Social inequality in awareness of cardiovascular risk factors in patients undergoing coronary angiography

Tchicaya, Anastase; Braun, Marie; Lorentz, Nathalie; Delagardelle, Charles; Beissel, Jean; Wagner, Daniel R.

doi:10.1177/2047487312446123

Cited by 19 publications

(25 citation statements)

References 19 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data were derived from a follow-up study of 4391 patients who underwent a coronary angiography at the INCCI in 2008/2009 and participated in the research project “Social Determinants and Health Status” [16]. Using the “Monitoring and Dynamics of health status through the Risk Factors for Cardiovascular diseases” project framework, patients were re-contacted by letter in June 2013 and asked to complete and return a self-questionnaire addressing physiological and behavioural CVD risk factors as well as socioeconomic and demographic characteristics [17].…”

Section: Methodsmentioning

confidence: 99%

Income-related inequality in smoking cessation among adult patients with cardiovascular disease: a 5-year follow-up of an angiography intervention in Luxembourg

Tchicaya

Lorentz

Demarest

2017

BMC Cardiovasc Disord

Self Cite

View full text Add to dashboard Cite

BackgroundSmoking contributes to cardiovascular diseases (CVD), a leading cause of death and a large source of healthcare costs in Western countries. We examined the association between income and smoking cessation among smokers who underwent coronary angiography at the National Institute for Cardiac Surgery and Interventional Cardiology in Luxembourg.MethodsData were derived from a follow-up study conducted in 2013/2014 among 4391 patients (of which 1001 patients were smokers) at the time of coronary angiography in 2008/2009. Four logistic regression models were applied. In three models, the predictor was income and the covariates were sex, age, nationality, marital status, diagnosis, body mass, physical activity, and awareness of tobacco as a cardiovascular (CV) risk factor. In the other model, the predictor was an interaction term composed of income and awareness of tobacco as a CV risk factor; the other variables were covariates.ResultsAmong patients who were current smokers at baseline, 43.2% were current smokers at follow-up and 56.8% had quit smoking. In the multivariate logistic models, quitting smoking was associated with income even after controlling for socio-demographic, diagnostic, and behavioural risk factors. In the full model, the odds of quitting smoking among patients in the two highest income categories remained significant when compared to patients in the lowest income category: odds ratio (OR) = 2.8; 95% confidence interval (CI), 1.3–6.1 and OR = 2.8; 95% CI, 1.2–6.5, respectively. In the full model with an interaction term, quitting smoking was only associated with income when patients knew tobacco was a CV risk factor. The odds of smoking cessation were 5.62 (95% CI: 2.13–14.86) and 3.65 (95% CI: 1.51–8.86) times for patients with annual incomes of 36,000–53,999€ and ≥54,000€, respectively), compared to those for patients with an annual income of <36,000€.ConclusionsThis study highlights the influence of income on behaviours regarding CVD risk factors after a major CVD event. Patients in the highest income groups were more likely to quit smoking, although only when they were aware of tobacco as a CV risk factor. Therefore, intervention strategies targeting lower income groups should be implemented in major health facilities.

show abstract

Section: Methodsmentioning

confidence: 99%

Income-related inequality in smoking cessation among adult patients with cardiovascular disease: a 5-year follow-up of an angiography intervention in Luxembourg

Tchicaya

Lorentz

Demarest

2017

BMC Cardiovasc Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…This is necessary as awareness appears to be low. Even though smoking remains the single greatest cause of preventable illness and premature death in countries such as the USA and the UK,11 12 <40% of patients undergoing coronary angiography recognise smoking as a risk factor for CHD,13 and more than one in three smokers believe the dangers of smoking to be exaggerated 14…”

Section: Introductionmentioning

confidence: 99%

A retrospective cross-sectional study on the association between tobacco smoking and incidence of ST-segment elevation myocardial infarction and cardiovascular risk factors

Steele

Lloyd

Fotheringham

et al. 2015

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

“…Diabetes mellitus and hypertension are common disease that coexist with each other, and constitute the most common risk factors for coronary heart disease (CHD) [3,4]. Hypertension is well known as a common comorbidity in patients with diabetes with its prevalence ranging from 60% to 80% [5].…”

Section: Introductionmentioning

confidence: 99%

Serum Lipid Profiles in Hypertensive Diabetes Mellitus Type 2 Patients

Hashim¹

2015

JNUS

View full text Add to dashboard Cite

This study was designed to determine the relationship between the levels of lipid profile in diabetes mellitus type 2 and hypertension. Blood samples were collected from patients under 40 years old with diabetes type 2 and suffering from hypertension. Lipid profile was determined enzymaticlly by using kits. Results revealed that the level of cholesterol was significantly increased in diabetic patients with hypertension more than diabetic patients only. Also the level of triglyceride (TG) was significantly higher in patients suffering from diabetes with hypertension than patients suffering from diabetes only. A significant decrease in the level of high density lipoprotein was recorded in diabetes patients who are suffering from hypertension than patients with diabetes only. There was asignificant increase in the level of triglyceride (TG), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) in male than female patients.

show abstract

Social inequality in awareness of cardiovascular risk factors in patients undergoing coronary angiography

Abstract: Awareness of CV risk factors is low in this high-risk population and associated with strong social inequalities. This information is alarming and will have to be addressed in order to improve outcomes in patients with CAD.

Cited by 19 publications

References 19 publications

Income-related inequality in smoking cessation among adult patients with cardiovascular disease: a 5-year follow-up of an angiography intervention in Luxembourg

Income-related inequality in smoking cessation among adult patients with cardiovascular disease: a 5-year follow-up of an angiography intervention in Luxembourg

A retrospective cross-sectional study on the association between tobacco smoking and incidence of ST-segment elevation myocardial infarction and cardiovascular risk factors

Serum Lipid Profiles in Hypertensive Diabetes Mellitus Type 2 Patients

Contact Info

Product

Resources

About