uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Inequity of access to Angiotensin-converting Enzyme inhibitors in SwedishHeart failure patients
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine. (Socialmedicinsk epidemiologi)ORCID iD: anna.ohlsson@pubcare.uu.se
2015 (English)In: http://simsam.nu/wp-content/uploads/2015/03/Recap-GOCARTs-150303.pdf, 2015Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background

Several international studies of Angiotensin-converting Enzyme Inhibitors (ACEIs) point to reduced ACEI access related to female sex, old age and socioeconomic position. Thus far, most studies have either been rather small; lacking diagnostic data, or lacking the possibility to account for several individual based socio-demographic factors.

Our aim was to investigate differences, which could reflect inequity, in access to ACEIs based on sex, age, socioeconomic status, or immigration status in Swedish heart failure (HF) patients.

 

Method and results

Individually-linked register data for all Swedish adults hospitalized for HF in 2005-2010 (n=93, 258) was analysed by multivariate regression models to assess the independent risk of female sex, age, low employment status, low income level, low educational level and foreign country of birth, for not being dispensed an ACEI within 1 year of hospitalization. Analysis revealed an adjusted OR for no ACEI dispensation for women of 1.31 [95% Confidence interval (CI): 1.27, 1.35]; for the oldest patients of 2.71 (95% CI: 2.53, 2.91); and for unemployed patients of 1.59 (95% CI: 1.46, 1.73). Adjustment for possible confounding was made for age, comorbidity, Angiotensin receptor blocker-therapy, period and follow-up time.

 

Conclusion

Access to ACEI treatment was reduced in women, older patients, and unemployed patients. We conclude that access to ACEIs is inequitable among Swedish HF patients.  Future studies should include clinical data, as well as mortality outcomes in different groups. 

 

Keywords: Access to Angiotensin-converting Enzyme Inhibitor (ACEI). Heart failure (HF).  Inequity. Guideline-recommended therapy. Socioeconomic position. Sex/gender.  

Place, publisher, year, edition, pages
2015.
Keyword [en]
Access to Angiotensin-converting Enzyme Inhibitor (ACEI). Heart failure (HF). Inequity. Guideline-recommended therapy. Socioeconomic position. Sex/gender
National Category
Medical and Health Sciences
Research subject
Medical Science; Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-284720OAI: oai:DiVA.org:uu-284720DiVA: diva2:920825
Conference
Social Stratification and Health March 3, 2015. Arranged by GOCARTs at the University of Gothenburg/Sahlgrenska Academy
Available from: 2016-04-19 Created: 2016-04-19 Last updated: 2016-06-29Bibliographically approved

Open Access in DiVA

bilaga(388 kB)4 downloads
File information
File name ATTACHMENT01.pdfFile size 388 kBChecksum SHA-512
c5628a78e013ac137ce8086f83c91e018d5dc57e3d4a10dd14cca5fd29fe0d91eb256508d12d119d163ee3b8a55a52bd0a0e53a7a2e7c6815fa10f8b76b33a6e
Type attachmentMimetype application/pdf

Authority records BETA

Ohlsson, Anna

Search in DiVA

By author/editor
Ohlsson, Anna
By organisation
Social Medicine
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 161 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf