ObjectiveTo investigate the extent to which the socioeconomic status of Cypriots is associated with the lifetime prevalence of self-reported non-communicable disease (NCDs), with emphasis on those accounting for most Death and Disability-adjusted Life Years (DALYs) among the population, including cardiovascular disease (CVD), metabolic risks and neuropsychiatric disorders.DesignA nationally based survey conducted through personal interviews, using a structured questionnaire design.SettingCyprus rural and urban areas (excluding Turkish-occupied areas).ParticipantsFour hundred and sixty-five Cypriot adults of an average age of 53 years.Main outcome measuresLifetime prevalence of self-reported NCDs.ResultsMost self-reported NCDs were shown to have significant associations with socioeconomic status, defined for this study by level of education and family income. Education was significantly inversely associated with CVD (18.1% at elementary education level (EE); 2.7% at high school education level (HE); and 1.7% at University/College education level (UE)), hypertension (23.4% at EE; 8.6% at HE; and 2.6% at UE), hypercholesterolaemia (12.8% at EE; 7.1% at HE; and 5.2% at UE), obesity (10.7% at EE; 4.7% at HE; and 3.5% at UE), diabetes (13.8% at EE; 2.4% at HE; and 0.9% at UE), and drug addiction (7.6% at EE; 1.6% at HE; and 0.0% at UE). Depression was more frequent amongst middle level graduates (3.2% at EE; 5.1% at HE; and 2.6% at UE). Income was significantly negatively associated with CVD (r = −0.130, p = 0.005), stress (r = −0.103, p = 0.028) and drug addiction (r = −0.117, p = 0.012), and significantly positively associated with the ‘no problems’ statement (r = 0.201, p = 0.000) which was reported by almost two fifths of the population. Worth noting is stress which, demonstrating no socioeconomic discrimination, was reported by high percentages of the population (17.2% of the sample).ConclusionsAlthough with some limitations, this study has provided initial evidence for the existence of socioeconomically determined health inequalities, which may have potentially important implications for understanding the deeper aetiology of common NCDs and for informing public policies. More research in this area is required to reveal the magnitude of NCDS–socioeconomic relation.

ObjectiveThis study aims to investigate the prevalence of multimorbidity in Cyprus and the extent to which citizens are satisfied with the currently provided healthcare and to provide recommendations on the basis of findings.DesignA nationally based survey conducted through personal interviews, using a structured questionnaire designed for this survey.SettingCyprus rural and urban areas (excluding Turkish occupied areas).ParticipantsFour hundred and sixty-five Cypriot adults, average age 53 years.Main outcome measuresLifetime prevalence of self-reported non-communicable diseases.ResultsThis study demonstrated initial evidence for a high prevalence of non-age specific multimorbidity among Cypriots and dissatisfaction with their doctors, especially for the time allocated to discuss their general state of health. Recommendations focus on a new cost-effective, person-centred model of healthcare. The model prioritizes prevention rather than treatment, targeting the determinants of complexity before their influences create conditions that demand high-cost interventions, and it is based on three fundamental principles: (1) tackling health as a political issue, (2) empowering the patient and (3) introducing Applied Nutrition in the system.ConclusionsThis study threw light into the issue of patient complexity and revealed unmet people’s needs and expectations for a more person-centred care, providing a first challenge to the single disease-based system of healthcare in Cyprus. The findings of the study may have important implications for government policies and highlight the need for more research in this area to inform policy makers, particularly in view of the fact that a new Health System is currently being designed.