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Social class differences in ischaemic heart disease in British men.

To examine why ischaemic heart disease (IHD) mortality rates in Britain are higher in manual than in non-manual workers 7735 middle-aged men in the British Regional Heart Study were followed up for 6 years, during which time 336 men experienced a major IHD event (fatal or non-fatal myocardial infarc...

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Published in:Lancet Vol. 2; no. 8552; pp. 197 - 202
Main Authors: Pocock, S. J., Cook, D. G., Shaper, A. G., Phillips, A. N., Walker, M.
Format: research Journal Article
Published: Lancet 7/25/1987
Online Access:View this record in EBSCOhost
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      dt: 7/25/1987
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      pub: Lancet
      place: Philadelphia, Pennsylvania
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        10.1016/s0140-6736(87)90774-4
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        atl: Social class differences in ischaemic heart disease in British men.
      aug:
        au:
          Pocock, S. J.
          Cook, D. G.
          Shaper, A. G.
          Phillips, A. N.
          Walker, M.
        affil: Department of Clinical Epidemiology and General Practice, Royal Free Hospital School of Medicine, Rowland Hill Street, London NW3 2PF
      sug:
        subj:
          Coronary Disease Mortality
          Social Class
          Body Weight
          Blood Pressure
          Smoking
          Male
          Adult
          Cholesterol Blood
          Human
          Exertion
          Occupations and Professions
          Middle Age
          Random Assignment
          Relative Risk
          Prospective Studies
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: To examine why ischaemic heart disease (IHD) mortality rates in Britain are higher in manual than in non-manual workers 7735 middle-aged men in the British Regional Heart Study were followed up for 6 years, during which time 336 men experienced a major IHD event (fatal or non-fatal myocardial infarction or sudden cardiac death). The prevalence rates of IHD at screening, were higher in manual workers. Also, the attack rate of major IHD events during follow-up was 44% higher in manual workers. Marked differences in cigarette smoking contributed substantially to the increased risk of IHD in manual workers, who also had higher levels of blood pressure, were more obese, and took much less physical activity in leisure time. Adjustment for differences in these risk factors narrowed the gap between manual and non-manual workers in attack rates of IHD. Since the risk of IHD in Great Britain is high in all social classes, there would seem to be little justification for any overall policy for prevention of IHD to focus on social class. However, anti-smoking strategies might well take into account the social class differences described.
      pubtype: Academic Journal
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    language: English
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