Socioeconomic status and heart failure in Sydney
Close, Glenn R. Newton, Phillip J. Fung, Simon C. Denniss, A. Robert Halcomb, Elizabeth J. Kovoor, Pramesh Stewart, Simon Davidson, Patricia M.
Close, Glenn R.
Newton, Phillip J.
Fung, Simon C.
Denniss, A. Robert
Halcomb, Elizabeth J.
Kovoor, Pramesh
Stewart, Simon
Davidson, Patricia M.
Abstract
Background: Socioeconomic disadvantage is associated with an increased risk of developing heart failure and with inferior health outcomes following diagnosis. Methods: Data for hospitalisations and deaths due to heart failure in the Sydney metropolitan region were extracted from New South Wales hospital records and Australian Bureau of Statistics databases for 1999–2003. Standardised rates were analysed according to patients’ residential local government area and correlated with an index of socioeconomic disadvantage. Results: Eight of the 13 local government areas with standardised separation rate ratios significantly higher than all NSW, and those with the six highest standardised separation rate ratios, were in Greater Western Sydney. Rates of heart failure hospitalisations per local government area were inversely correlated with level of socioeconomic status. Conclusions: Higher rates of heart failure hospitalisations among residents of socioeconomically disadvantaged regions within Sydney highlight the need for strategies to lessen the impact of disadvantage and strategies to improve cardiovascular health.
Keywords
socioeconomic factors, health status, health disparities, heart failure, Sydney, Australia
Date
2014
Type
Journal article
Journal
Heart, Lung and Circulation
Book
Volume
23
Issue
4
Page Range
320-324