Academic Journal

Association between income and control of cardiovascular risk factors after acute coronary syndromes: an observational study

التفاصيل البيبلوغرافية
العنوان: Association between income and control of cardiovascular risk factors after acute coronary syndromes: an observational study
المؤلفون: Emmanuelle Jaquet, Baris Gencer, Reto Auer, Karine Moschetti, Olivier Muller, Christian M. Matter, Thomas F. Lüscher, Francois Mach, Nicolas Rodondi, Patrick Bodenmann, David Nanchen
المصدر: Swiss Medical Weekly, Vol 149, Iss 1516 (2019)
بيانات النشر: SMW supporting association (Trägerverein Swiss Medical Weekly SMW), 2019.
سنة النشر: 2019
المجموعة: LCC:Medicine
مصطلحات موضوعية: Acute Coronary Syndrome, dyslipidaemia, Hypertension, income, smoking cessation, Medicine
الوصف: BACKGROUND The role of income in cardiovascular disease prevention after an acute coronary syndrome (ACS) remains unclear. We aimed to assess the association between income and control of cardiovascular risk factors one year after an ACS in a country with universal health insurance. METHODS Between 2013 and 2014, we studied 255 consecutive patients with ACS in an observational study in a university hospital in Switzerland in which self-reported household income was assessed. We classified patients into two categories based on the median income in Switzerland: higher than CHF 6000 (€ 5300) or less than or equal to CHF 6000 (€ 5300) per month. One year after discharge, patients were evaluated for the achievement of lipid and blood pressure targets, smoking cessation and drug adherence. Multivariate odds ratios (OR) were adjusted for age, sex, education, living status and working status. RESULTS Overall, 52.2% (n = 133) of patients with ACS were in the low-income category and 47.8% (n = 122) were in the high-income category. One year after discharge, high-income patients had higher rates of smoking cessation (64.2 vs 30.1%, multivariate-adjusted odds ratio (OR) 3.82, 95% confidence interval (CI) 1.58–9.24) and blood pressure target achievement (78.6 vs 60.2%, multivariate-adjusted OR 2.19, 95% CI 1.09–4.41) compared to those in the low-income category. There were no differences regarding adherence to drugs or lipid control between the two income groups. CONCLUSION A high household income was associated with a higher rate of smoking cessation and better control of blood pressure one year after ACS, independently of education, living status and working status.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1424-3997
Relation: https://www.smw.ch/index.php/smw/article/view/2609; https://doaj.org/toc/1424-3997
DOI: 10.4414/smw.2019.20049
URL الوصول: https://doaj.org/article/99511e9abc4f4087b523ec211ca73005
رقم الانضمام: edsdoj.99511e9abc4f4087b523ec211ca73005
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14243997
DOI:10.4414/smw.2019.20049