Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina

Bibliographic Data

ID5168930
AuthorsCarlos Marcelo Leveau (0000-0001-6240-9811, Universidad Nacional de Lanús, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina), Mustafa Hussein (0000-0002-7364-5796, The City University of New York, U.S.A), José A Tapia-Granados (0000-0003-4101-1024, Drexel University), Guillermo A Velázquez (0000-0003-0892-6572, Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina; Universidad Nacional del Centro de la Provincia de Buenos Aires, Argentina)
Year2023
Volume39
Issue5
Pagese00181222-e00181222
Publication date2023-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen181222
PMID37255190
OpenAlexW4378376226
SCIELO_PIDS0102-311X2023000505006
LanguageEN
Citations received1
References cited42

Although mortality from ischemic heart disease has declined over the past decades in Argentina, ischemic heart disease remains one of the most frequent causes of death. This study aimed to describe the role of individual and contextual factors on premature ischemic heart disease mortality and to analyze how educational differentials in premature ischemic heart disease mortality changed during economic fluctuations in two provinces of Argentina from 1990 to 2018. To test the relationship between individual (age, sex, and educational level) and contextual (urbanization, poverty, and macroeconomic variations) factors, a multilevel Poisson model was estimated. When controlling for the level of poverty at the departmental level, we observed inequalities in premature ischemic heart disease mortality according to the educational level of individuals, affecting population of low educational level. Moreover, economic expansion was related to an increase in ischemic heart disease mortality, however, expansion years were not associated with increasing educational inequalities in ischemic heart disease mortality. At the departmental level, we found no contextual association beween area-related socioeconomic level and the risk of ischemic heart disease mortality. Despite the continuing decline in ischemic heart disease mortality in Argentina, this study highlighted that social inequalities in mortality risk increased over time. Therefore, prevention policies should be more focused on populations of lower socioeconomic status in Argentina

Cardiology · Disease · Economic growth · Economics · Environmental health · Heart disease · Inequality · Mortality rate · Poisson regression · Population · Poverty · Socioeconomic status · Sociology · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Internal Medicine · Medicine

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Open DOIOpen Access