title: Likelihood of treatment in a coronary care unit for a first-time myocardial infarction in relation to sex, country of birth and socioeconomic position in Sweden.
abstract: OBJECTIVE
  To examine the relationship between sex, country of birth, level of education as an indicator of socioeconomic position, and the likelihood of treatment in a coronary care unit (CCU) for a first-time myocardial infarction.
  
  
  METHODS
  Nationwide register based study.
  
  
  METHODS
  Sweden.
  
  
  METHODS
  199 906 patients (114 387 men and 85,519 women) of all ages who were admitted to hospital for first-time myocardial infarction between 2001 and 2009.
  
  
  METHODS
  Admission to a coronary care unit due to myocardial infarction.
  
  
  RESULTS
  Despite the observed increasing access to coronary care units over time, the proportion of women treated in a coronary care unit was 13% less than for men. As compared with men, the multivariable adjusted odds ratio among women was 0.80 (95% confidence interval 0.77 to 0.82). This lower proportion of women treated in a CCU varied by age and year of diagnosis and country of birth. Overall, there was no evidence of a difference in likelihood of treatment in a coronary care unit between Sweden-born and foreign-born patients. As compared with patients with high education, the adjusted odds ratio among patients with a low level of education was 0.93 (95% confidence interval 0.89 to 0.96).
  
  
  CONCLUSIONS
  Foreign-born and Sweden-born first-time myocardial infarction patients had equal opportunity of being treated in a coronary care unit in Sweden; this is in contrast to the situation in many other countries with large immigrant populations. However, the apparent lower rate of coronary care unit admission after first-time myocardial infarction among women and patients with low socioeconomic position warrants further investigation.
authors: Institute of Environmental Medicine, Division of Cardiovascular Epidemiology, Karolinska Institutet, Stockholm, Sweden.
authors: Dong
authors: D
authors: Yang
authors: Stefan
authors: S
authors: James
authors: Ulf
authors: U
authors: de Faire
authors: Lars
authors: L
authors: Alfredsson
authors: Tomas
authors: T
authors: Jernberg
authors: Tahereh
authors: T
authors: Moradi
mesh_terms: D000368:Aged; D003325:Coronary Care Units / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D009203:Myocardial Infarction / Q000208:ethnology* / Q000628:therapy*; D036801:Parturition; D012189:Retrospective Studies; D012737:Sex Factors; D012923:Social Class; D013548:Sweden / Q000208:ethnology
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