Educational level and risk profile of cardiac patients in the EUROASPIRE II substudy
Language English Country Great Britain, England Media print
Document type Journal Article, Multicenter Study
PubMed
14684726
PubMed Central
PMC1757031
DOI
10.1136/jech.58.1.47
Knihovny.cz E-resources
- MeSH
- Patient Compliance statistics & numerical data MeSH
- Adult MeSH
- Cholesterol, HDL blood MeSH
- Hypolipidemic Agents administration & dosage MeSH
- Body Mass Index MeSH
- Cardiovascular Agents administration & dosage MeSH
- Coronary Disease blood psychology therapy MeSH
- Blood Glucose analysis MeSH
- Blood Pressure MeSH
- Middle Aged MeSH
- Humans MeSH
- Odds Ratio MeSH
- Cross-Sectional Studies MeSH
- Risk Factors MeSH
- Aged MeSH
- Sex Factors MeSH
- Drug Utilization MeSH
- Educational Status MeSH
- Health Behavior * MeSH
- Health Surveys MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- Europe MeSH
- Names of Substances
- Cholesterol, HDL MeSH
- Hypolipidemic Agents MeSH
- Cardiovascular Agents MeSH
- Blood Glucose MeSH
STUDY OBJECTIVE: To ascertain, whether, conventional risk factors and readiness of coronary patients to modify their behaviour and to comply with recommended medication were associated with education in patients with established coronary heart disease. DESIGN AND METHODS: EUROASPIRE II was a cross sectional survey undertaken in 1999-2000 in 15 European countries to ascertain how effectively recommendations on coronary preventions are being followed in clinical practice. Consecutive patients, men and women =71 years who had been hospitalised for acute coronary syndrome or revascularisation procedures, were identified retrospectively. Data were collected through a review of medical records, interview, and examination at least six months after hospitalisation. The education reached was ascertained at the interview. MAIN RESULTS: A total of 5556 patients (1319 women) were evaluated. Significantly more patients with ischaemia had only primary education, in contrast with the remaining diagnostic groups. Body mass index and glucose were negatively associated with educational level, while HDL-cholesterol was positively associated. Men with highest education had significantly lower systolic blood pressure and total cholesterol. The prevalence of current smoking decreased significantly from primary to secondary and high education only in men. Both men and women with primary educational level were more often treated with antidiabetics, and antihypertensives, but less often with lipid lowering drugs. The effectiveness of treatment was virtually the same in all education groups. CONCLUSIONS: Patients with higher education had lower global coronary risk, than those with lower education. This should be considered in clinical practice. Particular strategies for risk communication and counselling are needed for those with lower education status.
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Cardiology. 1994;85(1):61-8 PubMed
Circulation. 1993 Nov;88(5 Pt 1):2172-9 PubMed
J Epidemiol Community Health. 1998 Apr;52(4):219-27 PubMed
Eur Heart J. 1998 Oct;19(10):1434-503 PubMed
Int J Epidemiol. 1999 Feb;28(1):46-52 PubMed
BMJ. 1999 May 29;318(7196):1460-7 PubMed
J Epidemiol Community Health. 2000 Feb;54(2):91-6 PubMed
BMJ. 2000 Apr 22;320(7242):1102-7 PubMed
Eur Heart J. 2001 Apr;22(7):554-72 PubMed
BMJ. 2001 Jul 28;323(7306):208-9 PubMed
Prev Med. 1993 Jan;22(1):54-64 PubMed
Am J Public Health. 1992 Jun;82(6):816-20 PubMed
Cor Vasa. 1986;28(3):167-76 PubMed
Br Heart J. 1981 Jan;45(1):13-9 PubMed
Science. 1968 Jul 19;161(3838):238-46 PubMed
BMJ. 2002 Jan 5;324(7328):23-5 PubMed
Int J Epidemiol. 2001 Oct;30(5):1119-26 PubMed
Cas Lek Cesk. 1994 Oct 24;133(20):627-32 PubMed