The educational gradient in coronary heart disease: the association with cognition in a cohort of 57 279 male conscripts

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The educational gradient in coronary heart disease : the association with cognition in a cohort of 57 279 male conscripts. / Ariansen, Inger; Mortensen, Laust Hvas; Igland, Jannicke; Tell, Grethe S; Tambs, Kristian; Graff-Iversen, Sidsel; Strand, Bjørn Heine; Næss, Øyvind.

In: Journal of epidemiology and community health, Vol. 69, No. 4, 04.2015, p. 322-329.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Ariansen, I, Mortensen, LH, Igland, J, Tell, GS, Tambs, K, Graff-Iversen, S, Strand, BH & Næss, Ø 2015, 'The educational gradient in coronary heart disease: the association with cognition in a cohort of 57 279 male conscripts', Journal of epidemiology and community health, vol. 69, no. 4, pp. 322-329. https://doi.org/10.1136/jech-2014-204597

APA

Ariansen, I., Mortensen, L. H., Igland, J., Tell, G. S., Tambs, K., Graff-Iversen, S., ... Næss, Ø. (2015). The educational gradient in coronary heart disease: the association with cognition in a cohort of 57 279 male conscripts. Journal of epidemiology and community health, 69(4), 322-329. https://doi.org/10.1136/jech-2014-204597

Vancouver

Ariansen I, Mortensen LH, Igland J, Tell GS, Tambs K, Graff-Iversen S et al. The educational gradient in coronary heart disease: the association with cognition in a cohort of 57 279 male conscripts. Journal of epidemiology and community health. 2015 Apr;69(4):322-329. https://doi.org/10.1136/jech-2014-204597

Author

Ariansen, Inger ; Mortensen, Laust Hvas ; Igland, Jannicke ; Tell, Grethe S ; Tambs, Kristian ; Graff-Iversen, Sidsel ; Strand, Bjørn Heine ; Næss, Øyvind. / The educational gradient in coronary heart disease : the association with cognition in a cohort of 57 279 male conscripts. In: Journal of epidemiology and community health. 2015 ; Vol. 69, No. 4. pp. 322-329.

Bibtex

@article{1f5d3a7d108948718848c334f9cbb755,
title = "The educational gradient in coronary heart disease: the association with cognition in a cohort of 57 279 male conscripts",
abstract = "BACKGROUND: Independently of cardiovascular disease (CVD) risk factors, cognitive ability may account for some of the excess risk of coronary heart disease (CHD) associated with lower education. We aimed to assess how late adolescence cognitive ability and midlife CVD risk factors are associated with the educational gradient in CHD in Norway.METHODS: In a cohort of 57 279 men born during 1949-1959, health survey information was linked to military conscription records of cognitive ability, to national educational data, to hospitalisation records from the Cardiovascular Disease in Norway (CVDNOR) project and to the Norwegian Cause of Death Registry.RESULTS: Age and period adjusted HR for incident CHD events was 3.62 (95{\%} CI 2.50 to 5.24) for basic relative to tertiary education, and was attenuated after adjustment; to 2.86 (1.87 to 4.38) for cognitive ability, to 1.90 (1.30 to 2.78) for CVD risk factors, and to 1.84 (1.20 to 2.83) when adjusting for both. Age and period adjusted absolute rate difference was 51 (33 to 70) incident CHD events per 100,000 person years between basic and tertiary educated, and was attenuated after adjustment; to 42 (22 to 61) for cognitive ability, to 25 (7 to 42) for CVD risk factors, and to 24 (5 to 43) when adjusting for both.CONCLUSIONS: Late adolescence cognitive ability attenuated the educational gradient in incident CHD events. CVD risk factors further attenuated the gradient, and to the same extent regardless of whether cognitive ability was included or not. Cognitive ability might be linked to the educational gradient through CVD risk factors.",
author = "Inger Ariansen and Mortensen, {Laust Hvas} and Jannicke Igland and Tell, {Grethe S} and Kristian Tambs and Sidsel Graff-Iversen and Strand, {Bj{\o}rn Heine} and {\O}yvind N{\ae}ss",
note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.",
year = "2015",
month = "4",
doi = "10.1136/jech-2014-204597",
language = "English",
volume = "69",
pages = "322--329",
journal = "Journal of Epidemiology & Community Health",
issn = "0143-005X",
publisher = "B M J Group",
number = "4",

