Abstract:
BACKGROUND:In the mid 1980s European governments committed themselves to the WHO goal 'reduced inequality in health by year 2000' according to which inequality in health should be reduced by 25% by the year 2000. The study aim is to estimate the time trend in relative risk due to ischaemic heart disease (IHD) morbidity in employment status groups in Denmark in the period from 1981 to 1993 and to recommend a strategy to reduce inequality in health. MATERIAL AND METHODS:The study dealt with change in relative risk of IHD in main employment status AND groups as measured in three successive cohorts. The cohorts were defined as all METHODS:gainfully employed men in Denmark as of 1 January 1981, 1986 and 1991, respectively. Information on employment was retrieved for the three previous years. The cohorts were followed for first admissions with IHD as the principal cause during 5, 5, and 3 years respectively. RESULTS:Managers and white collar workers had an average or low and decreasing relative risk while male blue collar workers had a high and increasing relative risk. Thus the social inequality in IHD is rapidly increasing. Some occupational groups are known to be at high risk. Some of these high-risk groups, such as bus drivers, even have an increasing relative risk. CONCLUSIONS:The general health education has been successful in the prevention of IHD in the high-status groups but has failed to reduce the risk among blue collar workers. Preventive measures against IHD should focus on occupational groups at high, increasing risk and the measures should tailor to their 'subculture.'
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Tüchsen F,Endahl LAdoi
10.1093/ije/28.4.640keywords:
subject
Has Abstractpub_date
1999-08-01 00:00:00pages
640-4issue
4eissn
0300-5771issn
1464-3685journal_volume
28pub_type
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journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/17.1.202
更新日期:1988-03-01 00:00:00
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更新日期:1999-08-01 00:00:00
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更新日期:2014-10-01 00:00:00
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更新日期:1997-02-01 00:00:00
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更新日期:1979-12-01 00:00:00
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更新日期:1994-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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更新日期:1984-09-01 00:00:00
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更新日期:1993-04-01 00:00:00
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更新日期:2015-08-01 00:00:00
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更新日期:1978-03-01 00:00:00
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更新日期:2011-04-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2008-04-01 00:00:00
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更新日期:1987-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/ije/18.1.232
更新日期:1989-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2012-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2004-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:1991-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2019-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:1991-12-01 00:00:00