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Socioeconomic position and premature mortality in the AusDiab cohort of Australian adults
journal contribution
posted on 2016-03-01, 00:00 authored by H Bihan, Kathryn BackholerKathryn Backholer, Anna PeetersAnna Peeters, Christopher StevensonChristopher Stevenson, J E Shaw, D J MaglianoOBJECTIVES: To determine the association of socioeconomic position indicators with mortality, without and with adjustment for modifiable risk factors. METHODS: We examined the relationships of 2 area-based indices and educational level with mortality among 9338 people (including 8094 younger than 70 years at baseline) of the Australian Diabetes Obesity and Lifestyle (AusDiab) from 1999-2000 until November 30, 2012. RESULTS: Age- and gender-adjusted premature mortality (death before age 70 years) was more likely among those living in the most disadvantaged areas versus least disadvantaged (hazard ratio [HR] = 1.48; 95% confidence interval [CI] = 1.08, 2.01), living in inner regional versus major urban areas (HR = 1.36; 95% CI = 1.07, 1.73), or having the lowest educational level versus the highest (HR = 1.64; 95% CI = 1.17, 2.30). The contribution of modifiable risk factors (smoking status, diet quality, physical activity, stress, cardiovascular risk factors) in the relationship between 1 area-based index or educational level and mortality was more apparent as age of death decreased. CONCLUSIONS: The relation of area-based socioeconomic position to premature mortality is partly mediated by behavioral and cardiovascular risk factors. Such results could influence public health policies.
History
Journal
American journal of public healthVolume
106Issue
3Pagination
470 - 477Publisher
American Public Health AssociationLocation
Washington, D.C.Publisher DOI
ISSN
0090-0036eISSN
1541-0048Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2016, American Public Health AssociationUsage metrics
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