Abstract:
OBJECTIVE:To examine the contribution of lifestyle behaviours to the socioeconomic gradient in all-cause mortality, and fatal and non-fatal cardiovascular events. METHOD:10,600 men aged 50-59 years examined in 1991-1994 in Northern Ireland (NI) and France and followed annually for deaths and cardiovascular events for 10 years. Baseline smoking habit, physical activity, and fruit, vegetable, and alcohol consumption were assessed. RESULTS:All lifestyle behaviours showed marked socioeconomic gradients for most indicators in NI and France, with the exception of percentage of alcohol consumers in NI and frequency of alcohol consumption in NI and France. At 10 years, there were 544 deaths from any cause and 440 fatal and non-fatal cardiovascular events. After adjustment for country and age, socioeconomic gradients were further adjusted for lifestyle behaviours. For total mortality, the median residual contribution of lifestyle behaviours was 28% and for cardiovascular incidence, 41%. When cardiovascular risk factors were considered in conjunction with lifestyle behaviours these percentages increased to 38% and 67% respectively. CONCLUSION:Lifestyle behaviours contribute to the gradient in mortality and cardiovascular incidence between socioeconomic groups, particularly for cardiovascular incidence, but a substantial proportion of these differentials was not explained by lifestyle behaviours and cardiovascular risk factors.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Woodside JV,Yarnell JW,Patterson CC,Arveiler D,Amouyel P,Ferrières J,Kee F,Evans A,Bingham A,Ducimetière Pdoi
10.1016/j.ypmed.2012.01.017subject
Has Abstractpub_date
2012-03-01 00:00:00pages
247-53issue
3-4eissn
0091-7435issn
1096-0260pii
S0091-7435(12)00038-2journal_volume
54pub_type
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journal_title:Preventive medicine
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章
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更新日期:2001-11-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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