Distribution of ideal cardiovascular health by educational levels from 1978 to 2006: a time trend study from the capital region of Denmark

Gitte S Olsen; Ann-Sofie S Holm; Torben Jørgensen; Anders Borglykke

doi:10.1177/2047487313485513

Distribution of ideal cardiovascular health by educational levels from 1978 to 2006: a time trend study from the capital region of Denmark

Gitte S Olsen, Ann-Sofie S Holm, Torben Jørgensen, Anders Borglykke

Medicinsk Sociologi

14 Citations (Scopus)

Abstract

Background: The focus on improvements in ideal cardiovascular health is a relatively new approach and to our knowledge nobody has published the trend in regard to educational difference. Design: Time trend analysis from six cross-sectional studies in 1978-2006 from the south-western part of the capital region of Denmark. Methods: This analysis included 16,935 individuals aged 30-64 years. Ideal cardiovascular health was achieved if all of the following criteria were met: no established cardiovascular disease, no diabetes, no antihypertensive or lipid-lowering treatment, non-smoker, body mass index <25 kg/m², blood pressure ≤120/80mmHg and total cholesterol ≤5 mmol/l. Results are presented adjusted for age and stratified according to sex and educational level as length of vocational training. Results: The proportion of women with ideal cardiovascular health increased from 2% in 1978 to 13% in 2006. From 1991, an educational difference occurred, increasing to a 5-fold difference in 2006 between the highest and lowest educated women. For men, a less pronounced increase occurred from 1% in 1978 to 5% in 2006; a change which was only significant among the highest educated. An educational difference occurred from 1986 to 1999 between the highest and lowest educated men, but was no longer present in 2006. Conclusions: The trend for women shows an increasing proportion in ideal cardiovascular health with a more unfavourable risk profile among women with a low educational level. For men, the educational difference was less pronounced probably because very few men reached an ideal cardiovascular risk profile. This stresses the importance for preventive efforts targeting low educated groups, and men in particular.

Original language	English
Journal	European Journal of Preventive Cardiology
Volume	21
Issue number	9
Pages (from-to)	1145-1152
Number of pages	8
ISSN	2047-4873
DOIs	https://doi.org/10.1177/2047487313485513
Publication status	Published - Sept 2014

Keywords

Adult
Age Distribution
Body Mass Index
Cardiovascular Diseases
Cross-Sectional Studies
Denmark
Educational Status
Female
Forecasting
Health Education
Health Status
Humans
Male
Morbidity
Patient Education as Topic
Retrospective Studies
Risk Assessment
Risk Factors
Sex Distribution

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/2047487313485513

https://academic.oup.com/eurjpc/article-pdf/21/9/1145/34317033/eurjpc1145.pdf

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Distribution of ideal cardiovascular health by educational levels from 1978 to 2006: a time trend study from the capital region of Denmark. / Olsen, Gitte S; Holm, Ann-Sofie S; Jørgensen, Torben et al.
In: European Journal of Preventive Cardiology, Vol. 21, No. 9, 09.2014, p. 1145-1152.

Research output: Contribution to journal › Journal article › Research › peer-review

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abstract = "Background: The focus on improvements in ideal cardiovascular health is a relatively new approach and to our knowledge nobody has published the trend in regard to educational difference. Design: Time trend analysis from six cross-sectional studies in 1978-2006 from the south-western part of the capital region of Denmark. Methods: This analysis included 16,935 individuals aged 30-64 years. Ideal cardiovascular health was achieved if all of the following criteria were met: no established cardiovascular disease, no diabetes, no antihypertensive or lipid-lowering treatment, non-smoker, body mass index <25 kg/m2, blood pressure ≤120/80mmHg and total cholesterol ≤5 mmol/l. Results are presented adjusted for age and stratified according to sex and educational level as length of vocational training. Results: The proportion of women with ideal cardiovascular health increased from 2% in 1978 to 13% in 2006. From 1991, an educational difference occurred, increasing to a 5-fold difference in 2006 between the highest and lowest educated women. For men, a less pronounced increase occurred from 1% in 1978 to 5% in 2006; a change which was only significant among the highest educated. An educational difference occurred from 1986 to 1999 between the highest and lowest educated men, but was no longer present in 2006. Conclusions: The trend for women shows an increasing proportion in ideal cardiovascular health with a more unfavourable risk profile among women with a low educational level. For men, the educational difference was less pronounced probably because very few men reached an ideal cardiovascular risk profile. This stresses the importance for preventive efforts targeting low educated groups, and men in particular.",

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AB - Background: The focus on improvements in ideal cardiovascular health is a relatively new approach and to our knowledge nobody has published the trend in regard to educational difference. Design: Time trend analysis from six cross-sectional studies in 1978-2006 from the south-western part of the capital region of Denmark. Methods: This analysis included 16,935 individuals aged 30-64 years. Ideal cardiovascular health was achieved if all of the following criteria were met: no established cardiovascular disease, no diabetes, no antihypertensive or lipid-lowering treatment, non-smoker, body mass index <25 kg/m2, blood pressure ≤120/80mmHg and total cholesterol ≤5 mmol/l. Results are presented adjusted for age and stratified according to sex and educational level as length of vocational training. Results: The proportion of women with ideal cardiovascular health increased from 2% in 1978 to 13% in 2006. From 1991, an educational difference occurred, increasing to a 5-fold difference in 2006 between the highest and lowest educated women. For men, a less pronounced increase occurred from 1% in 1978 to 5% in 2006; a change which was only significant among the highest educated. An educational difference occurred from 1986 to 1999 between the highest and lowest educated men, but was no longer present in 2006. Conclusions: The trend for women shows an increasing proportion in ideal cardiovascular health with a more unfavourable risk profile among women with a low educational level. For men, the educational difference was less pronounced probably because very few men reached an ideal cardiovascular risk profile. This stresses the importance for preventive efforts targeting low educated groups, and men in particular.

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ER -

Distribution of ideal cardiovascular health by educational levels from 1978 to 2006: a time trend study from the capital region of Denmark

Abstract

Keywords

UN SDGs

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