Author, Year | Population | Outcome | Results | Risk of Bias |
---|---|---|---|---|
Cardiovascular diseases | ||||
Age-adjusted mean stroke incidence rates: | ||||
Feigin et al., 2009 [24] | General population in HIC and LMIC | Incidence of stroke | HIC: 42 % reduction from 1970–79 to 2000–08 (p < 0.004); LMIC: >50 % increase from 1970–79 to 2000–08 (p < 0.0001) | Unclear |
Stroke mean incidence rates over time by age groups (1970–79 vs 2000–8): | ||||
HIC: 44 % (<75 y) and 41 % (> 75 y) reduction (both p < 0.0001); LMIC: 2-fold (< 75 y) and almost 4-fold (≥ 75 years) increase (p = 0.001 and p < 0.0001) | ||||
Fowkes et al. 2013 [16] | General population in HIC and LMIC | Prevalence of PAD | Prevalence of PAD was higher in women from LMIC than HIC at all ages up to 60–64 years, above which the prevalence was higher in HIC. Prevalence of PAD was higher in men from HIC than LMIC at all ages. | High |
Rate of change from 2000 to 2010 was 28.7 % in LMIC and 13.1 % in HIC. | ||||
Galobardes et al., 2006 [15] | General population mostly in HIC | Incidence or prevalence of overall CVD, CHD, stroke, other CVD subtypes | 9 out of 9 prospective studies found a higher incident risk of CVD among those with low childhood SES. | High |
7 of 11 case-control studies showed an association of low childhood SES and risk for MI, angina, or stroke. | ||||
5 cross-sectional studies found a higher prevalence of CHD among those with low childhood SES. | ||||
HR for stroke incidence: | ||||
Kerr et al., 2011 [23] | General population mostly in HIC (all but 1 study) | Incidence of stroke | Unadjusted Meta-analysis (low vs high) Education, occupation or income: 1.67, 95 % CI: 1.46–1.91 | Unclear |
Meta-analysis adjusted for grouped vascular risk factors (low vs high) Education, occupation or income: 1.31, 95 % CI: 1.16–1.48 | ||||
RR for acute MI: | ||||
Manrique-Garcia et al., 2011 [22] | General population in HIC and LMIC | Incidence of acute MI | Meta-analysis across countries (low vs high) Education: 1.34, 95 % CI: 1.22–1.47; Occupation: 1.35. 95 % CI: 1.19–1.53; Income: 1.71, 95 % CI: 1.43—2.05 | Unclear |
HIC (low vs high) Education: 1.39, 95 % CI: 1.25–1.55; Occupation: 1.41, 95 % CI: 1.25–1.59; Income: 1.76, 95 % CI: 1.46–2.12 | ||||
LMIC (low vs high) Education: 1.16, 95 % CI: 0.97–1.39; Occupation: 0.51, 95 % CI: 0.27–0.99; Income:1.46, 95 % CI: 0.60–3.54 | ||||
Pollitt et al., 2005 [17] | General population from HIC | Incidence of CVD (MI, IHD, carotid IMT; CHD, AP), stroke | 8 out of 9 studies found a higher incident risk of CVD among those with low childhood SES, but only few studies reported inverse adjusted (CVD risk factors and/or adult SES) associations. 2 out of 2 studies showed no significant associations between stroke risk and childhood SES. 1 study found an association between cumulative life course exposure to low SES conditions and increased CVD outcome. | High |
Sposato et al., 2012 [21] | General population in HIC, MIC, and LIC | First-ever incidence of stroke | Lower PPP-aGDP correlated with higher incident risk of stroke (ρ = -0.661, p = 0.027). | Unclear |
Lower PPP-aTHE correlated with higher incident risk of stroke (ρ = -0.623, p = 0.040). | ||||
There were no correlations between unemployment rate and risk of stroke incidence (ρ = -0.492, p = 0.12). | ||||
Cancers | ||||
