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Neighbourhood and heart health

Long-term survival after MI connected to socioeconomic context

Posted in Environment and design on 31st January, 2010 | no responses

A study by Yariv Gerber et al. from the Israel Study Group on First Acute Myocardial Infarction has found that neighbourhood socioeconomic status (SES) is strongly associated with long-term survival after myocardial infarction (MI). Patients <65 years of age discharged from eight hospitals in central Israel after incident MI in 1992 to 1993 were followed up through 2005. Individual data were obtained at study entry, including education, income, and employment. Neighbourhood SES was estimated through a composite census-derived index developed by the Israel Central Bureau of Statistics. Patients living in disadvantaged neighbourhoods had higher mortality rates.

The association between neighbourhood SES and long-term survival after MI is partly but not entirely attributable to individual SES and clinical characteristics. These data support a multidimensional relationship between SES and MI outcome.

Source: Circulation, January 2010.

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