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dc.contributor.authorSulo, Enxhelaen_US
dc.contributor.authorNygård, Ottaren_US
dc.contributor.authorVollset, Stein Emilen_US
dc.contributor.authorIgland, Jannickeen_US
dc.contributor.authorEbbing, Martaen_US
dc.contributor.authorØstbye, Trulsen_US
dc.contributor.authorJørgensen, Torbenen_US
dc.contributor.authorSulo, Gerharden_US
dc.contributor.authorTell, Grethe S.en_US
dc.date.accessioned2018-04-11T12:39:09Z
dc.date.available2018-04-11T12:39:09Z
dc.date.issued2017-02
dc.PublishedSulo E, Nygård O, Vollset SE, Igland J, Ebbing M, Østbye T, Jørgensen T, Sulo G, Tell GST. Time trends and educational inequalities in out-of-hospital coronary deaths in Norway 1995-2009: A Cardiovascular Disease in Norway (CVDNOR) project. Journal of the American Heart Association. 2017;6:e005236eng
dc.identifier.issn2047-9980
dc.identifier.urihttps://hdl.handle.net/1956/17604
dc.description.abstractBackground: Recent time trends and educational gradients characterizing out‐of‐hospital coronary deaths (OHCD) are poorly described. Methods and Results: We identified all deaths from coronary heart disease occurring outside the hospital in Norway during 1995 to 2009. Time trends were explored using Poisson regression analysis with year as the independent, continuous variable. Information on the highest achieved education was obtained from The National Education Database and classified as primary (up to 10 years of compulsory education), secondary (high school or vocational school), or tertiary (college/university). Educational gradients in OHCD were explored using Poisson regression, stratified by sex and age (<70 and ≥70 years), and results were expressed as incidence rate ratios (IRRs) and 95%CIs. Of 100 783 coronary heart disease deaths, 58.8% were OHCDs. From 1995 to 2009, age‐adjusted OHCD rates declined across all education categories (primary, secondary, and tertiary) in younger men (IRR=0.35; 95%CI 0.32‐0.38; IRR=0.38; 95%CI 0.35‐0.42; IRR=0.33; 95%CI 0.28‐0.40), younger women (IRR=0.47; 95% CI 0.40‐0.56; IRR=0.55; 95%CI 0.45‐0.67; IRR=0.28; 95% CI 0.16‐0.47), older men (IRR=0.20; 95%CI 0.19‐0.22; IRR=0.20; 95%CI 0.18‐0.22; IRR=0.20; 95%CI 0.17‐0.23), and older women (IRR=0.26; 95%CI 0.24‐0.28; IRR=0.25; 95%CI 0.23‐0.28; IRR=0.28; 95%CI 0.22‐0.34). Tertiary education was associated with lower risk of OHCD compared to primary education (IRR=0.37; 95%CI 0.35‐0.40 in younger men, IRR=0.26; 95%CI 0.22‐0.30 in younger women, IRR=0.52; 95%CI 0.49‐0.55 in older men, and IRR=0.61; 95%CI 0.57‐0.66 in older women). These gradients did not change over time (P interaction=0.25). Conclusions: Although OHCD rates declined substantially during 1995 to 2009, they displayed educational gradients that remained constant over time.en_US
dc.language.isoengeng
dc.publisherAmerican Heart Associationeng
dc.relation.urihttp://jaha.ahajournals.org/content/6/2/e005236
dc.rightsAttribution CC BY-NC-NDeng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/eng
dc.subjectcoronary artery diseaseeng
dc.subjecteducational inequalitieseng
dc.subjectEpidemiologyeng
dc.subjectMortalityeng
dc.subjectNorwayeng
dc.subjectout-of-hospital coronaryeng
dc.subjecttrendseng
dc.titleTime trends and educational inequalities in out-of-hospital coronary deaths in Norway 1995-2009: A Cardiovascular Disease in Norway (CVDNOR) projecten_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2018-02-02T11:44:51Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2017 The Author(s)
dc.identifier.doihttps://doi.org/10.1161/jaha.116.005236
dc.identifier.cristin1484401
dc.source.journalJournal of the American Heart Association


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