Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Deprived people less likely to get treatment to prevent heart disease

26.10.2005


People living in deprived areas or working in manual occupations are less likely to receive cholesterol and blood pressure-lowering treatment than more affluent people, according to a paper published today [28 October] in the November issue of the British Journal of General Practice.



This is because the method used to assess an individual’s risk of getting heart disease underestimates the true level of coronary heart disease risk associated with elevated risk factor levels in these groups.

Dr Peter Brindle, a researcher at the University of Bristol and a Bristol GP, said of the study: “Our results suggest that 4,196 people in the study, mainly from manual social classes, might have received preventative treatment, had the scoring method been properly calibrated for this high risk population. In fact, only 585 were eligible for treatment, leaving 3,611 people untreated.”


The study was led by Dr Brindle in collaboration with colleagues from Glasgow University, led by Professor Graham Watt.

The recommended way of preventing heart disease involves using the ‘Framingham’ risk score to identify high-risk patients. Patients above an agreed threshold are prescribed preventive treatments. However, the relevance of the Framingham score to the British population is uncertain, partly because the US data, on which it is based, are over 20 years old, and partly because the original study did not include areas with high levels of socio-economic deprivation, and the elevated risks associated with these groups.

The study involved 12,304 men and women from Renfrew and Paisley in Scotland (The MIDSPAN Study), who were free from cardiovascular disease. During the next 10 years, 696 died from cardiovascular disease, when only 406 deaths were predicted by the Framingham score.

While cardiovascular disease mortality was underestimated across the study population as a whole, for people in manual occupations the risk was underestimated by 48%, compared to 31% for people in non-manual work. The same effect was observed when comparing people living in affluent and deprived areas.

The conclusion from the study is that recommended risk scoring methods underestimate risk in socio-economically deprived individuals and that national screening could be contributing to health inequalities. The likely consequence is that preventive treatments are less available to the most needy.

Professor Watt commented: “Two very practical implications arise from this study. First, will nationally agreed clinical guidelines be adjusted to take account of the higher risks in people living in deprived areas? Second, if this is done, and the number of patients requiring preventive treatment is substantially increased, will general practices get the extra resources needed to treat, monitor and review these extra patients, ensuring they get the benefit of life-saving treatments?”

Cherry Lewis | alfa
Further information:
http://www.rcgp.org.uk/webmaster/ebjgp/journallogin.asp?OrigURL=/journal/index.asp
http://www.bristol.ac.uk

More articles from Studies and Analyses:

nachricht A sudden drop in outdoor temperature increases the risk of respiratory infections
11.01.2017 | University of Gothenburg

nachricht Urbanization to convert 300,000 km2 of prime croplands
27.12.2016 | Mercator Research Institute on Global Commons and Climate Change (MCC) gGmbH

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: How gut bacteria can make us ill

HZI researchers decipher infection mechanisms of Yersinia and immune responses of the host

Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...

Im Focus: Interfacial Superconductivity: Magnetic and superconducting order revealed simultaneously

Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.

While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...

Im Focus: Studying fundamental particles in materials

Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales

Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...

Im Focus: Designing Architecture with Solar Building Envelopes

Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.

As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...

Im Focus: How to inflate a hardened concrete shell with a weight of 80 t

At TU Wien, an alternative for resource intensive formwork for the construction of concrete domes was developed. It is now used in a test dome for the Austrian Federal Railways Infrastructure (ÖBB Infrastruktur).

Concrete shells are efficient structures, but not very resource efficient. The formwork for the construction of concrete domes alone requires a high amount of...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

Nothing will happen without batteries making it happen!

05.01.2017 | Event News

 
Latest News

A big nano boost for solar cells

18.01.2017 | Power and Electrical Engineering

Glass's off-kilter harmonies

18.01.2017 | Materials Sciences

Toward a 'smart' patch that automatically delivers insulin when needed

18.01.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>