An index of unhealthy lifestyle is associated with coronary heart disease mortality rates for small areas in England after adjustment for deprivation

作者：Scarborough P^*; Allender S; Rayner M; Goldacre M

来源：Health & Place, 2011, 17(2): 691-695.

DOI：10.1016/j.healthplace.2010.12.007

• Coronary disease
• Synthetic estimates
• Deprivation
• Smoking
• Fruit and vegetable consumption
• Obesity
• Blood pressure
• Cholesterol
• Small area analysis

Indices of socio-economic deprivation are often used as a proxy for differences in the health behaviours of populations within small areas, but these indices are a measure of the economic environment rather than the health environment. Sets of synthetic estimates of the ward-level prevalence of low fruit and vegetable consumption, obesity, raised blood pressure, raised cholesterol and smoking were combined to develop an index of unhealthy lifestyle. Multi-level regression models showed that this index described about 50% of the large-scale geographic variation in CHD mortality rates in England, and substantially adds to the ability of an index of deprivation to explain geographic variations in CHD mortality rates.

• 出版日期2011-3