caa a22 4500 606222669 CHVBK 20210128101134.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00038-015-0678-7 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0678-7 US State-level income inequality and risks of heart attack and coronary risk behaviors: longitudinal findings [Elektronische Daten] [Roman Pabayo, Ichiro Kawachi, Stephen Gilman] Objectives: To examine prospectively the association between US state income inequality and incidence of heart attack. Methods: We used data from the National Epidemiologic Survey on Alcohol and Related Conditions (n=34,445). Respondents completed interviews at baseline (2001-2002) and follow-up (2004-2005). Weighted multilevel modeling was used to determine if US state-level income inequality (measured by the Gini coefficient) at baseline was a predictor of heart attack during follow-up, controlling for individual-level and state-level covariates. Results: In comparison to residents of US states in the lowest quartile of income inequality, those living in the second [Adjusted Odds Ratio (AOR)=1.71, 95% CI 1.16-2.53)], third (AOR=1.81, 95% CI 1.28-2.57), and fourth (AOR=2.04, 95% CI 1.26-3.29) quartiles were more likely to have a heart attack. Similar findings were obtained when we excluded those who had a heart attack prior to baseline. Conclusions: This study is one of the first to empirically show the longitudinal relationship between income inequality and coronary heart disease. Living in a state with higher income inequality increases the risk for heart attack among US adults. Swiss School of Public Health, 2015 Income inequality nationallicence Coronary heart disease nationallicence Social determinants of health nationallicence Multilevel modeling nationallicence Longitudinal analysis nationallicence Population-based study nationallicence Pabayo Roman Department of Community Health Sciences, University of Nevada, Reno, Lombardi Building, 203, MS 0274, 1664 North Virginia Street, 89557, Reno, NV, USA aut Kawachi Ichiro Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, 02115, Boston, MA, USA aut Gilman Stephen Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, 02115, Boston, MA, USA aut International Journal of Public Health Springer Basel 60/5(2015-07-01), 573-588 1661-8556 60:5<573 2015 60 38 https://doi.org/10.1007/s00038-015-0678-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0678-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pabayo Roman Department of Community Health Sciences, University of Nevada, Reno, Lombardi Building, 203, MS 0274, 1664 North Virginia Street, 89557, Reno, NV, USA aut NATIONALLICENCE 700 1- Kawachi Ichiro Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, 02115, Boston, MA, USA aut NATIONALLICENCE 700 1- Gilman Stephen Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, 02115, Boston, MA, USA aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/5(2015-07-01), 573-588 1661-8556 60:5<573 2015 60 38