Ischaemic heart disease mortality among men in Norway: reversal of urban-rural difference between 1966 and 1989.

Krüger, Ø; Aase, Asbjørn; Westin, Steinar

doi:10.1136/jech.49.3.271

Cited by 17 publications

(10 citation statements)

References 12 publications

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“…Thus, we may expect a delay between groups of different social status regarding healthy food choices. For example, traditionally the Norwegian diet was lower in fat in rural areas as compared with cities, but during the last 20 years the dietary lipid pattern (Johansson et al 1996), as well as the mortality from CHD have improved more in urban than in rural areas (Westlund, 1971;Krüger et al 1995). In our present study, men living in rural districts had higher Hegsted scores and lower intakes of fruits and vegetables, than men living in cities.…”

Section: Discussionsupporting

confidence: 41%

Healthy dietary habits in relation to social determinants and lifestyle factors

et al. 1999

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The aim of the present study was to evaluate the importance of social status and lifestyle for dietary habits, since these factors may influence life expectancy. We studied the association of four indicators for healthy dietary habits (fruits and vegetables, fibre, fat and Hegsted score) with sex, age, socio-economic status, education, physical leisure exercise, smoking and personal attention paid to keeping a healthy diet. Data were gathered with a self-administered quantitative food-frequency questionnaire distributed to a representative sample of Norwegian men and women aged 16-79 years in a national dietary survey, of whom 3144 subjects (63 %) responded. Age and female sex were positively associated with indicators for healthy dietary habits. By separate evaluation length of education, regular physical leisure exercise and degree of attention paid to keeping a healthy diet were positively associated with all four indicators for healthy dietary habits in both sexes. Socio-economic status, location of residence and smoking habits were associated with from one to three indicators for healthy dietary habits. In a multiple regression model, age, education and location of residence together explained from 1 to 9 % of the variation (R 2 ) in the four dietary indicators. Length of education was significantly associated with three of four dietary indicators both among men and women. By including the variable 'attention paid to keeping a healthy diet' in the model, R 2 increased to between 4 and 15 % for the four dietary indicators. Length of education remained correlated to three dietary indicators among women, and one indicator among men, after adjusting for attention to healthy diet, age and location of residence. Residence in cities remained correlated to two indicators among men, but none among women, after adjusting for age, education and attention to healthy diet. In conclusion, education was associated with indicators of a healthy diet. Attention to healthy diet showed the strongest and most consistent association with all four indicators for healthy dietary habits in both sexes. This suggests that personal preferences may be just as important for having a healthy diet as social status determinants. Diet: Social status: LifestyleDietary factors such as total fat, saturated fatty acids and salt are associated with increased risk of cardiovascular diseases and cancer, whereas fibre, fruits and vegetables may decrease this risk (Department

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Section: Discussionsupporting

confidence: 41%

Healthy dietary habits in relation to social determinants and lifestyle factors

et al. 1999

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“…3 This discrepancy has created widening inequalities in IHD mortality within Great Britain, and may partly be caused by geography: 89% of the land area of Scotland is rural. 4 Previous studies have demonstrated urban-rural differences in rates of IHD mortality and of hospital admissions for IHD in Norway, 5 Australia, 6 and Sweden, 7 primarily owing to differences in the relation between level of rurality and socioeconomic deprivation, differences in lifestyle between levels of rurality, and the demography of differing rurality categories. Furthermore, urban-rural differences have been observed in other causes of mortality in Scotland.…”

Section: Methodsmentioning

confidence: 99%

Urban–Rural Inequalities in Ischemic Heart Disease in Scotland, 1981–1999

Levin

Leyland²

2006

Am J Public Health

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“…Död i hjärt-och kärlsjukdom är vanligare i glesbygd enligt en norsk studie (Kruger, Aase & Westin, 1995). Så har det inte alltid varit.…”

Section: Specifika Hälsoproblem På Landet Jämfört Med Städerunclassified

Dödligheten är högre i kommuner medlåg befolkningstäthet. En studie i fyra nordiska länder

Bremberg

2020

Nordisk välfärdsforskning | Nordic Welfare Research

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Bakgrund: Det finns motstridiga uppfattningar om hälsan i städer kontra glesbygd. Historiskt sett var, fram till mitten av 1850-talet, städer i Europa ohälsosamma platser. Idag verkar dock hälsan vara bättre i städer än på landet men resultaten i olika studier är motstridiga. Vidare har de nordiska länderna omfattande socialpolitiska insatser som syftar till att utjämna skillnader mellan människors livschanser, inkluderade skillnader mellan stad och land. Syfte: Att undersöka effekten av befolkningstäthet (BT) på hälsan i nordiska kommuner. Metoder: Hälsan bedömdes som dödlighet, beräknade som livslängd vid födseln (LE), som potentiella antal förlorade levnadsår (PYLL) i åldrarna 0-80 år och direkt som dödlighet i olika åldrar. I analyserna beräknades en linjär korrelation mellan LE/PYLL/dödlighet och log10 för BT (invånare per kvadratkilometer). Effekten av BT har bedömts som skillnaden i LE/PYLL/dödlighet för en 10-faldig ökning av BT. Resultat och slutsatser: I Finland, Norge och Sverige var dödligheten genomgående högre i kommuner med låg BT. Skillnad har ökat med tiden. De nationella insatser som genomförts och som syftar till att utjämna skillnader mellan tätort och glesbygd har uppenbarligen varit otillräckliga. Resultaten i Danmark var oklara vilket troligen berodde på mindre variation av kommunal BT.

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Ischaemic heart disease mortality among men in Norway: reversal of urban-rural difference between 1966 and 1989.

Cited by 17 publications

References 12 publications

Healthy dietary habits in relation to social determinants and lifestyle factors

Healthy dietary habits in relation to social determinants and lifestyle factors

Urban–Rural Inequalities in Ischemic Heart Disease in Scotland, 1981–1999

Dödligheten är högre i kommuner medlåg befolkningstäthet. En studie i fyra nordiska länder

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