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Green Areas Lower Health Inequities Between Rich, Poor
Date:11/6/2008

t appears to have real effects on health inequality, of a kind that politicians and health authorities should take seriously," Dr. Terry Hartig, of the Institute for Housing and Urban Research at Uppsala University in Sweden, wrote in an accompanying comment on the study.

Another British study in the same issue of The Lancet found that best-practice interventions could eliminate most socioeconomic disparities in coronary heart disease deaths. Best practice interventions include: reduction of systolic blood pressure by 10mm/Hg, of cholesterol by 2mmol/L, and of blood glucose by 1mmol/L in pre-diabetic people; halving the presence of non-insulin dependent diabetes; and quitting smoking.

The researchers looked at 17,186 male civil servants, aged 40 to 69, and found that the 15-year risk of death due to coronary heart disease per 100 men was 11 for men with low-grade employment and 7.5 for men with high-grade employment. The researchers calculated that best-practice interventions would reduce overall coronary heart disease deaths by 57 percent and the difference in deaths between socioeconomic groups by 69 percent.

"Our results suggest that current best-practice interventions to reduce classic coronary risk factors, if successfully implemented in both high and low socioeconomic groups, could eliminate most of the socioeconomic differences in coronary heart disease mortality," concluded Professor Mika Kivimaki, of University College London, and colleagues.

More information

The U.S. Agency for Healthcare Research and Quality has more about income and health.



-- Robert Preidt



SOURCE: The Lancet, news release, Nov. 7, 2008


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