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Table 4 Summary of SES – CVD life course studies using a social trajectory design

From: Evaluating the evidence for models of life course socioeconomic factors and cardiovascular outcomes: a systematic review

1st Author, year & reference number

Study name

SES measures

Variables adjusted for other than age

CVD risk factor(s) / outcomes measured

Kaplan 1971 [76]

Evans County Heart Study

Early-life: father's occup (7 groups); Early Adult & Adult: occup & social class (5 classes)

None

MI, chronic IHD, AP, sudden death

Gillum 1978 [77]

Harvard Alumni Cohort

Early-life: by parental occup (blue/white collar); Adult: assumed to be at least middle class

A confounder summarizing score

AP, HTN, fatal or non-fatal CHD or MI

Burr 1980 [49]

South Wales hospital cohort

Father's occup (RG, 3 groups), father unemployed (> than 1 year), family size, current occup (RG, 3 groups)

None

Survived MI

Wadsworth 1985 [72]

British 1946 Birth Cohort

Early-life: index of father's occup and parents' edu; Adult: occup (RG), employment & edu for women

Smoking, edu, father's CVD, BMI, more

SBP, DBP

Faresjo 1994 [78]

Swedish Study of Men Born in 1913

Early-life: father's SES (3 groups) by occup, social class; Adult: same; all mobility relative to child SES

SBP, cholesterol, smoking

MI

Lynch 1994 [38]

Kuopio Study

Early-life: SES index (3 groups); Adult: current income (2 groups)

None

CVD mortality

Blane 1996 [64]

Collaborative Study

Early-life: father's occup (RG, 4 groups); Adult: occup (RG, 4 groups)

BMI, cholesterol, DBP, smoking, activity, FEV1

BMI, cholesterol, DBP, smoking, activity, FEV1

Hart 1998 [75]

Collaborative Study

Early-life: father's occup (mnl/non-mnl); Labor force entry: occup (mnl/non-mnl); Adult: occup (mnl/non-mnl), area deprivation index

Smoking, DBP, cholesterol, FEV1, angina, ischemia

CVD mortality & risk factors listed

Davey Smith 1998 [44]

Collaborative Study

Early-life: father's occup: (RG, mnl/non-mnl); Adult: occup: (RG, mnl/non-mnl)

Smoking, DBP, BMI, area deprivation, more

Mortality from CHD & stroke

Poulton 2002 [73]

Dunedin Multidisciplinary Study

Early-life: parental occup (6 groups) at 0, 3, 5, 7, 9, 11, 13 & 15 years; Adult: current occup (3 groups)

Infant health index, gender, adult SES

BMI, WHR, SBP, smoking, alcohol dependence

Pensola 2003 [79]

Finnish census cohort

Early-life: father's occup (mnl vs. non-mnl); Adult: current occup (mnl vs. non-mnl)

None

CVD mortality

  1. AP = Angina pectoris; BMI = Body mass index; CHD = Coronary heart disease; DBP = Diastolic blood pressure; Edu = Education; FEV1 = Forced expiratory volume in 1 second; HTN = Hypertension; IHD = Ischemic heart disease; MI = Myocardial infarction; Mnl = Manual occupational class; Non-mnl = Non-manual occupational class; Occup = Occupation; RG = Registrar General's social class categories; SBP = Systolic blood pressure; WHR = Waist-to-hip ratio.