Country of birth and risk of hospitalization due to heart failure: a Swedish population-based cohort study

Borné, Yan; Engström, Gunnar; Essén, Birgitta; Sundquist, Jan; Hedblad, Bo
April 2011
European Journal of Epidemiology;Apr2011, Vol. 26 Issue 4, p275
Academic Journal
To explore the relation between country of birth and risk of hospitalization due to heart failure (HF). All 40-89 year-old inhabitants in the city of Malmö, Sweden (n = 114,917, of whom 15.2% were born outside Sweden) were followed from November 1st, 1990 until December 31st, 2007. During a mean follow-up of 13.5 ± 5.3 years, a total of 7,640 individuals (47.4% men) were discharged from hospital with first-ever HF as primary diagnosis. Of them, 1,243 individuals had myocardial infarction (MI) before or concurrent with the HF hospitalization. The risk of HF was compared between immigrants from selected countries and Swedish natives. The overall analysis showed substantial differences among immigrant groups ( P < 0.001). Compared to Swedish natives, significantly increased HF risk was found among immigrants from Finland (HR (hazard ratio): 1.40; 95% CI, 1.10-1.81), Former Yugoslavia (1.45: 1.23-1.72) and Hungary (1.48: 1.16-1.89), taking age, sex, marital status, annual income and housing condition into account. Analysis results were similar when cases with MI before or concurrent with the HF hospitalization were included in the analysis. In general, the risk of HF was significantly higher among immigrants from high-income and middle-income countries. Marital status, annual income and housing condition were also significant independent risk factors for HF in this population. There are substantial differences in risk of hospitalization due to HF among immigrants from different countries that can not be explained by socioeconomic factors. To what extent these differences could be explained by biological risk factors remains to be explored.


Related Articles

  • AN OVERVIEW OF THE FERTILITY TRENDS IN ONTARIO AND QUEBEC. Rao, N. Baskara // Canadian Studies in Population;1974, Vol. 1, p37 

    The article discusses fertility trends in Ontario and Quebec, two provinces in Canada. The two provinces differ with respect to some socioeconomic factors. Since fertility is known to respond to differences in religion, ethnicity and levels of income, it would be of interest to compare the...

  • Directionality of blood pressure response to standing may determine development of heart failure: prospective cohort study. Fedorowski, Artur; Hedblad, Bo; Engstr�m, Gunnar; Melander, Olle // European Journal of Heart Failure;May2011, Vol. 13 Issue 5, p496 

    Aims To study the prospective relationship of blood pressure response during orthostatic challenge with incidence of heart failure (HF). Methods and results In a Swedish prospective cohort study (the Malm� Preventive Project), we followed up 32 669 individuals (68.2% men; mean age, 46...

  • Population based absolute and relative survival to 1 year of people with diabetes following a myocardial infarction: A cohort study using hospital admissions data. Brophy, Sinead; Cooksey, Roxanne; Gravenor, Michael B.; Weston, Clive; Macey, Steven M; John, Gareth; Williams, Rhys; Lyons, Ronan A. // BMC Public Health;2010, Vol. 10 Issue 1, p338 

    Background: People with diabetes who experience an acute myocardial infarction (AMI) have a higher risk of death and recurrence of AMI. This study was commissioned by the Department for Transport to develop survival tables for people with diabetes following an AMI in order to inform vehicle...

  • American generations.  // American Demographics;Jan97, Vol. 19 Issue 1, p24 

    Shows the age range of selected birth cohorts from 1995 to 2010.

  • School effects on risk of non-fatal suicidal behaviour: a national multilevel cohort study. Jablonska, Beata; Östberg, Viveca; Hjern, Anders; Lindberg, Lene; Rasmussen, Finn; Modin, Bitte // Social Psychiatry & Psychiatric Epidemiology;Apr2014, Vol. 49 Issue 4, p609 

    Objective: Research has demonstrated school effects on health, over and above the effects of students' individual characteristics. This approach has however been uncommon in mental health research. The aim of the study was to assess whether there are any school-contextual effects related to...

  • Neighborhood Socioeconomic Disadvantage and 30-Day Rehospitalization. Kind, Amy J. H.; Jencks, Steve; Brock, Jane; Menggang Yu; Bartels, Christie; Ehlenbach, William; Greenberg, Caprice; Smith, Maureen // Annals of Internal Medicine;12/2/2014, Vol. 161 Issue 11, p765 

    Background: Measures of socioeconomic disadvantage may enable improved targeting of programs to prevent rehospitalizations, but obtaining such information directly from patients can be difficult. Measures of U.S. neighborhood socioeconomic disadvantage are more readily available but are rarely...

  • Joint Impact of Clinical and Behavioral Variables on the Risk of Unplanned Readmission and Death after a Heart Failure Hospitalization. Padhukasahasram, Badri; Reddy, Chandan K.; Li, Yan; Lanfear, David E. // PLoS ONE;Jun2015, Vol. 10 Issue 6, p1 

    Most current methods for modeling rehospitalization events in heart failure patients make use of only clinical and medications data that is available in the electronic health records. However, information about patient-reported functional limitations, behavioral variables and socio-economic...

  • Ethnic variations in heart failure: Scottish Health and Ethnicity Linkage Study (SHELS). Bhopal, R. S.; Bansal, N.; Fischbacher, C. M.; Brown, H.; Capewell, S. // Heart;Mar2012, Vol. 98 Issue 6, p468 

    Objective Ethnic variations in heart failure are, apparently, large (eg, up to threefold in South Asians compared with White populations in Leicestershire, UK) but data are limited and conflicting. The incidence of first occurrence of heart failure hospitalisation or death by ethnic group in...

  • A Matched-Cohort Study of Health Services Utilization Outcomes for a Heart Failure Disease Management Program. Berg, Gregory D.; Fleegler, Edward; vanVonno, Catherine J.; Thomas, Eileen // Disease Management;Feb2005, Vol. 8 Issue 1, p35 

    Chronic disease is the leading cause of illness, disability, and death in the United States, affecting nearly 100 million Americans. Heart failure alone affects nearly 4.9 million Americans, with another 550,000 newly diagnosed cases each year. The aim of this study was to investigate the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics