Abstract
Despite a general decline in mortality rates in recent decades, these rates are substantially higher among lower socioeconomic groups. To determine target groups for preventive health promotion programs, the prevalence of risk factors for cardiovascular disease by socioeconomic group in Canadian adults aged 20 to 69 years was examined through comparison of estimates from the 1978-79 Canada Health Survey, the 1981 Canada Fitness Survey and the labour force smoking surveys of 1975 and 1983. Level of education was used as a measure of socioeconomic status. The risk factors considered were cigarette smoking, overweight, obesity, elevated diastolic blood pressure, physical inactivity, excessive alcohol consumption, elevated serum cholesterol level, diabetes mellitus and the conjoint use of oral contraceptives and cigarettes. The prevalence of the risk factors tended to be higher among men and women with a low level of education. The results were consistent with those of recent Canadian studies showing that both men and women in lower socioeconomic groups are more likely to die from cardiovascular disease.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Antonovsky A. Social class, life expectancy and overall mortality. Milbank Mem Fund Q. 1967 Apr;45(2):31–73. [PubMed] [Google Scholar]
- Billette A., Hill G. B. Risque relatif de mortalité masculine et les classes sociales au Canada 1974. Union Med Can. 1978 Jun;107(6):583–590. [PubMed] [Google Scholar]
- Billette A. Les inégalités sociales de mortalité au Québec. Rech Sociogr. 1977;18(3):415–430. [PubMed] [Google Scholar]
- Dyer A. R., Stamler J., Paul O., Berkson D. M., Shekelle R. B., Lepper M. H., McKean H., Lindberg H. A., Garside D., Tokich T. Alcohol, cardiovascular risk factors and mortality: the Chicago experience. Circulation. 1981 Sep;64(3 Pt 2):III–27. [PubMed] [Google Scholar]
- Millar W. J. Smoking prevalence among Canadian adolescents. A comparison of survey estimates. Can J Public Health. 1985 Jan-Feb;76(1):33–37. [PubMed] [Google Scholar]
- Rosenberg L., Hennekens C. H., Rosner B., Belanger C., Rothman K. J., Speizer F. E. Oral contraceptive use in relation to nonfatal myocardial infarction. Am J Epidemiol. 1980 Jan;111(1):59–66. doi: 10.1093/oxfordjournals.aje.a112874. [DOI] [PubMed] [Google Scholar]
- Shapiro S., Slone D., Rosenberg L., Kaufman D. W., Stolley P. D., Miettinen O. S. Oral-contraceptive use in relation to myocardial infarction. Lancet. 1979 Apr 7;1(8119):743–747. doi: 10.1016/s0140-6736(79)91205-4. [DOI] [PubMed] [Google Scholar]
- Warner M. M. Lower socioeconomic groups and preventive public health programs: a problem of communication effectiveness. Can J Public Health. 1973 Nov-Dec;64(6):562–573. [PubMed] [Google Scholar]
