Longitudinal deprivation trajectories and risk of cardiovascular disease in New Zealand. (September 2018)

• Record Type: Journal Article
• Authors: Shackleton, Nichola; Darlington-Pollock, Frances; Norman, Paul; Jackson, Rodney; Exeter, Daniel John
• Is Part Of: Health & place. Volume 53(2018:Sep.)
• Page Start: 34
• Page End: 42
• Publication Date: 2018-09
• Subjects: Mobility -- Deprivation -- Cardiovascular disease -- Trajectories -- New Zealand; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2018.07.010
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: We used longitudinal information on area deprivation status to explore the relationship between residential-deprivation mobility and Cardiovascular Disease (CVD). Data from 2, 418, 397 individuals who were: enrolled in any Primary Health Organisation within New Zealand (NZ) during at least 1 of 34 calendar quarters between 1st January 2006 and 30th June 2014; aged between 30 and 84 years (inclusive) at the start of the study period; had no prior history of CVD; and had recorded address information were analysed. Including a novel trajectory analysis, our findings suggest that movers are healthier than stayers. The deprivation characteristics of the move have a larger impact on the relative risk of CVD for younger movers than for older movers. For older movers any kind of move is associated with a decreased risk of CVD. Highlights: Analysed longitudinal linked anonymised records covering 94% of NZ's adult population. Applied trajectory analysis to analyse patterns of residential deprivation-mobility. On aggregate stayers in deprived areas had the highest risk of a CVD event. There is a moderating effect of age on the relationship between residential deprivation-mobility and CVD.