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.

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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
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
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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