Income-related inequality in smoking cessation among adult patients with cardiovascular disease: a 5-year follow-up of an angiography intervention in Luxembourg

Tchicaya, Anastase; Lorentz, Nathalie; Demarest, Stefaan

doi:10.1186/s12872-017-0541-2

Cited by 3 publications

(3 citation statements)

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“…Similar to our results, one previous study among patients with ACS from the USA found that smokers with higher household incomes had substantially higher odds of quitting than low-income smokers, but the followup duration was limited to eight months [17]. Among patients undergoing percutaneous coronary intervention, a study from Luxembourg found that smoking cessation was also significantly associated with income, but less than 20% of these patients had ACS [18]. Consistent with these studies, we also found a lower rate of smoking cessation in the low-income group than in the high-income group among ACS patients.…”

Section: Original Articlesupporting

confidence: 88%

“…We found that one-year smoking cessation was more commonly achieved by patients in the high-income category than those in the low-income category, even after adjustment for socio-demographic variables. Previous studies performed in the general population have reported a consistent association between income and smoking cessation rates [17,18]. However, among patients with ACS, the specific role of income for smoking cessation has been studied less.…”

Section: Original Articlementioning

confidence: 99%

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

et al. 2019

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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.

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Section: Original Articlesupporting

confidence: 88%

Section: Original Articlementioning

confidence: 99%

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

et al. 2019

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“…However, differences in annual income did not significantly affect hypertension patients' attitudes to disease and medication management. Patients' attitudes may be related to symptoms of high blood pressure, their level of attention, and their use of medications, just like a Belgian study [31]. The influence of economic income on the attitude dimension of medication literacy may not be significant.…”

Section: Influence Of Level Of Income By Year On Medication Literacy mentioning

confidence: 96%

The status of medication literacy and associated factors of hypertensive patients in China: a cross-sectional study

Luo

Shen

et al. 2019

Intern Emerg Med

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The adverse consequence of low medication literacy is a major problem that threatens patients' health. The number of people with hypertension is increasing in China. We described the current situation of medication literacy of patients with hypertension in China and its related influencing factor. We conducted a cross-sectional study, which contains 590 hypertensive patients. Stratified sampling was adopted according to the hospital level in China. To determine the factors related to medication literacy, multiple linear regression analysis was used to determine associations between medication literacy of hypertensive patients and other factors. Among 590 respondents, results showed that they have poor medication literacy. Multiple linear regression analysis showed that level of education, annual income, occupation status, and type of medical insurance were significantly associated with medication literacy level of hypertensive patients. In addition, our study also demonstrates that we can identify the medication literacy level of hypertensive patients using the Chinese version Medication Literacy Scale for Hypertensive Patients. High medication literacy is an important factor for hypertensive patients to improve medication adherence, so as to better control blood pressure. We should pay attention to the improvement of medication literacy and take corresponding measures.

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Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile

Bacquer

Luitgaarden

Smedt

et al. 2020

Heart

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ObjectivePeople’s socioeconomic status (SES) has a major impact on the risk of atherosclerotic cardiovascular disease (ASCVD) in primary prevention. In patients with existing ASCVD these associations are less documented. Here, we evaluate to what extent SES is still associated with patients’ risk profile in secondary prevention.MethodsBased on results from a large sample of patients with coronary heart disease from the European Action on Secondary and Primary Prevention through Intervention to Reduce Events study, the relationship between SES and cardiovascular risk was examined. A SES summary score was empirically constructed from the patients’ educational level, self-perceived income, living situation and perception of loneliness.ResultsAnalyses are based on observations in 8261 patients with coronary heart disease from 27 countries. Multivariate logistic regression analyses demonstrate that a low SES is associated (OR, 95% CI) with lifestyles such as smoking in men (1.63, 1.37 to 1.95), physical activity in men (1.51, 1.28 to 1.78) and women (1.77, 1.32 to 2.37) and obesity in men 1.28 (1.11 to 1.49) and women 1.65 (1.30 to 2.10). Patients with a low SES have more raised blood pressure in men (1.24, 1.07 to 1.43) and women (1.31, 1.03 to 1.67), used less statins and were less adherent to them. Cardiac rehabilitation programmes were less advised and attended by patients with a low SES. Access to statins in middle-income countries was suboptimal leaving about 80% of patients not reaching the low-density lipoprotein cholesterol target of <1.8 mmol/L. Patients’ socioeconomic level was also strongly associated with markers of well-being.ConclusionThese results illustrate the complexity of the associations between SES, well-being and secondary prevention in patients with ASCVD. They emphasise the need for integrating innovative policies in programmes of cardiac rehabilitation and secondary prevention.

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Income-related inequality in smoking cessation among adult patients with cardiovascular disease: a 5-year follow-up of an angiography intervention in Luxembourg

Cited by 3 publications

References 30 publications

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

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

The status of medication literacy and associated factors of hypertensive patients in China: a cross-sectional study

Socioeconomic characteristics of patients with coronary heart disease in relation to their cardiovascular risk profile

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