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European Journal of Heart Failure 2006 8(8):856-863; doi:10.1016/j.ejheart.2006.02.008
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© 2006 European Society of Cardiology

Effect of socioeconomic deprivation on the population risk of incident heart failure hospitalisation: An analysis of the Renfrew/Paisley Study

S. Stewarta, N.F. Murphyb, J.J.V. McMurrayb,*, P. Jhundb,c, C.L. Hartc and D. Holec

a Division of Health Sciences, University of South Australia and Faculty of Health Sciences, University of Queensland Australia
b Department of Cardiology Western Infirmary, Scotland, UK
c Public Health and Health Policy, University of Glasgow Scotland, UK

* Corresponding author. Department of Cardiology, Western Infirmary, Glasgow G12 8QQ, Scotland, UK. Tel.: +44 1412111838; fax: +44 1412112252. E-mail address: j.mcmurray{at}bio.gla.ac.uk


  Abstract

Background: There are few data describing the effect of socioeconomic deprivation on the risk of developing heart failure (HF).

Aims: To examine the relationship between socioeconomic deprivation and hospitalisation with HF over 20 years.

Methods: Between 1972 and 1976, 15,402 individuals, aged 45–64 years, residing in two towns in Scotland, underwent cardiovascular screening. We report hospitalisations with HF over the subsequent 20 years according to Carstairs deprivation category and Social Class.

Results: Following screening, 628 men and women (4.1%) were hospitalised with a primary diagnosis of HF. There was a gradient in the risk of HF hospitalisation with increasing socioeconomic deprivation (P=0.003). Of the most deprived individuals, 6.4% were hospitalised for HF compared to 3.5% of the most affluent group. Cox-proportional Hazard models showed that independent of age, sex and baseline risk factors for cardio-respiratory status, greater socioeconomic deprivation increased the risk of HF admission (P=0.001, overall). The adjusted risk of admission for HF was 39% greater in the most versus least deprived subjects (RR 1.39 95% CI 1.04–2.01; P=0.04).

Conclusion: These data show a link between social deprivation and the risk of developing HF, irrespective of baseline cardio-respiratory status and cardiovascular risk factors.

Key Words: Heart failure • Morbidity • Epidemiology

Received September 12, 2005; Revised January 3, 2006; Accepted February 13, 2006


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