Prevention & lipids

Inequality across the cardiac rehabilitation trajectory in Denmark: investigating key sociodemographic and health-related drivers

Eur Heart J Qual Care Clin OutcomesPublished Survey- and register-based cohort study

Authors' conclusion

Age, type of CVD, municipality group, socioeconomic factors (occupational status, education level and family income) and country of birth was identified as the key drivers of inequality across the CR trajectory, with their influence varying at each CR phase.

Study context

Population
Individuals diagnosed with cardiovascular disease (CVD) in 2018 in Denmark53.8% survey response
Participants
5,375 individuals
Outcome
Being offered, accepting and participating in cardiac rehabilitation (CR)
Methodological detailsnationwide, dominance analyses, multivariable logistic regression
  • Nationwide
  • Dominance analyses
  • Multivariable logistic regression

Main finding

As reported in the abstract

Key drivers of inequality across the CR trajectory
  • Being offered cardiac rehabilitation (CR): key drivers were age, type of CVD and occupational status; older adults (≥76 years) and those with ischaemic heart disease significantly less likely to receive an offer
  • Accepting CR: key drivers were municipality group, educational level and family income; low family income significantly less likely to accept
  • CR participation: key drivers were municipality group, country of birth and age; rural municipality residents and those born in a non-Western country significantly less likely to participate

Observational data: associations, not effects.

Original publication

Inequality across the cardiac rehabilitation trajectory in Denmark: investigating key sociodemographic and health-related drivers. Eur Heart J Qual Care Clin Outcomes. Published 27 September 2025. doi:10.1093/ehjqcco/qcaf114

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