Life-course socioeconomic position, area deprivation, and coronary heart disease: findings from the British Women's Heart and Health Study

Am J Public Health. 2005 Jan;95(1):91-7. doi: 10.2105/AJPH.2003.035592.


Objectives: We sought to determine whether residential area deprivation, over and above the effect of life-course socioeconomic status or position (SEP), is associated with coronary heart disease.

Methods: We conducted a cross-sectional analysis of 4286 women aged 60 to 79 years from 457 British electoral wards.

Results: After adjustment for age and 10 indicators of individual life-course SEP, the odds of coronary heart disease was 27% greater among those living in wards with a deprivation score above the median compared with those living in a ward with a deprivation score equal to or below the median (odds ratio=1.27; 95% confidence interval=1.02, 1.57).

Conclusions: Adverse area-level socioeconomic characteristics, over and above individual life-course SEP, are associated with increased coronary heart disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Confounding Factors, Epidemiologic
  • Coronary Disease / etiology*
  • Cross-Sectional Studies
  • Female
  • Health Surveys
  • Humans
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Social Class*
  • United Kingdom / epidemiology