OBJECTIVE: To examine socioeconomic differences in case fatality and prognosis of @entity583 ( @entity583 ) events, and to estimate the contributions of incidence and case fatality to socioeconomic differences in @entity301 ( @entity301 ) mortality. DESIGN: A population-based @entity583 register study. METHODS: The FINMONICA @entity583 Register recorded all @entity583 events among @entity1 aged 35-64 years in three areas of Finland during 1983-1992. A record linkage of the @entity583 Register data with the files of Statistics Finland was performed to obtain information on socioeconomic indicators for each individual registered. First @entity583 events (n=8427) were included in the analyses. MAIN RESULTS: The adjusted risk ratio of prehospital coronary @entity204 was 2.11 (95% CI 1.82, 2.46) among @entity1 and 1.68 (1.14, 2.48) among @entity1 with low income compared with those with high income. Even among @entity1 hospitalised alive the risk of @entity204 during the next 12 months was markedly higher in the low income group than in the high income group. Case fatality explained 51% of the @entity301 mortality difference between the low and the high income groups among @entity1 and 38% among @entity1 . Incidence contributed 49% and 62%, respectively. CONCLUSIONS: Considerable socioeconomic differences were observed in the case fatality of first coronary events both before hospitalisation and among @entity1 hospitalised alive. Case fatality explained a half of the @entity301 mortality difference between the low and the high income groups among @entity1 and more than a third among @entity1 .

Relation of socioeconomic position to the case fatality, prognosis and treatment of XXXX events; the FINMONICA @entity583 Register Study.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'persons', 'men'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction', 'MI'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity301 :: ('MESH:D003327', 'Disease') :: ['CHD', 'coronary heart disease']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
