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International Journal of Public Health

Erschienen in:

12.12.2015 | Original Article

Does poorer self-rated health mediate the effect of Roma ethnicity on mortality in patients with coronary artery disease after coronaro-angiography?

verfasst von: Adriana Sudzinova, Jaroslav Rosenberger, Roy E. Stewart, Jitse P. van Dijk, Sijmen A. Reijneveld

Erschienen in: International Journal of Public Health | Ausgabe 3/2016

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Abstract

Objectives

The aim of this prospective cohort study was to assess the effect of Roma ethnicity and self-rated health (SRH) on 9-year all-cause mortality in patients with coronary artery disease (CAD) after coronaro-angiography (CAG), and whether SRH mediates the effect of ethnicity.

Methods

623 patients (103 Roma) were included. We obtained data from medical records and patients interviews. A Cox regression model adjusted for age, gender and education was used to analyze the effect of Roma ethnicity on mortality, as well as potential mediation by SRH.

Results

Roma ethnicity and poor SRH were predictors of increased mortality in patients with CAD, with hazard rates (95 % confidence intervals) 2.34 (1.24; 4.42) and 1.81 (1.02; 3.21). Adding education decreased the size of ethnic differences in mortality. The mediating effect of SRH on the association of ethnicity with mortality was not statistically significant; neither modified ethnicity the effect of SRH.

Conclusions

Poor SRH does not mediate the higher mortality among Roma patients after CAG even though it indicates an increased risk of mortality. Roma patients with CAD have to be referred for special cardiological care earlier.

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Titel: Does poorer self-rated health mediate the effect of Roma ethnicity on mortality in patients with coronary artery disease after coronaro-angiography?
verfasst von: Adriana Sudzinova
Jaroslav Rosenberger
Roy E. Stewart
Jitse P. van Dijk
Sijmen A. Reijneveld
Publikationsdatum: 12.12.2015
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 3/2016
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-015-0771-y

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Does poorer self-rated health mediate the effect of Roma ethnicity on mortality in patients with coronary artery disease after coronaro-angiography?

Abstract

Objectives

Methods

Results

Conclusions

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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