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Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile

(2021) HEART. 107(10). p.799-806
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Abstract
Objective People's socioeconomic status (SES) has a major impact on the risk of atherosclerotic cardiovascular disease (ASCVD) in primary prevention. In patients with existing ASCVD these associations are less documented. Here, we evaluate to what extent SES is still associated with patients' risk profile in secondary prevention. Methods Based on results from a large sample of patients with coronary heart disease from the European Action on Secondary and Primary Prevention through Intervention to Reduce Events study, the relationship between SES and cardiovascular risk was examined. A SES summary score was empirically constructed from the patients' educational level, self-perceived income, living situation and perception of loneliness. Results Analyses are based on observations in 8261 patients with coronary heart disease from 27 countries. Multivariate logistic regression analyses demonstrate that a low SES is associated (OR, 95% CI) with lifestyles such as smoking in men (1.63, 1.37 to 1.95), physical activity in men (1.51, 1.28 to 1.78) and women (1.77, 1.32 to 2.37) and obesity in men 1.28 (1.11 to 1.49) and women 1.65 (1.30 to 2.10). Patients with a low SES have more raised blood pressure in men (1.24, 1.07 to 1.43) and women (1.31, 1.03 to 1.67), used less statins and were less adherent to them. Cardiac rehabilitation programmes were less advised and attended by patients with a low SES. Access to statins in middle-income countries was suboptimal leaving about 80% of patients not reaching the low-density lipoprotein cholesterol target of Conclusion These results illustrate the complexity of the associations between SES, well-being and secondary prevention in patients with ASCVD. They emphasise the need for integrating innovative policies in programmes of cardiac rehabilitation and secondary prevention.
Keywords
Cardiology and Cardiovascular Medicine, cardiac risk factors and prevention, QUALITY-OF-LIFE, SMOKING-CESSATION, INEQUALITIES, INTERVENTION, INCOME, STYLE

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MLA
De Bacquer, Dirk, et al. “Socioeconomic Characteristics of Patients with Coronary Heart Disease in Relation to Their Cardiovascular Risk Profile.” HEART, vol. 107, no. 10, 2021, pp. 799–806, doi:10.1136/heartjnl-2020-317549.
APA
De Bacquer, D., van de Luitgaarden, I. A. T., De Smedt, D., Vynckier, P., Bruthans, J., Fras, Z., … De Backer, G. (2021). Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile. HEART, 107(10), 799–806. https://doi.org/10.1136/heartjnl-2020-317549
Chicago author-date
De Bacquer, Dirk, Inge A T van de Luitgaarden, Delphine De Smedt, Pieter Vynckier, Jan Bruthans, Zlatko Fras, Piotr Jankowski, et al. 2021. “Socioeconomic Characteristics of Patients with Coronary Heart Disease in Relation to Their Cardiovascular Risk Profile.” HEART 107 (10): 799–806. https://doi.org/10.1136/heartjnl-2020-317549.
Chicago author-date (all authors)
De Bacquer, Dirk, Inge A T van de Luitgaarden, Delphine De Smedt, Pieter Vynckier, Jan Bruthans, Zlatko Fras, Piotr Jankowski, Marina Dolzhenko, Kornelia Kotseva, David Wood, and Gui De Backer. 2021. “Socioeconomic Characteristics of Patients with Coronary Heart Disease in Relation to Their Cardiovascular Risk Profile.” HEART 107 (10): 799–806. doi:10.1136/heartjnl-2020-317549.
Vancouver
1.
De Bacquer D, van de Luitgaarden IAT, De Smedt D, Vynckier P, Bruthans J, Fras Z, et al. Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile. HEART. 2021;107(10):799–806.
IEEE
[1]
D. De Bacquer et al., “Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile,” HEART, vol. 107, no. 10, pp. 799–806, 2021.
@article{8696861,
  abstract     = {{Objective

People's socioeconomic status (SES) has a major impact on the risk of atherosclerotic cardiovascular disease (ASCVD) in primary prevention. In patients with existing ASCVD these associations are less documented. Here, we evaluate to what extent SES is still associated with patients' risk profile in secondary prevention.

Methods

Based on results from a large sample of patients with coronary heart disease from the European Action on Secondary and Primary Prevention through Intervention to Reduce Events study, the relationship between SES and cardiovascular risk was examined. A SES summary score was empirically constructed from the patients' educational level, self-perceived income, living situation and perception of loneliness.

Results

Analyses are based on observations in 8261 patients with coronary heart disease from 27 countries. Multivariate logistic regression analyses demonstrate that a low SES is associated (OR, 95% CI) with lifestyles such as smoking in men (1.63, 1.37 to 1.95), physical activity in men (1.51, 1.28 to 1.78) and women (1.77, 1.32 to 2.37) and obesity in men 1.28 (1.11 to 1.49) and women 1.65 (1.30 to 2.10). Patients with a low SES have more raised blood pressure in men (1.24, 1.07 to 1.43) and women (1.31, 1.03 to 1.67), used less statins and were less adherent to them. Cardiac rehabilitation programmes were less advised and attended by patients with a low SES. Access to statins in middle-income countries was suboptimal leaving about 80% of patients not reaching the low-density lipoprotein cholesterol target of Conclusion

These results illustrate the complexity of the associations between SES, well-being and secondary prevention in patients with ASCVD. They emphasise the need for integrating innovative policies in programmes of cardiac rehabilitation and secondary prevention.}},
  author       = {{De Bacquer, Dirk and van de Luitgaarden, Inge A T and De Smedt, Delphine and Vynckier, Pieter and Bruthans, Jan and Fras, Zlatko and Jankowski, Piotr and Dolzhenko, Marina and Kotseva, Kornelia and Wood, David and De Backer, Gui}},
  issn         = {{1355-6037}},
  journal      = {{HEART}},
  keywords     = {{Cardiology and Cardiovascular Medicine,cardiac risk factors and prevention,QUALITY-OF-LIFE,SMOKING-CESSATION,INEQUALITIES,INTERVENTION,INCOME,STYLE}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{799--806}},
  title        = {{Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile}},
  url          = {{http://dx.doi.org/10.1136/heartjnl-2020-317549}},
  volume       = {{107}},
  year         = {{2021}},
}

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