Social inequalities in male mortality amenable to medical intervention in British Columbia

Wood, Evan; Sallar, Anthony M.; Schechter, Martin T.; Hogg, Robert S.

doi:10.1016/s0277-9536(99)00081-7

Cited by 45 publications

(22 citation statements)

References 26 publications

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“…These findings are also consistent with the results of previous studies that have found lower socioeconomic status and female sex to be associated with worse access to health care [10,12,29,30], and interventions aimed at improving access to antiretrovirals among women and lower income persons must also be made a priority [10,13,31].…”

Section: Discussionsupporting

confidence: 91%

Prevalence and Correlates of Untreated Human Immunodeficiency Virus Type 1 Infection among Persons Who Have Died in the Era of Modern Antiretroviral Therapy

et al. 2003

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We evaluated all human immunodeficiency virus (HIV)-related deaths over the period 1 January 1995-31 December 2001 in a Canadian province in which all HIV care and antiretroviral therapy are provided free of charge. Persons who had received antiretroviral drugs before death were compared with those who had died without ever receiving HIV treatment, by fitting a logistic model. Overall, 1239 deaths were attributed to HIV infection during the study period. Of these, 406 (32.8%) occurred among persons who had never received any HIV treatment. In adjusted analyses, aboriginal ethnicity, female sex, and lower median income were negatively associated with receiving HIV treatment before death. Furthermore, among the 833 individuals who received treatment before death, only 379 (45.5%) received antiretroviral medication >or=75% of the time during their first year receiving therapy. The data demonstrate the need for novel interventions to expand HIV care to specific populations.

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Section: Discussionsupporting

confidence: 91%

Prevalence and Correlates of Untreated Human Immunodeficiency Virus Type 1 Infection among Persons Who Have Died in the Era of Modern Antiretroviral Therapy

et al. 2003

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“…The study captured all pneumonia admissions for those over 65 in the province of Ontario. The pneumonia diagnostic codes (ICD-9 codes 480–487) were the same as in previous studies [13-15]. …”

Section: Discussionmentioning

confidence: 99%

Does socioeconomic status affect mortality subsequent to hospital admission for community acquired pneumonia among older persons?

Vrbova

Mamdani

Moineddin

et al. 2005

J Negat Results BioMed

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Background: Low socioeconomic status has been associated with increased morbidity and mortality for various health conditions. The purpose of this study was twofold: to examine the mortality experience of older persons admitted to hospital with community acquired pneumonia and to test the hypothesis of whether an association exists between socioeconomic status and mortality subsequent to hospital admission for community-acquired pneumonia.

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“…After this exclusion, PCI utilization was only modestly increased, whereas CRTassociated reduction in 12-month mortality was unchanged. Finally, we calculated the ''potentially avoidable deaths'' [11] by hypothesizing an increase in CRT utilization rate in CS-2 and CS-3 categories from their actual values to that observed in CS-1 category, while keeping constant the therapy-specific mortality observed in each CS category. Following this method [11], the potentially avoidable deaths ranged from six (adjusted) to seven (crude) and from 20 (adjusted) to 21 (crude) in CS-2 and CS-3 categories, respectively, which would have corresponded to a 14% relative reduction in 12-month mortality in the whole series.…”

Section: Factors Affecting Prognosismentioning

confidence: 99%

Management of acute myocardial infarction in the real world: a summary report from The Ami-Florence Italian Registry

Balzi

Barchielli

Santoro³

et al. 2008

Intern Emerg Med

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The Florence Acute Myocardial Infarction registry was a population-based, prospective study aimed at identifying the determinants of coronary reperfusion therapy [CRT, by primary coronary intervention (PCI) in more than 95% of cases] utilization and of prognosis in patients with ST-segment elevation myocardial infarction (STEMI). The registry involved one teaching hospital with, and five district hospitals without PCI facilities. Overall, as many as 45.6% of 930 cases of STEMI did not receive any form of CRT. In multivariable analysis, the direct admission to the teaching hospital was the strongest positive predictor, whereas the time delay, older age, and chronic comorbid conditions were negative predictors of CRT utilization. Compared to conservative therapy, CRT was associated with a remarkably reduced 12-month mortality, after adjusting for age, chronic comorbidities and Killip class, which also were significantly associated with long-term prognosis. The higher crude mortality observed in women was accounted for by older age and other age-related factors. The improvement in prognosis with CRT was larger in older patients and/or in those with a greater burden of chronic comorbidity, who less frequently received CRT. These results suggest the need for interdisciplinary reassessing the adherence to therapeutic guidelines and the criteria adopted in the real clinical world to select patients for CRT during STEMI.

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Social inequalities in male mortality amenable to medical intervention in British Columbia

Cited by 45 publications

References 26 publications

Prevalence and Correlates of Untreated Human Immunodeficiency Virus Type 1 Infection among Persons Who Have Died in the Era of Modern Antiretroviral Therapy

Prevalence and Correlates of Untreated Human Immunodeficiency Virus Type 1 Infection among Persons Who Have Died in the Era of Modern Antiretroviral Therapy

Does socioeconomic status affect mortality subsequent to hospital admission for community acquired pneumonia among older persons?

Management of acute myocardial infarction in the real world: a summary report from The Ami-Florence Italian Registry

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