A novel socioeconomic measure using individual housing data in cardiovascular outcome research

Duk W on Bang, Sheila M. Manemann, Yariv Gerber, Veronique Lee Roger, Christine M. Lohse, Jennifer Rand-Weaver, Elizabeth Krusemark, Barbara P. Yawn, Young J Juhn

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

BACKGROUND: To assess whether the individual housing-based socioeconomic status (SES) measure termed HOUSES was associated with post-myocardial infarction (MI) mortality.

METHODS: The study was designed as a population-based cohort study, which compared post-MI mortality among Olmsted County, Minnesota, USA, residents with different SES as measured by HOUSES using Cox proportional hazards models. Subjects' addresses at index date of MI were geocoded to real property data to formulate HOUSES (a z-score for housing value, square footage, and numbers of bedrooms and bathrooms). Educational levels were used as a comparison for the HOUSES index.

RESULTS: 637 of the 696 eligible patients with MI (92%) were successfully geocoded to real property data. Post-MI survival rates were 60% (50-72), 78% (71-85), 72% (60-87), and 87% (81-93) at 2 years for patients in the first (the lowest SES), second, third, and fourth quartiles of HOUSES, respectively (p <0.001). HOUSES was associated with post-MI all-cause mortality, controlling for all variables except age and comorbidity (p = 0.036) but was not significant after adjusting for age and comorbidity (p = 0.24).

CONCLUSIONS: Although HOUSES is associated with post-MI mortality, the differential mortality rates by HOUSES were primarily accounted for by age and comorbid conditions. HOUSES may be useful for health disparities research concerning cardiovascular outcomes, especially in overcoming the paucity of conventional SES measures in commonly used datasets.

Original languageEnglish (US)
Pages (from-to)11597-11615
Number of pages19
JournalInternational Journal of Environmental Research and Public Health
Volume11
Issue number11
DOIs
StatePublished - Nov 1 2014

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Myocardial Infarction
Outcome Assessment (Health Care)
Social Class
Mortality
Geographic Mapping
Comorbidity
Toilet Facilities
Proportional Hazards Models
Cohort Studies
Survival Rate
Health
Research
Population

ASJC Scopus subject areas

  • Medicine(all)

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A novel socioeconomic measure using individual housing data in cardiovascular outcome research. / Bang, Duk W on; Manemann, Sheila M.; Gerber, Yariv; Roger, Veronique Lee; Lohse, Christine M.; Rand-Weaver, Jennifer; Krusemark, Elizabeth; Yawn, Barbara P.; Juhn, Young J.

In: International Journal of Environmental Research and Public Health, Vol. 11, No. 11, 01.11.2014, p. 11597-11615.

Research output: Contribution to journalArticle

Bang, Duk W on ; Manemann, Sheila M. ; Gerber, Yariv ; Roger, Veronique Lee ; Lohse, Christine M. ; Rand-Weaver, Jennifer ; Krusemark, Elizabeth ; Yawn, Barbara P. ; Juhn, Young J. / A novel socioeconomic measure using individual housing data in cardiovascular outcome research. In: International Journal of Environmental Research and Public Health. 2014 ; Vol. 11, No. 11. pp. 11597-11615.
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abstract = "BACKGROUND: To assess whether the individual housing-based socioeconomic status (SES) measure termed HOUSES was associated with post-myocardial infarction (MI) mortality.METHODS: The study was designed as a population-based cohort study, which compared post-MI mortality among Olmsted County, Minnesota, USA, residents with different SES as measured by HOUSES using Cox proportional hazards models. Subjects' addresses at index date of MI were geocoded to real property data to formulate HOUSES (a z-score for housing value, square footage, and numbers of bedrooms and bathrooms). Educational levels were used as a comparison for the HOUSES index.RESULTS: 637 of the 696 eligible patients with MI (92{\%}) were successfully geocoded to real property data. Post-MI survival rates were 60{\%} (50-72), 78{\%} (71-85), 72{\%} (60-87), and 87{\%} (81-93) at 2 years for patients in the first (the lowest SES), second, third, and fourth quartiles of HOUSES, respectively (p <0.001). HOUSES was associated with post-MI all-cause mortality, controlling for all variables except age and comorbidity (p = 0.036) but was not significant after adjusting for age and comorbidity (p = 0.24).CONCLUSIONS: Although HOUSES is associated with post-MI mortality, the differential mortality rates by HOUSES were primarily accounted for by age and comorbid conditions. HOUSES may be useful for health disparities research concerning cardiovascular outcomes, especially in overcoming the paucity of conventional SES measures in commonly used datasets.",
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AU - Manemann, Sheila M.

AU - Gerber, Yariv

AU - Roger, Veronique Lee

AU - Lohse, Christine M.

AU - Rand-Weaver, Jennifer

AU - Krusemark, Elizabeth

AU - Yawn, Barbara P.

AU - Juhn, Young J

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N2 - BACKGROUND: To assess whether the individual housing-based socioeconomic status (SES) measure termed HOUSES was associated with post-myocardial infarction (MI) mortality.METHODS: The study was designed as a population-based cohort study, which compared post-MI mortality among Olmsted County, Minnesota, USA, residents with different SES as measured by HOUSES using Cox proportional hazards models. Subjects' addresses at index date of MI were geocoded to real property data to formulate HOUSES (a z-score for housing value, square footage, and numbers of bedrooms and bathrooms). Educational levels were used as a comparison for the HOUSES index.RESULTS: 637 of the 696 eligible patients with MI (92%) were successfully geocoded to real property data. Post-MI survival rates were 60% (50-72), 78% (71-85), 72% (60-87), and 87% (81-93) at 2 years for patients in the first (the lowest SES), second, third, and fourth quartiles of HOUSES, respectively (p <0.001). HOUSES was associated with post-MI all-cause mortality, controlling for all variables except age and comorbidity (p = 0.036) but was not significant after adjusting for age and comorbidity (p = 0.24).CONCLUSIONS: Although HOUSES is associated with post-MI mortality, the differential mortality rates by HOUSES were primarily accounted for by age and comorbid conditions. HOUSES may be useful for health disparities research concerning cardiovascular outcomes, especially in overcoming the paucity of conventional SES measures in commonly used datasets.

AB - BACKGROUND: To assess whether the individual housing-based socioeconomic status (SES) measure termed HOUSES was associated with post-myocardial infarction (MI) mortality.METHODS: The study was designed as a population-based cohort study, which compared post-MI mortality among Olmsted County, Minnesota, USA, residents with different SES as measured by HOUSES using Cox proportional hazards models. Subjects' addresses at index date of MI were geocoded to real property data to formulate HOUSES (a z-score for housing value, square footage, and numbers of bedrooms and bathrooms). Educational levels were used as a comparison for the HOUSES index.RESULTS: 637 of the 696 eligible patients with MI (92%) were successfully geocoded to real property data. Post-MI survival rates were 60% (50-72), 78% (71-85), 72% (60-87), and 87% (81-93) at 2 years for patients in the first (the lowest SES), second, third, and fourth quartiles of HOUSES, respectively (p <0.001). HOUSES was associated with post-MI all-cause mortality, controlling for all variables except age and comorbidity (p = 0.036) but was not significant after adjusting for age and comorbidity (p = 0.24).CONCLUSIONS: Although HOUSES is associated with post-MI mortality, the differential mortality rates by HOUSES were primarily accounted for by age and comorbid conditions. HOUSES may be useful for health disparities research concerning cardiovascular outcomes, especially in overcoming the paucity of conventional SES measures in commonly used datasets.

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