Adam et al., 2008 [11] | Children in HIC | Incidence of childhood leukaemia | Two studies showed an increased risk of leukaemia in children from deprived areas, 4 studies showed a decreased risk of leukaemia in children from deprived areas or lower SES, 1 study found SES not to be a determinant of leukaemia in children. | High |
RR for lung cancer incidence: | ||||
Sidorchuk et al., 2009 [26] | General population in HIC and MIC | Incidence of lung cancer | Meta-analysis, adjusted for smoking, RR (low vs high) Education: 1.61, 95 % CI: 1.40–1.85; Occupation: 1.48, 95 % CI: 1.34–1.65; Income: 1.37, 95 % CI: 1.06–1.77 | Unclear |
HIC (low vs high) Education: 1.66, 95 % CI: 1.10–2.51; Occupation: 1.42, 95 % CI: 1.26–1.62; Income: 1.39. 95 % CI: 1.13–1.69 | ||||
MIC (low vs high) Education: 1.66, 95 % CI: 1.28–2.16; Occupation: 0.90, 95 % CI: 0.66–1.23; Income: 1.30, 95 % CI: 0.23–7.31 | ||||
Slatore et al., 2010 [25] | General population in the US | Incidence of lung cancer | 1 study found higher incidence rates of lung cancer for women and men from all age groups with Medicaid insurance compared to non-Medicaid. 1 study found higher incidence rates of lung cancer for Medicare patients alone compared to Medicaid/Medicare patients, but the effect was removed when the comparison group was restricted to patients covered by Medicaid >12 months before diagnosis. | Unclear |
RR for lung cancer incidence: | ||||
Uthman et al., 2013 [27] | General population in HIC, MIC, and LIC | Incidence of gastric cancer | Overall (low vs high) Education: 2.97, 95 % CI: 1.92–4.58; Occupation: 4.33, 95 % CI: 2.57–7.29; Income: 1.25, 95 % : 0.93–1.68; Combined SEP: 2.64, 95 % CI:1.05–6.63 | Unclear |
HIC (low vs high) Education: 2.65, 95 % CI 1.64–4.30; Occupation: 6.79, 95 % CI 3.42–13.50; Income: 1.09, 95 % CI: 0.76–1.56; Combined SEP: 4.50, 95 % CI: 0.84–24.16 | ||||
MIC (low vs high) Education: 5.11, 95 % CI 2.71–9.65; Occupation: 3.06, 95 % CI 2.10–4.8; Income: 1.48, 95 % CI: 0.61–3.58; Combined SEP: 1.36, 95 % CI: 0.52–3.60 | ||||
Type 2 diabetes | ||||
RR for type 2 diabetes incidence: | ||||
Agardh et al., 2011 [28] | General population in HIC, MIC, and LIC | Incidence of type 2 diabetes | Overall (low vs high) Education: 1.41, 95 % CI: 1.28–1.51; Occupation: 1.31, 95 % CI: 1.09–1.57; Income: 1.40, 95 % CI: 1.04–1.88 | Unclear |
HIC (low vs high) Education: 1.45, 95 % CI: 1.28–1.63; Occupation: 1.31, 95 % CI: 1.05–1.63; Income: 1.40, 95 % CI: 0.81–2.42 | ||||
MIC (low vs high) Education: 1.59, 95 % CI: 1.28–1.97; Occupation: 1.27, 95 % CI: 0.96–1.68; Income: 1.39, 95 % CI: 1.06–1.82 | ||||
LIC (low vs high; n = 1); Education: –; Occupation: –; Income: RR 1.27, 95 % CI: 0.99–1.62 | ||||
Tamayo et al., 2010 [18] | General population in HIC and MIC | Incidence of type 2 diabetes in later life | 4 out of 6 studies showed an increased risk of type 2 diabetes in either girls or boys from low parental occupational status, 2 studies showed no association. For education, 2 out of 3 studies showed an increased risk of type 2 diabetes in children from low SES. 1 study showed no statistically significant association between type 2 diabetes incidence and childhood adversity. | High |
Chronic respiratory diseases | ||||
Gershon et al., 2012 [29] | General population in HIC | Prevalence and incidence of COPD | 6 out of 8 studies found individuals of the lowest SES strata more likely to have or develop. | Low |
COPD than those of the highest (point estimates of OR ranging from 0.8–3.7, RII ranging from 2.2 to 3.2). |