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Distribution of risk factors according to socioeconomic status in male and female cases with coronary artery disease [Anatol J Cardiol]
Anatol J Cardiol. 2004; 4(4): 301-305

Distribution of risk factors according to socioeconomic status in male and female cases with coronary artery disease

Kenan Sönmez1, Selçuk Pala2, Bülent Mutlu3, Akın İzgi4, Ruken Bengi Bakal5, Olcayto İncedere6, Kıvılcım Özden7, Yüksel Doğan8, Fikret Turan7
1Department of Cardiology, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey
2Department of Cardiology, Rize State Hospital, Rize
3Department of Cardiology, Faculty of Medicine, Marmara University, İstanbul, Turkey
4Department of Cardiology, Koşuyolu Heart Education and Research Hospital, Cevizli, İstanbul, Turkey
5Clinic of Cardiology, Kartal Koşuyolu Training and Research Hospital, İstanbul-Turkey
6Clinic of Cardiology Göztepe Şafak Hospital, İstanbul, Turkey
7Koşuyolu Kalp Eğitim ve Araştırma Hastanesi Kardiyoloji Kliniği, İstanbul
8Bakırköy Devlet Hastanesi, İstanbul, Türkiye

Objective: Socioeconomic status (SES) is associated with coronary artery disease (CAD) risk factors, coronary morbidity and mortality. In industrialized countries several studies showed that the lowest SES groups have higher coronary morbidity and mortality rates and higher coronary risk factors profile. The aim of our study was to investigate the distribution of risk factors in cases with CAD in different socioeconomic groups. Methods: Our study group consists of 550 consecutive cases with ≥50% lesions in at least one coronary artery. Educational level and income were taken into consideration for the determination of the SES. In both sexes the distribution of eight risk factors such as, smoking, family history, diabetes mellitus, hypertension, high low-density lipoprotein cholesterol (LDL-C), low high-density lipoprotein cholesterol (HDL-C), body mass index, central obesity was compared in three different groups determined according to the education and income levels. Results: In men, the distribution of risk factors did not differ according to education levels. In women, central obesity was found to be higher in the group with low education level. In men, the prevalence of low HDL-C, high LDL-C and obesity increased with increasing levels of economical status. In women, central obesity was found to be inversely related with the economic status. Conclusion: Our data show a higher risk factor profile in men with higher income level, while in women central obesity was inversely related to the income and educational level. These data should be considered in secondary prevention efforts.

Keywords: Coronary artery disease, risk factors, socioeconomic status

Koroner arter hastalığı bulunan olgularda risk faktörlerinin erkek ve kadınlarda sosyoekonomik duruma göre dağılımı

Kenan Sönmez1, Selçuk Pala2, Bülent Mutlu3, Akın İzgi4, Ruken Bengi Bakal5, Olcayto İncedere6, Kıvılcım Özden7, Yüksel Doğan8, Fikret Turan7
1Department of Cardiology, Kartal Koşuyolu Education and Research Hospital, İstanbul, Turkey
2Department of Cardiology, Rize State Hospital, Rize
3Department of Cardiology, Faculty of Medicine, Marmara University, İstanbul, Turkey
4Department of Cardiology, Koşuyolu Heart Education and Research Hospital, Cevizli, İstanbul, Turkey
5Clinic of Cardiology, Kartal Koşuyolu Training and Research Hospital, İstanbul-Turkey
6Clinic of Cardiology Göztepe Şafak Hospital, İstanbul, Turkey
7Koşuyolu Kalp Eğitim ve Araştırma Hastanesi Kardiyoloji Kliniği, İstanbul
8Bakırköy Devlet Hastanesi, İstanbul, Türkiye

Anahtar Kelimeler: Koroner arter hastalığı, risk faktörleri, sosyoekonomik durum

Kenan Sönmez, Selçuk Pala, Bülent Mutlu, Akın İzgi, Ruken Bengi Bakal, Olcayto İncedere, Kıvılcım Özden, Yüksel Doğan, Fikret Turan. Distribution of risk factors according to socioeconomic status in male and female cases with coronary artery disease. Anatol J Cardiol. 2004; 4(4): 301-305
Manuscript Language: English