Abstract
An inverse gradient between prevalence and incidence of coronary heart disease (CHD) and socio-economic status (SES) has been documented in several industrialized societies. Despite some influence due to social selection (drift) a major cause of this trend can be attributed to differences in lifestyle including health-damaging behaviour and socio-emotional distress due to unfavourable working and living conditions. Interactions between distress and somatic coronary risk factors have been established, and inadequate illness behaviour (including non-compliance) contributes further to the observed excess risk. Preventive approaches aiming specifically at these socio-economic target groups have not yet been developed to a sufficient degree.
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