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dc.contributor.authorJarroch, Rand
dc.contributor.authorTuomainen, Tomi-Pekka
dc.contributor.authorTajik, Behnam
dc.contributor.authorKauhanen, Jussi
dc.date.accessioned2021-04-07T11:45:19Z
dc.date.available2021-04-07T11:45:19Z
dc.date.issued2021
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/24760
dc.description.abstractAims: Little is known about the effect of economic recessions on cardiovascular disease. Therefore, we investigated the association of the economic recession in Finland in the 1990s with the incidence of cardiovascular disease among middle-aged and older women. Methods: A total of 918 women aged 53–73 years were examined for health and socioeconomic position in 1998–2001, as part of the population-based prospective Kuopio Ischaemic Heart Disease Risk Factor Study. The participants were asked whether Finland’s economic recession in the early 1990s had affected their lives socially or economically. The cohort was followed for 18 years, and incident physician-diagnosed cases of cardiovascular disease were obtained through record linkage with the national hospital discharge registry that covers every hospitalisation in Finland. Cox proportional hazards regression models were used to estimate the risk of cardiovascular disease among those with and without exposure to socioeconomic hardships during the recession, after adjusting for possible confounders. Results: At the baseline, 587 women reported having experienced socioeconomic hardships due to the recession. During the 20 years’ follow-up, 501 women developed cardiovascular disease. After adjustment for age, the risk of cardiovascular disease was 27% higher among women exposed to socioeconomic hardships compared to those who were not (hazard ratio 1.27, 95% confidence interval 1.06–1.53, P=0.012). Further adjustments for overall socioeconomic position at baseline, prior cardiovascular health, and lifestyle factors did not attenuate the association (hazard ratio 1.23, 95% confidence interval 1.02–1.5, P=0.029). Conclusions: The early 1990s economic recession was associated with a subsequently increased risk of cardiovascular disease among Finnish women.
dc.language.isoenglanti
dc.publisherSAGE Publications
dc.relation.ispartofseriesScandinavian journal of public health
dc.relation.urihttp://dx.doi.org/10.1177/1403494821990259
dc.rightsCC BY http://creativecommons.org/licenses/by/4.0/
dc.subjecteconomic recession
dc.subjectcardiovascular disease
dc.subjectwomen
dc.subjectpopulation-based
dc.subjectcohort study
dc.titleEconomic recession and cardiovascular disease among women: a cohort study from Eastern Finland
dc.description.versionpublished version
dc.contributor.departmentSchool of Medicine / Public Health
uef.solecris.id77233740en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© Authors 2021
dc.relation.doi10.1177/1403494821990259
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1-7
dc.publisher.countryBritannia
dc.relation.issn1403-4948
dc.relation.volume[published online: Feb 10, 2021]
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessHybridijulkaisukanavassa ilmestynyt avoin julkaisu


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