Profil de risque cardiovasculaire et position sociale en population française caribéenne

Abstract : Aim
To explore cardiovascular risk profiles according to gender and education level in a French Caribbean population.
Methods
A multicenter cross-sectional multi-centric study in the French West Indies between July and December 2014, including all Guadeloupean individuals aged 30-74 receiving a periodic health examination (1655 complete data file). Hypertension was defined by antihypertensive treatment or mean of 3 measurements of BP ≥140/90mmHg, diabetes by antidiabetic treatment or FPG ≥7mmol/L and HbA1c ≥6.5%, tobacco or alcohol exposure by a declared daily consumption, and obesity by a waist circumference ≥102cm for men or ≥88 cm for women. The cardiovascular risk score was estimated with the Framingham equation. Analysis used multilevel logistic regression.
Results
The risk of obesity and diabetes was increased in women, and the risk of smoking or ethylic exposure was increased in men. Education level was associated with obesity and diabetes in women, with smoking in men, and with hypertensionin both sexes. Among the patients with education level < middle high-school diploma 13.5% had a cardiovascular risk score ≥20%, compared to 5.8% among those with higher education (OR = 2.5; IC95%: 1.8-3.6). Among the high-risk patients, only 21% with treated hypertension and 28% with treated diabetes had controlled conditions.
Conclusion
Reducing health social inequalities requires a comprehensive approach to the CV risk, gender-specific strategies of prevention, and a significant improvement in the management of these community health issues.
Document type :
Master Thesis
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Yassine Harchaoui. Profil de risque cardiovasculaire et position sociale en population française caribéenne. Médecine humaine et pathologie. 2017. ⟨dumas-01624926⟩

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