Author, year | Population | Outcome | Results | Risk of Bias |
---|---|---|---|---|
Cardiovascular diseases | ||||
Risk of mortality in heart failure: | ||||
Calvillo-King et al., 2012 [30] | Patients with heart failure in HIC | Mortality in heart failure after hospitalization (30 day) | Lower vs higher education: RR 1.05, 95 % CI: 0.98–1.12 (n = 1) | Unclear |
Lower vs higher neighbourhood SES: RR 1.13, 95 % CI: 0.92–1.38 (n = 1) | ||||
Medicaid insurance vs other: OR 0.66, 95 % CI: 0.3–1.4 (4 studies, result from one) | ||||
≤ 25 miles to hospital vs > 25 miles to hospital: OR 0.95, 95 % CI: 0.92–0.98 (n = 1) | ||||
Early case fatalities of total strokes (%): | ||||
Feigin et al., 2009 [24] | Patients with stroke in HIC and LMIC | Early case fatality of stroke (21 day to 1 month) | HIC: non-significant reduction from 35.9 % (1970–79) to 19.8 % (2000–08) | Unclear |
LMIC: non-significant reduction from 35.2 % (1980–89) to 26.6 % (2000–08) | ||||
Galobardes et al., 2006 [15] | General population mostly in HIC | Overall CVD, CHD, stroke, angina, other CVD subtypes mortality | 19 out of 24 prospective studies found an association between low childhood SES and increased risk CVD mortality. In 5 out of 9 studies the association was stronger for stroke than CHD. | High |
Galobardes et al., 2004 [10] | General population mostly in HIC | Overall CVD, CHD and stroke mortality | 5 out of 9 studies found a higher risk of overall CVD mortality among those with low childhood SES, with results generally remaining statistically significant after adjustment for adult SES and/or adult CVD risk factors. | High |
7 out of 10 studies found a higher risk of CHD mortality among those with low childhood SES, although adult SES attenuated the association in some studies. 4 out of 6 studies found a higher risk of stroke mortality among those with low childhood SES. | ||||
Pollitt et al., 2005 [17] | General population and patients with CVD and stroke from HIC | CVD, stroke mortality | 11 out of 13 studies found a higher risk of CVD mortality among those with low childhood SES. Most associations remained statistically significant after adjustment for CVD risk factors and/or adult SES. | High |
3 out of 3 studies showed a higher risk of stroke mortality among those with low childhood SES. Adjustment for adjustment for CVD risk factors and/or adult SES had minor impact on the effect. | ||||
5 out of 5 studies reported an association between cumulative life course exposure to low SES conditions and increased CVD mortality. | ||||
Sposato et al., 2012 [21] | Patients with stroke in HIC, MIC, and LIC | 30-day case-fatality rates of stroke; intracerebral hemorrhages | Lower PPP-aGDP correlated with higher 30-day case-fatality rates of stroke (ρ = -0.713, p < 0.001) and a greater proportion of intracerebral hemorrhages (ρ = -0.689, p < 0.001). | Unclear |
Lower PPP-aTHE correlated with higher 30-day case-fatality rates of stroke (ρ = -0.701, p < 0.001) and a greater proportion of intracerebral hemorrhages (ρ = -0.643, p < 0.001). | ||||
There was no correlation between unemployment and 30-day case-fatality rates of stroke (ρ = 0.204; p = 0.32) and proportion of intracerebral hemorrhages (ρ = -0.258, p = 0.184). | ||||
Cancers | ||||
Estimated survival of retinoblastoma: | ||||
Canturk et al., 2010 [31] | Patients with retinoblastoma in upper MIC, lower MIC, and LIC | Survival of retinoblastoma | Upper MIC: 79 % (range, 54–93 %); | Unclear |
Lower MIC: 77 % (range, 60–92 %) | ||||
LIC: 40 % (range, 23–70 %) → p = 0.001 | ||||
Galobardes et al., 2004 [10] | General population mostly in HIC | Overall cancer, lung cancer, other cancers mortality | 4 out of 5 studies found no association between overall cancer mortality and childhood SES, and the effect was removed by adjustment for adult SES in the remaining study. 3 out of 3 studies found a higher risk of lung cancer mortality among those with low childhood SES, although the association was largely explained by adults SES in 2 studies. 1 study showed no association of childhood SES with other smoking-related cancers. | High |
1 study found a higher risk of stomach cancer mortality among those with low childhood SES. 1 study found a higher risk of large-bowl and rectal cancer among those who had the poorest housing conditions during childhood. | ||||
There was no association between non-smoking related cancers (3 studies), prostate cancer (1 study) and malignant melanoma (1 study) mortality and childhood SES. | ||||
Gorey et al., 2009 [20] | Patients with breast cancer in the US and Canada | Breast cancer survival | Within Canada, there was no association between area-SES and breast cancer survival, a little survival disadvantage was only observed for lowest vs. highest income areas (pooled RR 0.94, 95 % CI 0.93–0.95). | High |
Within the US, breast cancer survival was consistently associated with area-SES. Women with breast cancer from low and middle income areas had survival disadvantage compared to women from high income areas (pooled RR ranging from 0.73, 95 % CI 0.72–0.74 for low to 0.96, 95 % CI 0.94–0.98 for middle income area). | ||||
Slatore et al., 2010 [25] | Patients with lung cancer in the US | Lung cancer mortality | 4 out of 4 studies showed a higher risk for lung cancer mortality for Medicaid insurance vs. other or private insurance. 2 studies showed mixed results on the association between Medicare vs Medicaid/Medicare and lung cancer mortality. 1 study showed a higher risk for lung cancer mortality for Medicare insurance and no insurance compared to private insurance. 2 studies showed no association between lung cancer mortality and insurance status. 1 study found mixed results for lung cancer mortality and different Medicare schemes. | Unclear |
Chronic respiratory diseases | ||||
Galobardes et al., 2004 [10] | General population mostly in HIC | COPD mortality | 1 study did not find an association between higher COPD mortality and overcrowding. | High |
Gershon et al., 2012 [29] | Patients with COPD in HIC | COPD mortality | Individuals of the lowest SES consistently had significantly higher mortality from COPD than those of the highest, except for 1 study (out of 5) where income was not associated with COPD mortality. | Low |