The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort studyopen accessThe effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
- Other Titles
- The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study
- Authors
- 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
- Issue Date
- Mar-2023
- Publisher
- KOREAN SOC NEPHROLOGY
- Keywords
- Death; Myocardial infarction; Renal dysfunction; Stroke
- Citation
- KIDNEY RESEARCH AND CLINICAL PRACTICE, v.42, no.2, pp.229 - 242
- Journal Title
- KIDNEY RESEARCH AND CLINICAL PRACTICE
- Volume
- 42
- Number
- 2
- Start Page
- 229
- End Page
- 242
- URI
- https://scholarworks.bwise.kr/ssu/handle/2018.sw.ssu/43944
- DOI
- 10.23876/j.krcp.21.249
- ISSN
- 2211-9132
- Abstract
- Background: Although multiple factors influence the risk of major adverse cardiovascular events (MACE), the effects of socioeconom-ic 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 Kore-ans 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, where-as 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 partic-ipants with RD. Conclusion: A low socioeconomic status is associated with risk of stroke and death, especially in individuals without RD.
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