• Je něco špatně v tomto záznamu ?

The gender gap in risk factor control: Effects of age and education on the control of cardiovascular risk factors in male and female coronary patients. The EUROASPIRE IV study by the European Society of Cardiology

D. De Smedt, D. De Bacquer, J. De Sutter, J. Dallongeville, S. Gevaert, G. De Backer, J. Bruthans, K. Kotseva, Ž. Reiner, L. Tokgözoğlu, E. Clays,

. 2016 ; 209 (-) : 284-90. [pub] 20160203

Jazyk angličtina Země Nizozemsko

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc17000408

OBJECTIVE: The aim of this study was to investigate gender related differences in the management and risk factor control of patients with coronary heart disease (CHD), taking into account their age and educational level. METHODS: Analyses are based on the EUROASPIRE IV (EUROpean Action on Secondary and Primary Prevention through Intervention to Reduce Events) survey. Males and females between 18 and 80years of age, hospitalized for a first or recurrent coronary event were included in the study. RESULTS: Data were available for 7998 patients of which 75.6% were males. Overall, females had a worse risk factor profile compared to males and were more likely to have 3 or more risk factors (29.5% vs. 34.9%; p<0.001) across all age groups. A significant gender by education interaction (p<0.05) and gender by age interaction effect (p<0.05) was found. Furthermore, males were more likely to have a LDL-cholesterol on target (OR=1.50[1.28-1.76]), a HbA1c on target (OR=1.33[1.07-1.64]), to be non-obese (OR=1.45[1.30-1.62]) and perform adequate physical activity (OR=1.71[1.46-2.00]). In contrast males were less likely to be non-smokers (OR=0.71[0.60-0.83]). Furthermore, males were less likely to have made a dietary change (OR=0.78[0.64-0.95]) or a smoking cessation attempt (OR=0.70[0.50-0.96]) and more likely to have received smoking cessation advice if they were smokers (OR=1.52[1.10-2.09]). CONCLUSION: Whereas gender differences in CHD treatment are limited, substantial differences were found regarding target achievement. The largest gender difference was seen in less educated and elderly patients. The gender gap declined with decreasing age and higher education.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc17000408
003      
CZ-PrNML
005      
20170112113451.0
007      
ta
008      
170103s2016 ne f 000 0|eng||
009      
AR
024    7_
$a 10.1016/j.ijcard.2016.02.015 $2 doi
024    7_
$a 10.1016/j.ijcard.2016.02.015 $2 doi
035    __
$a (PubMed)26913370
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a ne
100    1_
$a De Smedt, Delphine $u Department of Public Health, Ghent University, Gent, Belgium. Electronic address: Delphine.desmedt@ugent.be.
245    14
$a The gender gap in risk factor control: Effects of age and education on the control of cardiovascular risk factors in male and female coronary patients. The EUROASPIRE IV study by the European Society of Cardiology / $c D. De Smedt, D. De Bacquer, J. De Sutter, J. Dallongeville, S. Gevaert, G. De Backer, J. Bruthans, K. Kotseva, Ž. Reiner, L. Tokgözoğlu, E. Clays,
520    9_
$a OBJECTIVE: The aim of this study was to investigate gender related differences in the management and risk factor control of patients with coronary heart disease (CHD), taking into account their age and educational level. METHODS: Analyses are based on the EUROASPIRE IV (EUROpean Action on Secondary and Primary Prevention through Intervention to Reduce Events) survey. Males and females between 18 and 80years of age, hospitalized for a first or recurrent coronary event were included in the study. RESULTS: Data were available for 7998 patients of which 75.6% were males. Overall, females had a worse risk factor profile compared to males and were more likely to have 3 or more risk factors (29.5% vs. 34.9%; p<0.001) across all age groups. A significant gender by education interaction (p<0.05) and gender by age interaction effect (p<0.05) was found. Furthermore, males were more likely to have a LDL-cholesterol on target (OR=1.50[1.28-1.76]), a HbA1c on target (OR=1.33[1.07-1.64]), to be non-obese (OR=1.45[1.30-1.62]) and perform adequate physical activity (OR=1.71[1.46-2.00]). In contrast males were less likely to be non-smokers (OR=0.71[0.60-0.83]). Furthermore, males were less likely to have made a dietary change (OR=0.78[0.64-0.95]) or a smoking cessation attempt (OR=0.70[0.50-0.96]) and more likely to have received smoking cessation advice if they were smokers (OR=1.52[1.10-2.09]). CONCLUSION: Whereas gender differences in CHD treatment are limited, substantial differences were found regarding target achievement. The largest gender difference was seen in less educated and elderly patients. The gender gap declined with decreasing age and higher education.
650    _2
$a věkové faktory $7 D000367
650    _2
$a senioři $7 D000368
650    _2
$a kardiologie $x metody $7 D002309
650    _2
$a kardiovaskulární nemoci $x diagnóza $x epidemiologie $x prevence a kontrola $7 D002318
650    _2
$a průřezové studie $7 D003430
650    12
$a stupeň vzdělání $7 D004522
650    _2
$a Evropa $x epidemiologie $7 D005060
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a zdravotnické přehledy $x metody $7 D006306
650    _2
$a lidé $7 D006801
650    _2
$a životní styl $7 D008019
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a lidé středního věku $7 D008875
650    _2
$a primární prevence $x metody $7 D011322
650    _2
$a rizikové faktory $7 D012307
650    _2
$a sekundární prevence $x metody $7 D055502
650    _2
$a sexuální faktory $7 D012737
650    12
$a společnosti lékařské $7 D012955
655    _2
$a časopisecké články $7 D016428
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a De Bacquer, Dirk $u Department of Public Health, Ghent University, Gent, Belgium.
700    1_
$a De Sutter, Johan $u Department of Cardiology, AZ Maria Middelares Gent, Gent, Belgium; Department of Internal Medicine, Ghent University, Gent, Belgium.
700    1_
$a Dallongeville, Jean $u Unité d'Epidémiologie et de Santé Publique, Institut Pasteur de Lille, Lille, France.
700    1_
$a Gevaert, Sofie $u Department of Cardiology, Ghent University Hospital, Gent, Belgium.
700    1_
$a De Backer, Guy $u Department of Public Health, Ghent University, Gent, Belgium.
700    1_
$a Bruthans, Jan $u Center for Cardiovascular Prevention, First Faculty of Medicine, Charles University and Thomayer Hospital, Prague, Czech Republic.
700    1_
$a Kotseva, Kornelia $u Department of Cardiovascular Medicine, National Heart and Lung Institute, Imperial College London, London, UK.
700    1_
$a Reiner, Željko $u Department of Internal Medicine, University Hospital Center Zagreb, School of Medicine University of Zagreb, Croatia.
700    1_
$a Tokgözoğlu, Lale $u Faculty of Medicine, Hacettepe University, Ankara, Turkey.
700    1_
$a Clays, Els $u Department of Public Health, Ghent University, Gent, Belgium.
773    0_
$w MED00002299 $t International journal of cardiology $x 1874-1754 $g Roč. 209, č. - (2016), s. 284-90
856    41
$u https://pubmed.ncbi.nlm.nih.gov/26913370 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20170103 $b ABA008
991    __
$a 20170112113550 $b ABA008
999    __
$a ok $b bmc $g 1179548 $s 960975
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2016 $b 209 $c - $d 284-90 $e 20160203 $i 1874-1754 $m International journal of cardiology $n Int J Cardiol $x MED00002299
LZP    __
$a Pubmed-20170103

Najít záznam

Citační ukazatele

Možnosti archivace