}

RIS

TY - JOUR

T1 - The educational gradient in coronary heart disease

T2 - the association with cognition in a cohort of 57 279 male conscripts

AU - Ariansen, Inger

AU - Mortensen, Laust Hvas

AU - Igland, Jannicke

AU - Tell, Grethe S

AU - Tambs, Kristian

AU - Graff-Iversen, Sidsel

AU - Strand, Bjørn Heine

AU - Næss, Øyvind

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2015/4

Y1 - 2015/4

N2 - BACKGROUND: Independently of cardiovascular disease (CVD) risk factors, cognitive ability may account for some of the excess risk of coronary heart disease (CHD) associated with lower education. We aimed to assess how late adolescence cognitive ability and midlife CVD risk factors are associated with the educational gradient in CHD in Norway.METHODS: In a cohort of 57 279 men born during 1949-1959, health survey information was linked to military conscription records of cognitive ability, to national educational data, to hospitalisation records from the Cardiovascular Disease in Norway (CVDNOR) project and to the Norwegian Cause of Death Registry.RESULTS: Age and period adjusted HR for incident CHD events was 3.62 (95% CI 2.50 to 5.24) for basic relative to tertiary education, and was attenuated after adjustment; to 2.86 (1.87 to 4.38) for cognitive ability, to 1.90 (1.30 to 2.78) for CVD risk factors, and to 1.84 (1.20 to 2.83) when adjusting for both. Age and period adjusted absolute rate difference was 51 (33 to 70) incident CHD events per 100,000 person years between basic and tertiary educated, and was attenuated after adjustment; to 42 (22 to 61) for cognitive ability, to 25 (7 to 42) for CVD risk factors, and to 24 (5 to 43) when adjusting for both.CONCLUSIONS: Late adolescence cognitive ability attenuated the educational gradient in incident CHD events. CVD risk factors further attenuated the gradient, and to the same extent regardless of whether cognitive ability was included or not. Cognitive ability might be linked to the educational gradient through CVD risk factors.

AB - BACKGROUND: Independently of cardiovascular disease (CVD) risk factors, cognitive ability may account for some of the excess risk of coronary heart disease (CHD) associated with lower education. We aimed to assess how late adolescence cognitive ability and midlife CVD risk factors are associated with the educational gradient in CHD in Norway.METHODS: In a cohort of 57 279 men born during 1949-1959, health survey information was linked to military conscription records of cognitive ability, to national educational data, to hospitalisation records from the Cardiovascular Disease in Norway (CVDNOR) project and to the Norwegian Cause of Death Registry.RESULTS: Age and period adjusted HR for incident CHD events was 3.62 (95% CI 2.50 to 5.24) for basic relative to tertiary education, and was attenuated after adjustment; to 2.86 (1.87 to 4.38) for cognitive ability, to 1.90 (1.30 to 2.78) for CVD risk factors, and to 1.84 (1.20 to 2.83) when adjusting for both. Age and period adjusted absolute rate difference was 51 (33 to 70) incident CHD events per 100,000 person years between basic and tertiary educated, and was attenuated after adjustment; to 42 (22 to 61) for cognitive ability, to 25 (7 to 42) for CVD risk factors, and to 24 (5 to 43) when adjusting for both.CONCLUSIONS: Late adolescence cognitive ability attenuated the educational gradient in incident CHD events. CVD risk factors further attenuated the gradient, and to the same extent regardless of whether cognitive ability was included or not. Cognitive ability might be linked to the educational gradient through CVD risk factors.

U2 - 10.1136/jech-2014-204597

DO - 10.1136/jech-2014-204597

M3 - Journal article

VL - 69

SP - 322

EP - 329

JO - Journal of Epidemiology & Community Health

JF - Journal of Epidemiology & Community Health

SN - 0143-005X

IS - 4

ER -

ID: 137669245