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@ARTICLE{MorenoVelsquez:299487,
      author       = {I. Moreno Velásquez and S. A. E. Peters and N. Dragano and
                      K.-H. Greiser$^*$ and M. Dörr and B. Fischer and K. Berger
                      and A. Hannemann and R. B. Schnabel and M. Nauck and S.
                      Göttlicher and S. Rospleszcz and S. N. Willich and L. Krist
                      and M. B. Schulze and K. Günther and T. Brand and T.
                      Schikowski and C. Emmel and B. Schmidt and K. B. Michels and
                      R. Mikolajczyk and A. Kluttig and V. Harth and N. Obi and S.
                      Castell and C. J. Klett-Tammen and W. Lieb and H. Becher and
                      V. Winkler and H. Minnerup and A. Karch and C. Meinke-Franze
                      and M. Leitzmann and M. J. Stein and B. Bohn and B.
                      Schöttker$^*$ and K. Trares$^*$ and A. Peters and T.
                      Pischon},
      title        = {{S}ex {D}ifferences in the {R}elationship of
                      {S}ocioeconomic {P}osition {W}ith {C}ardiovascular
                      {D}isease, {C}ardiovascular {R}isk {F}actors, and
                      {E}stimated {C}ardiovascular {D}isease {R}isk: {R}esults of
                      the {G}erman {N}ational {C}ohort.},
      journal      = {Journal of the American Heart Association},
      volume       = {14},
      number       = {5},
      issn         = {2047-9980},
      address      = {New York, NY},
      publisher    = {Association},
      reportid     = {DKFZ-2025-00447},
      pages        = {e038708},
      year         = {2025},
      note         = {2025 Mar 4;14(5):e038708},
      abstract     = {Using data from the largest German cohort study, we aimed
                      to investigate sex differences in the relationship of
                      socioeconomic position (SEP) with cardiovascular disease
                      (CVD), CVD risk factors, and estimated CVD risk.A total of
                      204 780 $(50.5\%$ women) participants from the baseline
                      examination of the population-based NAKO (German National
                      Cohort) were included. Logistic, multinomial, and linear
                      regression models were used to estimate sex-specific odds
                      ratios (ORs) and β coefficients with $95\%$ CIs of CVD, CVD
                      risk factors, and very high-risk score (Systemic Coronary
                      Risk Estimation-2) for CVD associated with SEP. Women-to-men
                      ratios of ORs (RORs) with $95\%$ CIs were estimated. In
                      women compared with men, low versus high SEP (educational
                      attainment and relative income) was more strongly associated
                      with myocardial infarction, hypertension, obesity,
                      overweight, elevated blood pressure, antihypertensive
                      medication, and current alcohol consumption, but less
                      strongly with current and former smoking. In women with the
                      lowest versus highest educational level, the OR for a very
                      high 10-year CVD risk was 3.61 $(95\%$ CI, 2.88-4.53)
                      compared with 1.72 $(95\%$ CI, 1.51-1.96) in men. The
                      women-to-men ROR was 2.33 $(95\%$ CI, 1.78-3.05). For the
                      comparison of low versus high relative income, the odds of
                      having a very high 10-year CVD risk was 2.55 $(95\%$ CI,
                      2.04-3.18) in women and 2.25 $(95\%$ CI, 2.08-2.42) in men
                      (women-to-men ROR, 1.31 $[95\%$ CI, 1.05-1.63]).In women and
                      men, there was an inverse relationship between indicators of
                      SEP and the likelihood of having several CVD risk factors
                      and a very high 10-year CVD risk. This association was
                      stronger in women, suggesting that CVD risk is more strongly
                      influenced by SEP in women compared with men.},
      keywords     = {cardiovascular disease (Other) / cardiovascular risk
                      (Other) / educational attainment (Other) / income (Other) /
                      socioeconomic position (Other)},
      cin          = {C020 / C070},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331 / I:(DE-He78)C070-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39996451},
      doi          = {10.1161/JAHA.124.038708},
      url          = {https://inrepo02.dkfz.de/record/299487},
}