Article Text

other Versions

PDF
Original article
Cross-sectional analysis of deprivation and ideal cardiovascular health in the Paris Prospective Study 3
  1. J P Empana1,2,
  2. M C Perier1,2,
  3. A Singh-Manoux3,4,
  4. B Gaye1,2,
  5. F Thomas5,
  6. C Prugger6,
  7. M Plichart1,2,7,
  8. E Wiernik3,4,
  9. C Guibout1,2,
  10. C Lemogne2,8,9,
  11. B Pannier5,
  12. P Boutouyrie1,2,10,
  13. X Jouven1,2,11
  1. 1Department of Epidemiology, INSERM, UMR-S970, Paris Cardiovascular Research Center, Paris, France
  2. 2Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France
  3. 3INSERM, U1018, Epidemiology of Ageing and Age Related Diseases, Villejuif, France
  4. 4Université Paris-Saclay, Univ. Paris-Sud, UVSQ, France
  5. 5Preventive and Clinical Investigation Center, Paris, France
  6. 6Institute of Public Health, Charité University Medicine Berlin, Berlin, Germany
  7. 7Department of Geriatry, APHP, Hopital Broca, Paris, France
  8. 8Psychiatry Department, APHP, Georges Pompidou European Hospital, Paris, France
  9. 9INSERM, Centre for Psychiatry and Neuroscience, Paris, France
  10. 10Pharmacology Departments, APHP, Georges Pompidou European Hospital, Paris, France
  11. 11Cardiology Department, APHP, Georges Pompidou European Hospital, Paris, France
  1. Correspondence to Dr J P Empana; INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 Rue Leblanc Paris 75015, France; jean-philippe.empana{at}inserm.fr

Abstract

Aims We hypothesised that deprivation might represent a barrier to attain an ideal cardiovascular health (CVH) as defined by the American Heart Association (AHA).

Methods and results The baseline data of 8916 participants of the Paris Prospective Study 3, an observational cohort on novel markers for future cardiovascular disease, were used. The AHA 7-item tool includes four health behaviours (smoking, body weight, physical activity and optimal diet) and three biological measures (blood cholesterol, blood glucose and blood pressure). A validated 11-item score of individual material and psychosocial deprivation, the Evaluation de la Précarité et des Inégalités dans les Centres d'Examens de Santé—Evaluation of Deprivation and Inequalities in Health Examination centres (EPICES) score was used. The mean age was 59.5 years (standard deviation 6.2), 61.2% were men and 9.98% had an ideal CVH. In sex-specific multivariable polytomous logistic regression, the odds ratio (OR) for ideal behavioural CVH progressively decreased with quartile of increasing deprivation, from 0.54 (95% CI 0.41 to 0.72) to 0.49 (0.37 to 0.65) in women and from 0.61 (0.50 to 0.76) to 0.57 (0.46 to 0.71) in men. Associations with ideal biological CVH were confined to the most deprived women (OR=0.60; 95% CI 0.37 to 0.99), whereas in men, greater deprivation was related to higher OR of intermediate biological CVH (OR=1.28; 95% CI 1.05 to 1.57 for the third quartile vs the first quartile).

Conclusions Higher material and psychosocial deprivation may represent a barrier to reach an ideal CVH.

Trial registration number NCT00741728.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.