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Inequalities and Deteriorations in Cardiovascular Health in Premenopausal US Women, 1990-2016.
Am J Public Health
August 2020
Adrienne O'Neil and Josephine D. Russell are with Heart and Mind Research, iMPACT Institute, School of Medicine, Deakin University, Geelong, Victoria, Australia. Adrienne O'Neil is also with Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria. Kelly Thompson and Robyn Norton are with Global Women's Health, The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia. Robyn Norton is also with University of Oxford, Oxford, United Kingdom.
Coronary heart disease (CHD) mortality rates in the United States have declined by up to two thirds in recent decades. Closer examination of these trends reveals substantial inequities in the distribution of mortality benefits. It is worrying that the uneven distribution of CHD that exists from lowest to highest social class-the social gradient-has become more pronounced in the United States since 1990 and is most pronounced for women.
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