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Projet SPICES : état des lieux de la prévention cardio-vasculaire en France

Abstract : Cardiovascular diseases (CVD) represent the first cause of worldwide mortality. The prevention of modifiable risk factors is efficient. The international project SPICES proposes to implement innovative interventions about CVD prevention in Europe and Sub-Saharan Africa. The first step of the project was to realise a situational analysis (SA) about CVD prevention in each country. The objective of this paper was to implement the SA in France. Methodology: Makerere’s University produced a guide in English to realise the SA. Two independent French translations were produced. A final version was consensually validated. Three questionnaires were created from the guide to produce the SA at local and national levels. National data was carried out by narrative review of literature. Two independent searches were made and assembled into a final version. Results: CVD represented 28% of mortality in France. The Plan National Nutrition Santé, the Plan National de Réduction du Tabagisme, the Plan National action Accident Vasculaire Cerebral were implemented. A salt consumption reduction policy and anti-tobacco legislation have intervened. A lot of caregivers were involved in prevention, the general practitioner was identified as the prevention’s first actor. The medicinal observance approached 50%. Therapeutic education appeared to be an efficient solution. Conclusion: Several initiatives were found, with sometimes unsatisfactory results. Social and regional inequalities explained the difference of the CVD’s prevalence. The lack of coordination in the national plans, the absence of local actions and medical practice’s heterogeneity explained the failure of prevention. Therapeutic education and multi-disciplinary health centres should be developed.
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Master Thesis
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Submitted on : Thursday, February 22, 2018 - 5:32:02 PM
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  • HAL Id : dumas-01715499, version 1



Eve Legoff. Projet SPICES : état des lieux de la prévention cardio-vasculaire en France. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01715499⟩



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