scholarly journals Social inequalities in causes of death amenable to health care in Norway

2009 ◽  
Vol 17 (1) ◽  
Author(s):  
Camilla Hem ◽  
Øyvind Næss ◽  
Bjørn Heine Strand
Keyword(s):  
Health Care ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Causes Of Death ◽  
Social Inequalities ◽  
Age Groups ◽  
Data File ◽  
Ischemic Heart ◽  
Risk Of Death ◽  
Norwegian Population

Objective: Investigate if there are educational inequalities in causes of death considered amenable to health care in Norway and compare this with non-amenable causes. Methods: The study used the concept of “amenable mortality”, which here includes 34 specific causes of death. A linked data file, with information from the Norwegian Causes of Death Registry and the Educational Registry was analyzed. The study population included the whole Norwegian population in two age groups of interest (25-49 and 50-74 years). Information on deaths was from the period 1990-2001. Education was recorded in 1990 and it was grouped in four categories as: basic, lower secondary, higher secondary and higher. In the study men and women were analysed seperately. The analysis was conducted for all amenable causes pooled with and without ischemic heart disease. A Cox proportional hazard regression model was fitted to estimate hazard rate ratios. Results: The study showed educational differences in mortality from causes of death considered amenable to health care, in both age groups and sexes. This was seen both when including and excluding ischemic heart disease. The effect sizes were comparable for amenable and non-amenable causes in both age groups and sexes. Conclusions: This study revealed systematic higher risk of death in lower educational groups in causes of death considered amenable to health care. This indicates potential weaknesses in equitable provision of health care for the Norwegian population. Additional research is needed to identify domains within the health care system of particular concern.

scholarly journals MULTIFOCAL ATHEROSCLEROSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE OF DIFFERENT AGE GROUPS. CLINICAL-HEMODYNAMIC PARALLELS

2018 ◽  
pp. 70-77 ◽  
Author(s):  
D.A. Yakhontov ◽  
◽  
Yu.O. Ostanina ◽  
M.Yu. Pakharukova ◽  
V.A. Mordvinov ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Age Groups ◽  
Ischemic Heart

Study of mortality and morbidity patterns and various emerging non communicable diseases in the elderly

2021 ◽  
Vol 19 (3) ◽  
pp. 150-154
Author(s):  
Sanjay B Jagtap ◽  
Keyword(s):  
Health Care ◽  
Risk Factor ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
The Elderly ◽  
Communicable Diseases ◽  
Ischemic Heart ◽  
Age Group ◽  
Geriatric Population ◽  
Non Communicable Diseases

Background: The geriatric population is defined as population aged 60 years and above. The mixed profile of communicable and non-communicable diseases among the elderly population in developing countries places a huge burden on the existing health care delivery system. Present hospital based cross-sectional study was focused on the morbidity profile of the elderly and improve the health care services so as to enable them to lead a productive life. Material and Methods: Present study was single centre, descriptive observational study, conducted in subjects above 60 years and both gender, visiting to OPD and IPD, willing to participate in study after written consent. Results: We included total 200 geriatric population in our study. Majority of them were from 60-70 years age group (50 %) followed by 71-80 years (37%) and 81-90 years age group (13%). Mean age was 70.75±7.25 years. Males were 56.5% and females were 43.5%. Males were predominant in our study with male to female ratio 1.29:1. Most common addiction seen among the patients are tobacco chewing (49.5%) followed by smoking (27%), followed by pan (24.5%), nut (21.5%) and alcohol (10.5%). Family history of diabetes and hypertension was present in 63.5% and 72% cases respectively. Prevalence of cataract as commonest observed morbidity in our study was 60%, DM 37%, hypertension 34%, IHD 33.5%, anemia 21%, hearing loss 11.5% and cancer was 4%. Out of 45 deaths, 44.4% deaths occurred in patients with IHD as risk factor, 26.6% deaths occurred in patients with COPD as risk factor, 22.2% deaths occurred in patients with CVA/stroke as risk factor and 17.8% deaths occurred in patients with AKI as risk factor. So IHD, COPD, CVA and AKI were significantly associated with mortality. Conclusion: Commonly observed morbidities were cataract (60%), diabetes mellitus (37%), hypertension (34%), ischemic heart disease (33.5%) Significant association of mortality was seen with ischemic heart disease, chronic obstructive pulmonary disease, cerebrovascular accident and acute kidney injury.

The role of social support in the experience of life with ischemic heart disease for socially disadvantaged patients: A qualitative study

2021 ◽  
pp. 174239532110650
Author(s):  
Amanda Nikolajew Rasmussen ◽  
Andrew Guise ◽  
Charlotte Overgaard
Keyword(s):  
Social Support ◽  
Heart Disease ◽  
Qualitative Study ◽  
Ischemic Heart Disease ◽  
Social Relationships ◽  
Social Inequalities ◽  
Ischemic Heart ◽  
Supportive Relationships ◽  
Socially Disadvantaged

Objectives Ischemic heart disease (IHD) displays wide social inequalities that are often explained with reference to lifestyle factors. However, research indicates that social support may also play an important role in social inequality in IHD. This study aims to explore the role of social support in the experience of life with IHD for socially disadvantaged patients. Methods The study was conducted as a critical hermeneutic qualitative study in Denmark between October 2018 and August 2019. Data consist of in-depth qualitative interviews with 30 socially disadvantaged patients with IHD. Results The findings showed a notable difference between the participants who were engaged in close and supportive social relationships and those who were not. Life with IHD for those who lacked supportive relationships tended to be marked by feelings of chaos, powerlessness and meaninglessness. Contrarily, those who were engaged in supportive relationships received help to navigate their life with illness, reconcile with what had happened to them, feel empowered, and gain a sense of meaning in their life. Discussion: Social support from close social relationships appears to be crucial for socially disadvantaged ischemic heart patients, and should be encouraged and facilitated in healthcare and interventions targeting this patient group.

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