Summary
An inverse gradient between prevalence and incidence of coronary heart disease (CHD) and socio-economic status (SES) has been documented in several industrialized societies. Despite some influence due to social selection (drift) a major cause of this trend can be attributed to differences in lifestyle including health-damaging behaviour and socio-emotional distress due to unfavourable working and living conditions. Interactions between distress and somatic coronary risk factors have been established, and inadequate illness behaviour (including non-compliance) contributes further to the observed excess risk. Preventive approaches aiming specifically at these socio-economic target groups have not yet been developed to a sufficient degree.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Literaturverzeichnis
Marmot MG, Shipley MJ, Rose G: Inequities in death — specific explanation of a general pattern? Lancet 1984;1: 1003–1006.
Holme J, Helgeland A, Hjermann J, Seren P: Socio-economic status as a coronary risk factor: The Oslo Study. Acta Med Scand 1982; Suppl.660: 147–151.
Buring JE, Evans DA, Fiore M, Rosner B, Hennekens CH: Occupational risk of death from coronary heart disease. J Am Med Assoc 1987;258: 791–792.
Cottington EM, Matthews KA, Talbott G, Kuller LH: Occupational stress, suppressed anger and hypertension. Psychosom Med 1986;48: 249–258.
Siegrist J, Matschinger H, Cremer P, Seidel D: Atherogenic risk in men suffering from occupational stress. Atherosclerosis 1988;69: 211–218.
Markowe HC, Marmot MG, Shipley MJ, Bulpitt CJ, Mease TW, Stirling J, Vickers MV, Semmence A: Fibrinogen: a possible link between social class and coronary heart disease. Br Med J 1985;91: 1312–1314.
Theorell T: Untersuchungen zum Einfluss von Arbeitsplatzbelastungen und Beschäftigungssituation auf das kardiovaskuläre Risiko. In: Halhuber C und Traenckner K, Hrsg. Die koronare Herzkrankheit — eine Herausforderung an Gesellschaft und Politik. Erlangen: Perimed, 1986: 433–443.
Bolm-Audorff U: Berufliche Belastungen und koronare Herzkrankheiten. Frankfurt: Fischer, 1983.
Tyroler HA: Häufigkeit, Schweregrad und Prognose der Hypertonie in Abhängigkeit vom Sozialstatus: Erfahrungen mit der männlichen Kontrollgruppe des Hypertonie-Früherkennungs- und Folgebehandlungsprogrammes (HDFP). In: Greten H, Strasser T, Zanchetti A, (Hrsg.) Epidemiologie, Prävention und medikamentöse Behandlung der essentiellen Hypertonie. Frankfurt: Universimed Verlag 1985: 51–61.
Cairns V, Keil U, Kleinbaum U, Döring A, Stieber J: The relationship between high blood pressure and various possible risk factors. Cham (Schweiz): Clyancourt Corporation AG, 1985.
Siegrist J, Matschinger H, Motz W: Untreated hypertensives and their quality of life. J Hypertension 1987;5: 15–20.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Siegrist, J. Soziale Lage und koronares Risiko: Eine Herausforderung für die Prävention. Soz Präventivmed 34 (Suppl 1), S15–S16 (1989). https://doi.org/10.1007/BF02116389
Issue Date:
DOI: https://doi.org/10.1007/BF02116389