Nejvíce citovaný článek - PubMed ID 10715740
Own education, current conditions, parental material circumstances, and risk of myocardial infarction in a former communist country
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.
- MeSH
- adherence pacienta statistika a číselné údaje MeSH
- dospělí MeSH
- HDL-cholesterol krev MeSH
- hypolipidemika aplikace a dávkování MeSH
- index tělesné hmotnosti MeSH
- kardiovaskulární látky aplikace a dávkování MeSH
- koronární nemoc krev psychologie terapie MeSH
- krevní glukóza analýza MeSH
- krevní tlak MeSH
- lidé středního věku MeSH
- lidé MeSH
- odds ratio MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- senioři MeSH
- sexuální faktory MeSH
- spotřeba léčiv MeSH
- stupeň vzdělání MeSH
- zdravé chování * MeSH
- zdravotnické přehledy MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa MeSH
- Názvy látek
- HDL-cholesterol MeSH
- hypolipidemika MeSH
- kardiovaskulární látky MeSH
- krevní glukóza MeSH