Most cited article - PubMed ID 7954677
Vztah mezi vzdĕláním a prevalencí kardiovaskulárních rizikových faktorů
[Relation between educational level and prevalence of cardiovascular risk factors]
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
- 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