioeconomic position, gender, and country of birth</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>21</volume><issue>5</issue><spage>549</spage><epage>558</epage><pages>549-558</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract>Background
Second myocardial infarction (SMI) is a significant health problem. There are no nationwide studies on SMI among foreign-born populations that include detailed information about country of birth.
Design
Nationwide cohort study of 331,748 men and 186,755 women aged 30–84, living in Sweden, and diagnosed with first myocardial infarction (FMI) between January 1987 and December 2007.
Methods
Trends in, and risk of, SMI after day 28 of FMI association with gender, educational level, and country of birth were analysed. A hazard ratio (HR) with a 95% confidence interval (CI) yielded a risk estimate of SMI among FMI patients based on the Cox proportional hazard model.
Results
Men had a higher risk of SMI than women (HR 1.14, 95% CI 1.12–1.55) with a downward trend over time, regardless of country of birth (p-trend <0.0001). Low educational level increased the HR of SMI irrespective of gender or country of birth. Foreign-born men and women had a slightly increased HR than Sweden-born.
Men born in India, Palestine, Uganda, Algeria, and Tunisia and women born in India, Palestine, and Lebanon had approximately a 2-fold risk. Men born in the Netherlands had the lowest risk (HR 0.65, 95% CI 0.44–0.94). Foreign-born who had lived in Sweden for less than 35 years had a higher risk than those that had lived there for 35 years or longer.
Conclusions
Although the risk of SMI continued to decrease over time, low socioeconomic position independent of country of birth and gender remained an important risk indicator deserving further attention.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>23165757</pmid><doi>10.1177/2047487312469123</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of preventive cardiology, 2014-05, Vol.21 (5), p.549-558 |
| issn | 2047-4873 2047-4881 |
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| source | MEDLINE; Oxford Academic Journals (OUP); SAGE Journals Online; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Cardiology. Vascular system Continental Population Groups Coronary heart disease Educational Status Female Health Surveys Heart Humans Male Medical sciences Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - ethnology Myocarditis. Cardiomyopathies Recurrence Registries Residence Characteristics Risk Assessment Risk Factors Sex Factors Social Class Sweden - epidemiology Time Factors |
| title | Downward trend in the risk of second myocardial infarction in Sweden, 1987–2007: breakdown by socioeconomic position, gender, and country of birth |
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