Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys
Introduction The objective of this study is to examine the temporal trends and patterns of regional and socioeconomic disparities in cardiovascular disease (CVD) in Canada during 2005–2016.Methods A total of 670 000 adults aged ≥20 years who participated in the Canadian Community Health Surveys betw...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-11-01
|
| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/6/11/e006809.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846140250541260800 |
|---|---|
| author | Nicola Luigi Bragazzi Haijiang Dai Biao Tang Arwa Younis Jude Dzevela Kong Wen Zhong |
| author_facet | Nicola Luigi Bragazzi Haijiang Dai Biao Tang Arwa Younis Jude Dzevela Kong Wen Zhong |
| author_sort | Nicola Luigi Bragazzi |
| collection | DOAJ |
| description | Introduction The objective of this study is to examine the temporal trends and patterns of regional and socioeconomic disparities in cardiovascular disease (CVD) in Canada during 2005–2016.Methods A total of 670 000 adults aged ≥20 years who participated in the Canadian Community Health Surveys between 2005 and 2016 were enrolled for this study. CVD referred to heart disease and stroke in this study. Equivalised household income was used as a proxy of socioeconomic status. Absolute and relative socioeconomic inequalities were measured by slope index of inequality (SII) and relative index of inequality (RII), respectively.Results In 2015/2016, the overall age-adjusted and sex-adjusted prevalence of heart disease and stroke was 4.80% (95% CI 4.61% to 4.98%) and 1.25% (95% CI 1.13% to 1.36%), respectively. Trend analyses suggested a significant decline in the age-adjusted and sex-adjusted prevalence of heart disease (P for trend <0.001) and a non-significant decline in the age-adjusted and sex-adjusted prevalence of stroke (P for trend=0.058) from 2005 to 2016. Nevertheless, the total number of adults suffering from heart disease and stroke increased by 8.9% and 20.2% over the study period, respectively. Moreover, the age-adjusted and sex-adjusted prevalence of heart disease and stroke varied widely across all health regions, and both of them tended be higher among those with lower income. The SII and RII indicated that there were persistent absolute and relative socioeconomic inequalities in heart disease and stroke across all surveys (eg, SII for heart disease in both sexes, 2005: 0.04 (95% CI 0.03 to 0.04); 2015/2016: 0.03 (95% CI, 0.02 to 0.04); RII for heart disease in both sexes, 2005: 1.99 (95% CI 1.75 to 2.27); 2015/2016: 1.77 (95% CI 1.52 to 2.08).Conclusion Geographical and socioeconomic disparities should be taken into account during the further efforts to strengthen preventive measures and optimise healthcare resources for heart disease and stroke in Canada. |
| format | Article |
| id | doaj-art-0e6c850d7006474887aace41dca37c75 |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-0e6c850d7006474887aace41dca37c752024-12-05T15:40:09ZengBMJ Publishing GroupBMJ Global Health2059-79082021-11-0161110.1136/bmjgh-2021-006809Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveysNicola Luigi Bragazzi0Haijiang Dai1Biao Tang2Arwa Younis3Jude Dzevela Kong4Wen Zhong512 Department of Mathematics and Statistics, York University, Toronto, Ontario, CanadaLaboratory for Industrial and Applied Mathematics, Centre for Disease Modelling, York University, Toronto, Ontario, CanadaLaboratory for Industrial and Applied Mathematics, Centre for Disease Modelling, York University, Toronto, Ontario, CanadaClinical Cardiovascular Research Center, University of Rochester Medical Center, Rochester, New York, USADepartment of Mathematics and Statistics, York University, Toronto, Ontario, CanadaDepartment of General Medicinel, Xiangya Hospita, Central South University, Changsha, ChinaIntroduction The objective of this study is to examine the temporal trends and patterns of regional and socioeconomic disparities in cardiovascular disease (CVD) in Canada during 2005–2016.Methods A total of 670 000 adults aged ≥20 years who participated in the Canadian Community Health Surveys between 2005 and 2016 were enrolled for this study. CVD referred to heart disease and stroke in this study. Equivalised household income was used as a proxy of socioeconomic status. Absolute and relative socioeconomic inequalities were measured by slope index of inequality (SII) and relative index of inequality (RII), respectively.Results In 2015/2016, the overall age-adjusted and sex-adjusted prevalence of heart disease and stroke was 4.80% (95% CI 4.61% to 4.98%) and 1.25% (95% CI 1.13% to 1.36%), respectively. Trend analyses suggested a significant decline in the age-adjusted and sex-adjusted prevalence of heart disease (P for trend <0.001) and a non-significant decline in the age-adjusted and sex-adjusted prevalence of stroke (P for trend=0.058) from 2005 to 2016. Nevertheless, the total number of adults suffering from heart disease and stroke increased by 8.9% and 20.2% over the study period, respectively. Moreover, the age-adjusted and sex-adjusted prevalence of heart disease and stroke varied widely across all health regions, and both of them tended be higher among those with lower income. The SII and RII indicated that there were persistent absolute and relative socioeconomic inequalities in heart disease and stroke across all surveys (eg, SII for heart disease in both sexes, 2005: 0.04 (95% CI 0.03 to 0.04); 2015/2016: 0.03 (95% CI, 0.02 to 0.04); RII for heart disease in both sexes, 2005: 1.99 (95% CI 1.75 to 2.27); 2015/2016: 1.77 (95% CI 1.52 to 2.08).Conclusion Geographical and socioeconomic disparities should be taken into account during the further efforts to strengthen preventive measures and optimise healthcare resources for heart disease and stroke in Canada.https://gh.bmj.com/content/6/11/e006809.full |
| spellingShingle | Nicola Luigi Bragazzi Haijiang Dai Biao Tang Arwa Younis Jude Dzevela Kong Wen Zhong Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys BMJ Global Health |
| title | Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys |
| title_full | Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys |
| title_fullStr | Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys |
| title_full_unstemmed | Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys |
| title_short | Regional and socioeconomic disparities in cardiovascular disease in Canada during 2005–2016: evidence from repeated nationwide cross-sectional surveys |
| title_sort | regional and socioeconomic disparities in cardiovascular disease in canada during 2005 2016 evidence from repeated nationwide cross sectional surveys |
| url | https://gh.bmj.com/content/6/11/e006809.full |
| work_keys_str_mv | AT nicolaluigibragazzi regionalandsocioeconomicdisparitiesincardiovasculardiseaseincanadaduring20052016evidencefromrepeatednationwidecrosssectionalsurveys AT haijiangdai regionalandsocioeconomicdisparitiesincardiovasculardiseaseincanadaduring20052016evidencefromrepeatednationwidecrosssectionalsurveys AT biaotang regionalandsocioeconomicdisparitiesincardiovasculardiseaseincanadaduring20052016evidencefromrepeatednationwidecrosssectionalsurveys AT arwayounis regionalandsocioeconomicdisparitiesincardiovasculardiseaseincanadaduring20052016evidencefromrepeatednationwidecrosssectionalsurveys AT judedzevelakong regionalandsocioeconomicdisparitiesincardiovasculardiseaseincanadaduring20052016evidencefromrepeatednationwidecrosssectionalsurveys AT wenzhong regionalandsocioeconomicdisparitiesincardiovasculardiseaseincanadaduring20052016evidencefromrepeatednationwidecrosssectionalsurveys |