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Socioeconomic position and premature mortality in the AusDiab cohort of Australian adults

Bihan, Hélène, Backholer, Kathrin, Peeters, Anna, Stevenson, Christopher E., Shaw, Jonathan E. and Magliano, Dianna J. 2016, Socioeconomic position and premature mortality in the AusDiab cohort of Australian adults, American journal of public health, vol. 106, no. 3, pp. 470-477, doi: 10.2105/AJPH.2015.302984.

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Title Socioeconomic position and premature mortality in the AusDiab cohort of Australian adults
Author(s) Bihan, Hélène
Backholer, KathrinORCID iD for Backholer, Kathrin orcid.org/0000-0002-3323-575X
Peeters, AnnaORCID iD for Peeters, Anna orcid.org/0000-0003-4340-9132
Stevenson, Christopher E.
Shaw, Jonathan E.
Magliano, Dianna J.
Journal name American journal of public health
Volume number 106
Issue number 3
Start page 470
End page 477
Total pages 8
Publisher American Public Health Association
Place of publication Washington, D.C.
Publication date 2016-03
ISSN 0090-0036
1541-0048
Summary OBJECTIVES:
To determine the association of socioeconomic position indicators with mortality, without and with adjustment for modifiable risk factors.

METHODS:
We examined the relationships of 2 area-based indices and educational level with mortality among 9338 people (including 8094 younger than 70 years at baseline) of the Australian Diabetes Obesity and Lifestyle (AusDiab) from 1999-2000 until November 30, 2012.

RESULTS:
Age- and gender-adjusted premature mortality (death before age 70 years) was more likely among those living in the most disadvantaged areas versus least disadvantaged (hazard ratio [HR] = 1.48; 95% confidence interval [CI] = 1.08, 2.01), living in inner regional versus major urban areas (HR = 1.36; 95% CI = 1.07, 1.73), or having the lowest educational level versus the highest (HR = 1.64; 95% CI = 1.17, 2.30). The contribution of modifiable risk factors (smoking status, diet quality, physical activity, stress, cardiovascular risk factors) in the relationship between 1 area-based index or educational level and mortality was more apparent as age of death decreased.

CONCLUSIONS:
The relation of area-based socioeconomic position to premature mortality is partly mediated by behavioral and cardiovascular risk factors. Such results could influence public health policies.
Language eng
DOI 10.2105/AJPH.2015.302984
Field of Research 111716 Preventive Medicine
Socio Economic Objective 920412 Preventive Medicine
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, American Public Health Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081612

Document type: Journal Article
Collection: School of Health and Social Development
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