© 2001 by European Journal of Public Health
INEQUALITIES |
The association between socio-economic status and chest pain, focusing on self-rated health in a primary health care area of Sweden
AMIR BAIGI1,*, BERTIL MARKLUND1,2 and BENGT FRIDLUND2,3
1 Primary Health Care Research & Development Unit Halland County Council, Falkenberg, Sweden
2 Department of Primary Health Care, Göteborg University Göteborg, Sweden
3 School of Social & Health Sciences, Halmstad University Halmstad, Sweden
1*Amir Baigi, Primary Health Care Research & Development Unit, Halland County Council, PO Box 113, 311 22 Falkenberg, Sweden, tel. +46 346 56262, fax +46 346 58966, e-mail: amir.baigi{at}lthalland.se
Study objective: The study objective was to determine, first, the association between men's and women's chest pain and their socio-economic status (occupation, smoking) and, secondly, the association between their socio-economic status and self-rated health, in a primary health care area. Design and setting: A population-based cross-sectional survey was made in a primary health care area of Sweden. Primarily based on occupation according to Swedish standards, 4,238 men and women were divided into two socio-economic groups; blue-collar and white-collar workers. Methods: Odds ratios with 95% Cl were calculated by multivariate logistic regression, controlling for the variable age as confounding factor. Student's t-test was used to compare self-rated health, and the x2-test to determine any difference in smoking habits between the two groups. Main results: Both male and female blue-collar workers showed significantly more chest pain when excited than white-collar workers. In six of eight health indices, they also reported significantly worse self-rated health than the white-collar workers. Conclusions: These findings show that there are socio-economic inequalities in self-reported chest pain. Furthermore, socio-economic status has a major influence on self-rated health, acting across the working life of both sexes.
Keywords: chest pain, IHD, self-rated health, sex, socio-economic
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