Disentangling the relative importance of different socioeconomic resources for XXXX incidence and survival: a longitudinal study of over 300 000 Finnish adults.

@entity1 @entity301 @entity299 @entity583 @entity204
BACKGROUND: Lower socioeconomic position (SEP) is associated with an increased risk of @entity583 ( @entity583 ) incidence and mortality, but the relative importance of different socioeconomic resources at different stages of the disease remains unclear. METHODS: A nationally representative register-based sample of 40- to 60-year-old Finnish @entity1 and @entity1 in 1995 (n = 302 885) were followed up for @entity583 incidence and mortality in 1996-2007. We compared the effects of education, occupation, income and wealth on first @entity583 incidence, first-day and long-term fatality. Cox's proportional hazards regression and logistic regression models were estimated adjusting for SEP covariates simultaneously to assess independent effects. RESULTS: Fully adjusted models showed greatest relative inequalities of @entity583 incidence by wealth in both sexes, with an increased risk also associated with manual occupations. Education was a significant predictor of incidence in @entity1 . Low income was associated with a greater risk of @entity204 on the day of @entity583 incidence [odds ratio (OR) = 1.40 in @entity1 and 1.95 in @entity1 when comparing lowest and highest income quintiles], and in @entity1 , with long-term fatality [hazard ratio (HR) = 1.74]. Wealth contributed to inequalities in first-day fatality in @entity1 and in long-term fatality in both sexes. CONCLUSION: The results show that different socioeconomic resources have diverse effects on the disease process and add new evidence on the significant association of wealth with @entity299 onset and fatality. Targeting those with the least resources could improve survival in @entity583 @entity1 and help reduce social inequalities in @entity301 mortality.
