Skip to main content
Log in

Coronary heart disease prevention: Relationship between socio-economic status and knowledge, motivation and behaviour in a free-living male, adult population

  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

A questionnaire concerning knowledge, motivation and behaviour connected with coronary heart disease (CHD) prevention was administered to 6074 men aged 46 yrs, residents of Rome. The aim of this analysis was to evaluate whether differences exsisted between three socio-economic (SE) classes arbitrarily defined as medium-high (MH), intermediate (I), and medium-low (ML).

Knowledge on CHD and its prevention was more satisfactory in the MH class than in the ML class. The same was observed for attitudes toward prevention (the NM class demonstrated more attention to prevention than ML class).

Data were less straightforward for behaviour, which seemed to be dependent on both economic status and education. In fact the MH class claimed to smoke less than ML class, to spend more leisure time in physical activity and to check blood pressure and serum cholesterol more often. Their diets, however, were more expensive and rich than those of the ML class. By contrast the ML class, when compared to MH class, seemed to drink more alcoholic beverages and to be heavier, but they walked more and their diet resembled more closely the Mediterranean one.

Altogether, in this study population, the highest social class seemed to be associated with better behaviours toward CHD prevention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Capocaccia R., Farchi G., Mariotti S., Verdecchia A., Angeli A., Morganti P. and Panichelli Fucci M.L. (1984): La mortalità in Italia nel periodo 1970–1979. Rapporto ISTISAN 84/10 - Istituto Superiore di Sanity, Roma.

    Google Scholar 

  2. Conroy R.M., Cahill S., Mulcahy R., Johnson H., Graham I.M. and Hickey N. (1986): The relation of social class to risk factors, rehabilitation, compliance and mortality in survivors of acute coronary heart disease - Scand. J. Soc. Med. 14: 51–56.

    Google Scholar 

  3. Howell R.W. (1970): Social class and biological tests -Lancet I: 1343.

    Google Scholar 

  4. ISTAT (1983): 12° Censimento generale della popolazione. Dati sulle caratteristiche strutturali della popolazione e delle abitazioni. Roma.

  5. Kahn H.A. (1963): The relationship of reported coronary heart disease mortality to physical activity at work - Am. J. Publ. Health 53: 1058–1067.

    Google Scholar 

  6. Keys A., Fidanza F., Scardi Y., Bergami G., Keys M.H. and Di Lorenzo F. (1954): Studies on serum cholesterol and other characteristics on clinically healthy men in Naples - Arch. Intern. Med. 93:328–336.

    Google Scholar 

  7. Keys A., Vivanco E, Minon J.L.R., Keys M.H. and Mendoza H.C. (1954): Studies on the diet, body fatness and serum cholesterol in Madrid, Spain -Metabolism 3: 195–212.

    Google Scholar 

  8. Leren P., Helgeland A., Hjermann L and Holme I. (1983): The Oslo Study: CHD risk factors, socioeconomic influences, and intervention - Am. Heart. J 106(5–2): 1200–1206.

    Google Scholar 

  9. Logan W.P.D. (1952): Mortality from coronary and myocardial disease in different social classes - Lancet I: 758–759.

    Google Scholar 

  10. Marmot M. (1988): Psychosocial factors and cardiovascular disease: epidemiological approaches -Europ. Heart. J. 9: 690–697.

    Google Scholar 

  11. Marmot M.G. and McDowall M.E. (1986): Mortality decline and widening social inequalities - Lancet 2: 274–276.

    Google Scholar 

  12. Marmot M. and Theorell T. (1988): Social class and cardiovascular disease: the contribution of work - Int. J. Health Serv. 18: 659–674.

    Google Scholar 

  13. Menotti A. and Seccareccia F. (1985): Physical activity at work and job responsibility as risk factors for fatal coronary heart disease and other causes of death - J. Epidem. Comm. Health 39: 325–329.

    Google Scholar 

  14. Menotti A., Seccareccia F. and Prati P.L. (1988): Infarto '39: Utilità e limiti di un programma di prevenzione - Giorn. Riabil. 3: 219–226.

    Google Scholar 

  15. Morris J.N. (1975): Uses of Epidemiology — Churchill Livingstone, Edimburgh, London and New York.

  16. Pearce N.E., Davis P.B., Smith A.H. and Foster F.H. (1983): Mortality and social class in New Zeland II: male mortality by major disease groupings - N.Z. Med. J. 96(740): 711–716.

    Google Scholar 

  17. Pocock S.J., Shaper A.G., Cook D.G., Phillips A.N. and Walker M. (1987): Social class differences in ischaemic heart disease in British men - Lancet 2: 197–201.

    Google Scholar 

  18. Rosengren A., Wedel H. and Wihelmsen L. (1988): Coronary heart disease and mortality in middle aged men for different occupational classes in Sweden -B.M.J. 297: 1497–1500.

    Google Scholar 

  19. Rosenman R.H., Friedman M., Jenkins D., Strans R., Wurm M. and Kositchek R. (1966): The prediction of immunity to coronary heart disease - JAMA 198: 137–140.

    Google Scholar 

  20. Rosenman R.H., Friedman M., Strans R., Wurm M., Kositchek R., Hahn W. and Werthessen N.T. (1964): A predictive study of coronary heart disease - JAMA 189: 103–110.

    Google Scholar 

  21. Rosenman R.H., Friedman M., Strans R., Wurm M., Jenkins D. and Messinger H.B. (1966): Coronary heart disease in the Western Collaborative Study Group -JAMA 195: 130–136.

    Google Scholar 

  22. Stamler J. (1978): Lifestyles, major risk factors, proof and public policy - Circulation 58: 3–19.

    Google Scholar 

  23. Stamler J. (1985): The marked decline in coronary heart disease mortality rates in the United States, 1968–1981. Summary of findings and possible explanations - Cardiology 72: 11–22.

    Google Scholar 

  24. Tuomilehto J., Puska P. and Virtamo J. (1976): Coronary risk factors and socio-economic status in East Finland - Prev. Med. 7: 539–549.

    Google Scholar 

  25. Zukel W.L., Enterline P.E., Painter R.C., Ralston L.S., Faucette R.M., Meredith A.R. and Peterson B. (1959): A short term community study of the epidemiology of coronary heart disease - Am. J. Publ. Health 49: 1630–1639.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Seccareccia, F., Menotti, A. & Prati, P.L. Coronary heart disease prevention: Relationship between socio-economic status and knowledge, motivation and behaviour in a free-living male, adult population. Eur J Epidemiol 7, 166–170 (1991). https://doi.org/10.1007/BF00237361

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00237361

Key words

Navigation