Smoking as a determinant of the geographical pattern of cardiac events among women in an urban population

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Smoking as a determinant of the geographical pattern of cardiac events among women in an urban population

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Publication Article, peer reviewed scientific
Title Smoking as a determinant of the geographical pattern of cardiac events among women in an urban population
Author(s) Janzon, Ellis ; Engström, Gunnar ; Hedblad, Bo ; Berglund, Göran ; Janzon, Lars
Date 2007
English abstract
Objective. To assess to what extent geographical differences of the female incidence of myocardial infarction in the city of Malmö in Sweden can be accounted for by smoking and to what extent intra-urban variances of smoking are related to socio-economic circumstances. Method. Area specific prevalence’s of smokers is based on a sample of 17319 women, aged 45-73 years. A comprehensive score was used to rank the 17 residential areas in terms of socioeconomic circumstances. Incidence of myocardial infarction and death is based on official statistics 1989-97. Results. The area-specific prevalence of female smokers, which ranged from 17.5 to 32.5% was inversely related to the socio-economic score in 45-54 and 55-64 years old, r = -0.65 (p<0.05) and -0.59 (p<0.05). No correlation was found for women above 65 years of age. The annual age-adjusted incidence of cardiac events in the residential areas which ranged from 151 to 414 per 100 000 person years, was strongly related to the prevalence of smokers, r = 0.75 (p < 0.001). Conclusion. Between 50-60% of the intra-urban variance of the female incidence of myocardial infarction was accounted for by smoking in this urban population. The geographical pattern of smoking was strongly related to inferior socio-economic circumstances. Key words: cardiac events, smoking women, risks and prevention
DOI http://dx.doi.org/10.1080/14034940601011735 (link to publisher's fulltext)
Publisher Sage
Host/Issue Scandinavian Journal of Public Health;3
Volume 35
ISSN 1403-4948
Pages 272-7
Language eng (iso)
Subject(s) cardiac events
smoking women
risks
prevention
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/17725 (link to this page)
Buy print http://webshop.holmbergs.com...17725 (print-on-demand service)

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