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Master Thesis

Association entre la position sociale et les événements cardiovasculaires majeurs‎ : une revue systématique des études épidémiologiques de la littérature

Abstract : Cardiovascular diseases are the main cause of death. Despite the measures taken to detect and manage cardiovascular risk factors, the social gradient in cardiovascular diseases is getting wider. Can the occurrence of major adverse cardiac events in low social class adults be fully explained by differences in the prevalence of cardiovascular risk factors? A systematic review of articles was conducted. Articles were selected when they included : an evaluation of the social position using income, educational level, or occupation, a measure of incidence of MACE, a comparison of the occurrence of MACE according to social position, a statistical adjustment on cardiovascular risk factors. Sixty six studies were selected. Out of the 166 results, 153 objectified a MACE occurrence excess risk in the lowest social class even after adjustment on cardiovascular risk factors, including 70 statistically significant results. No study could fully explain the cardiovascular social gradient only by the cardiovascular risk factors chosen as adjustment variables. MACE occurrence risk is higher amongst the most deprived and this risk excess generally persists after adjustment on cardiovascular risk factors. It appears that the sole management of these risk factors is insufficient to remove the cardiovascular social gradient.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00963593
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, March 21, 2014 - 3:10:59 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Saturday, June 21, 2014 - 11:47:10 AM

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  • HAL Id : dumas-00963593, version 1

Citation

Anna Guilloret, Timothée Maldonado. Association entre la position sociale et les événements cardiovasculaires majeurs‎ : une revue systématique des études épidémiologiques de la littérature. Médecine humaine et pathologie. 2014. ⟨dumas-00963593⟩

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