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The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study

BACKGROUND: Although multiple factors influence the risk of major adverse cardiovascular events (MACE), the effects of socioeconomic status on MACE in the presence and absence of renal dysfunction (RD) have not been comprehensively explored in Korea. METHODS: We examined the effects of socioeconomic...

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Autores principales: Bae, Eun Hui, Lim, Sang Yup, Yang, Eun Mi, Oh, Tae Ryom, Choi, Hong Sang, Kim, Chang Seong, Ma, Seong Kwon, Kim, Bongseong, Han, Kyung-Do, Kim, Soo Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Nephrology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085725/
https://www.ncbi.nlm.nih.gov/pubmed/37037483
http://dx.doi.org/10.23876/j.krcp.21.249
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author Bae, Eun Hui
Lim, Sang Yup
Yang, Eun Mi
Oh, Tae Ryom
Choi, Hong Sang
Kim, Chang Seong
Ma, Seong Kwon
Kim, Bongseong
Han, Kyung-Do
Kim, Soo Wan
author_facet Bae, Eun Hui
Lim, Sang Yup
Yang, Eun Mi
Oh, Tae Ryom
Choi, Hong Sang
Kim, Chang Seong
Ma, Seong Kwon
Kim, Bongseong
Han, Kyung-Do
Kim, Soo Wan
author_sort Bae, Eun Hui
collection PubMed
description BACKGROUND: Although multiple factors influence the risk of major adverse cardiovascular events (MACE), the effects of socioeconomic status on MACE in the presence and absence of renal dysfunction (RD) have not been comprehensively explored in Korea. METHODS: We examined the effects of socioeconomic status on MACE in individuals with and without RD. The data of 44,473 Koreans from 2008 to 2017 were obtained from the Health Care Big Data Platform of the Ministry of Health and Welfare in Korea. Their socioeconomic status was assessed using a socioeconomic score (SES) based on marital status, education, household income, and occupation. The incidence of myocardial infarction (MI), stroke, and death was compared according to SES level (0–4). Multiple linear regression analysis was used to evaluate the hazard ratios and 95% confidence intervals for outcomes based on participant SES. RESULTS: MI risk was only affected by education level. The participants’ income, education, and SES affected their stroke risk, whereas death was associated with all four socioeconomic factors. The incidence of stroke and death increased as SES worsened (from 0 to 4). SES was positively related to risk of stroke and death in participants without RD. SES did not affect MI, stroke, or death in participants with RD. CONCLUSION: A low socioeconomic status is associated with risk of stroke and death, especially in individuals without RD.
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spelling pubmed-100857252023-04-11 The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study Bae, Eun Hui Lim, Sang Yup Yang, Eun Mi Oh, Tae Ryom Choi, Hong Sang Kim, Chang Seong Ma, Seong Kwon Kim, Bongseong Han, Kyung-Do Kim, Soo Wan Kidney Res Clin Pract Original Article BACKGROUND: Although multiple factors influence the risk of major adverse cardiovascular events (MACE), the effects of socioeconomic status on MACE in the presence and absence of renal dysfunction (RD) have not been comprehensively explored in Korea. METHODS: We examined the effects of socioeconomic status on MACE in individuals with and without RD. The data of 44,473 Koreans from 2008 to 2017 were obtained from the Health Care Big Data Platform of the Ministry of Health and Welfare in Korea. Their socioeconomic status was assessed using a socioeconomic score (SES) based on marital status, education, household income, and occupation. The incidence of myocardial infarction (MI), stroke, and death was compared according to SES level (0–4). Multiple linear regression analysis was used to evaluate the hazard ratios and 95% confidence intervals for outcomes based on participant SES. RESULTS: MI risk was only affected by education level. The participants’ income, education, and SES affected their stroke risk, whereas death was associated with all four socioeconomic factors. The incidence of stroke and death increased as SES worsened (from 0 to 4). SES was positively related to risk of stroke and death in participants without RD. SES did not affect MI, stroke, or death in participants with RD. CONCLUSION: A low socioeconomic status is associated with risk of stroke and death, especially in individuals without RD. The Korean Society of Nephrology 2023-03 2023-03-31 /pmc/articles/PMC10085725/ /pubmed/37037483 http://dx.doi.org/10.23876/j.krcp.21.249 Text en Copyright © 2023 The Korean Society of Nephrology https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial and No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) which permits unrestricted non-commercial use, distribution of the material without any modifications, and reproduction in any medium, provided the original works properly cited.
spellingShingle Original Article
Bae, Eun Hui
Lim, Sang Yup
Yang, Eun Mi
Oh, Tae Ryom
Choi, Hong Sang
Kim, Chang Seong
Ma, Seong Kwon
Kim, Bongseong
Han, Kyung-Do
Kim, Soo Wan
The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
title The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
title_full The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
title_fullStr The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
title_full_unstemmed The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
title_short The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
title_sort effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085725/
https://www.ncbi.nlm.nih.gov/pubmed/37037483
http://dx.doi.org/10.23876/j.krcp.21.249
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