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Master Thesis

Les maladies chroniques et les inégalités sociales de santé en soins primaires : données de l’étude e-TAC

Abstract : Title: chronic diseases and health social inequalities in primary healthcare. Introduction: Chronic diseases are responsible for a growing share of global morbidity and mortality. There is a social health gradient in the prevalence of some chronic diseases, but it is not clearly defined for all of them. We aimed at describing the relationship between some chronic diseases (cardiovascular diseases, hypertension, respiratory diseases, asthma, tobacco addiction, alcohol abuse) and some socio-economic indicators within an adult population in general practice. Methods: descriptive cross-sectional observational study conducted in 2015 at 8 general practice offices in Aquitaine. The method of data collection was through a paper questionnaire which volunteer patients could complete while in the waiting room. Logistic multiple regression analysis has been carried out to determine the relationship between the prevalence of chronic diseases and the surveyed socio-economic indicators. Results: 473 patients were included in the study. 46.8% had a probable alcohol misuse, 41.9 % a probable tobacco addiction. 13.8 % suffered from high blood pressure ; 13.6 % mentionned asthma and 6.6 % another respiratory disease ; 5 % a cardiovascular disease different from hypertension or diabetes. In multivariate analysis there was an association between probable dependence on tobacco and a number of socio-economic indicators. In our analysis no link could be noticed between the socio economic characteristics observed and respiratory diseases or hypertension. Conclusion: probable tobacco addiction seems to be following a social gradient for patients in general practice: it might be more frequent when socio-economic indicators are unfavourable.
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Master Thesis
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Charlotte Rychen. Les maladies chroniques et les inégalités sociales de santé en soins primaires : données de l’étude e-TAC. Médecine humaine et pathologie. 2017. ⟨dumas-01679112⟩

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