Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income countries: The Prospective Urban Rural Epidemiologic (PURE) study

The Lancet Global Health May 20, 2019

Rosengren A, et al. – In this study, researchers examined the relationship between education, household wealth, cardiovascular disease, and mortality to assess which marker is the stronger predictor of outcomes, and determined whether any differences in cardiovascular disease by socioeconomic status parallel differences in risk factor levels or differences in management. An aggregate of 367 and 302 adults belonging to urban and rural communities in 20 countries, respectively, were included in this large-scale, prospective cohort study. People with lower educational attainment belonging to low- and middle-income countries presented with better overall risk factor profiles, although they had higher incidences of, and mortality from, cardiovascular disease. The investigators, therefore, concluded that strategies to overcome barriers to care—especially for those with lower levels of education—should include new policies to reduce health inequities worldwide.

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