A new reliable index to measure individual deprivation: the EPICES score

Labbé, E.; Blanquet, Marie; Gerbaud, Laurent; Poirier, Gilles; Sass, Catherine; Vendittelli, Françoise; Moulin, J. J.

doi:10.1093/eurpub/cku231

Cited by 126 publications

(115 citation statements)

References 31 publications

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“…The ratio measure of psychosocioeconomic precariousness has not been formally validated. Nonetheless, the results show that this ratio is associated with a higher risk of death (hazard ratio 1.34, 95% CI 1.25-1.44; p < 0.0001), which is an argument in favor of the reliability of this measure [29]. Several authors have underlined the importance of taking into account health insurance in psychosocioeconomic precariousness measure [19,30] as well as health behaviors [31].…”

Section: Discussionmentioning

confidence: 99%

Psychosocioeconomic Precariousness, Cognitive Decline and Risk of Developing Dementia: A 25-Year Study

Ouvrard

Meillon²,

Dartigues³

et al. 2016

Dement Geriatr Cogn Disord

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Background: This study investigates the relationship between psychosocioeconomic precariousness, cognitive decline and risk of developing dementia. Methods: The sample consisted of 3,710 subjects aged ≥65 years. Psychosocioeconomic precariousness was assessed with a ratio consisting of 8 self-reported items of poor socioeconomic status and psychosocial vulnerability. Results: Participants who were considered as precarious (n = 1,444) presented greater cognitive decline (β = -0.07; p = 0.0067) after adjusting for various confounders. They also had a 36% increased risk of developing dementia (hazard ratio 1.36, 95% confidence interval 1.17-1.57; p < 0.0001) over the 25-year follow-up period. Conclusion: Psychosocioeconomic precariousness is associated with greater cognitive decline and increased risk of developing dementia. This relationship can be explained in light of the concept of cognitive reserve and strengthens the need to consider psychosocioeconomic precariousness of elderly individuals in the definition of successful ageing policies.

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Section: Discussionmentioning

confidence: 99%

Psychosocioeconomic Precariousness, Cognitive Decline and Risk of Developing Dementia: A 25-Year Study

Ouvrard

Meillon²,

Dartigues³

et al. 2016

Dement Geriatr Cogn Disord

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“…An individual quantitative score called EPICES was calculated from 11 binary questions assessing social deprivation. This score is graded from 0 (no precarity) to 100 (extreme precarity) (Bihan et al, 2012;La Rosa, Le Clésiau, & Valensi, 2008;Labbe et al, 2015;Lelong et al, 2015;Sass et al, 2006). Each patient's physical condition was assessed on a scale from 0 (very tired) to 100 (in perfect health).…”

Section: Data Collectionmentioning

confidence: 99%

Impact of age on care pathways of people living with HIV followed up in hospital

et al. 2016

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The aging population of people living with human immunodeficiency virus (HIV) (PLWH) is exposed to a widening spectrum of non-AIDS-defining diseases. Thus, our objective was to compare the health care offered to PLWH according to age. We conducted a multicenter cross-sectional study on PLWH who consulted at one of 59 French HIV reference centers from 15th to 19th October 2012. Using our survey questionnaires, PLWH self-reported the medical care they received, whether or not tied to HIV infection monitoring, during the previous year. A total of 650 PLWH participated in the survey (median age 48 years, Interquartile range (IQR) 40-54), of which 95 were aged 60 years or over (14.5%). Compared to younger PLWH, 60-and-over PLWH were more often under complementary health insurance cover and less socially deprived based on the French EPICES (Evaluation of Precarity and Inequalities in Health Examination Centers) score. The elderly PLWH presented more comorbidities and less coinfections with hepatitis viruses. During health care, therapeutic education was less often offered to older PLWH (14% vs. 26%, p = .01), but this difference was mainly explained by sociodemographic factors and clinical status. Over the previous 6 months, 74% of PLWH who were followed up in hospital had also consulted another doctor, with a mean of 3.75 consultations (±4.18) without difference between age groups. After adjustment for sociodemographic factors and comorbidities, PLWH over 60 years were more likely to have consulted medical specialists as outpatients in the last 6 months (odds ratio [OR] = 2.63 [1.11-6.20]). Whatever their age, 13% of PLWH had been refused care on disclosure of their HIV status, and 27% of PLWH still did not disclose their HIV status to some caregivers. Coordinated health care throughout patients' lives is crucial, as health-care pathways evolve toward outpatient care as the patients get older. ARTICLE HISTORY

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“…However, these latter define deprivation mostly from a socioeconomic perspective and measure it at an ecological (ie, by zone of residence) and not at the individual level. Beyond its socioeconomic characteristics, deprivation also encompasses psychosocial dimensions such as social networks and support,18 although their influence on ideal CVH has not yet been evaluated.…”

mentioning

confidence: 99%

Cross-sectional analysis of deprivation and ideal cardiovascular health in the Paris Prospective Study 3

Empana

Perier

Singh‐Manoux

et al. 2016

Heart

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A new reliable index to measure individual deprivation: the EPICES score

Abstract: The individual deprivation EPICES score is reliable. Deprivation was related to excess death rate, which clearly indicates that deprivation is a determinant factor that should be considered systematically by health policy makers and health-care providers.

Cited by 126 publications

References 31 publications

Psychosocioeconomic Precariousness, Cognitive Decline and Risk of Developing Dementia: A 25-Year Study

Psychosocioeconomic Precariousness, Cognitive Decline and Risk of Developing Dementia: A 25-Year Study

Impact of age on care pathways of people living with HIV followed up in hospital

Cross-sectional analysis of deprivation and ideal cardiovascular health in the Paris Prospective Study 3

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