Inequalities and deteriorations in cardiovascular health in premenopausal US women, 1990-2016 O'Neil, Adrienne, Thompson, Kelly, Russell, Josephine D and Norton, Robyn 2020, Inequalities and deteriorations in cardiovascular health in premenopausal US women, 1990-2016, American journal of public health, vol. 110, no. 8, pp. 1175-1181, doi: 10.2105/AJPH.2020.305702. Attached Files Name Description MIMEType Size Downloads Title Inequalities and deteriorations in cardiovascular health in premenopausal US women, 1990-2016 Author(s) O'Neil, Adrienne Thompson, Kelly Russell, Josephine D Norton, Robyn Journal name American journal of public health Volume number 110 Issue number 8 Start page 1175 End page 1181 Total pages 7 Publisher American Public Health Association Place of publication New York, N.Y. Publication date 2020-08 ISSN 0090-0036 1541-0048 Keyword(s) Science & Technology Life Sciences & Biomedicine Public, Environmental & Occupational Health Summary Coronary heart disease (CHD) mortality rates in the United States have declined by up to two thirds in recent decades. Closer examination of these trends reveals substantial inequities in the distribution of mortality benefits. It is worrying that the uneven distribution of CHD that exists from lowest to highest social class—the social gradient—has become more pronounced in the United States since 1990 and is most pronounced for women. Here we consider ways in which this trend disproportionately affects premenopausal women aged 35 to 54 years. We apply a social determinants of health framework focusing on intersecting axes of inequalities—notably gender, class, ethnicity, geographical location, access to wealth, and class—among other power relations to which young and middle-aged women are especially vulnerable, and we argue that increasing inequalities may be driving these unprecedented deteriorations. We conclude by discussing interventions and policies to target and alleviate inequality axes that have potential to promote greater equity in the distribution of CHD mortality and morbidity gains. The application of this framework in the context of women’s cardiovascular health can help shed light regarding why we are seeing persistently poorer outcomes for premenopausal US women. Language eng DOI 10.2105/AJPH.2020.305702 Indigenous content off Field of Research 11 Medical and Health Sciences HERDC Research category C1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30141752 Document type: Journal Article Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 11 Sep 2020, 15:01:43 EST Sat, 12 Sep 2020, 05:02:25 EST Tue, 24 Nov 2020, 05:04:27 EST Tue, 24 Nov 2020, 14:29:52 EST Tue, 24 Nov 2020, 14:30:57 EST Tue, 24 Nov 2020, 15:00:26 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 42 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Fri, 11 Sep 2020, 15:01:43 EST

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