Regional differences in self-reported screening, prevalence and management of cardiovascular risk factors in Switzerland.

Details

Ressource 1Download: BIB_EB2C4736AB4E.P001.pdf (282.79 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_EB2C4736AB4E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Regional differences in self-reported screening, prevalence and management of cardiovascular risk factors in Switzerland.
Journal
BMC public health
Author(s)
Marques-Vidal P., Paccaud F.
ISSN
1471-2458 (Electronic)
ISSN-L
1471-2458
Publication state
Published
Issued date
28/03/2012
Peer-reviewed
Oui
Volume
12
Pages
246
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
In Switzerland, health policies are decided at the local level, but little is known regarding their impact on the screening and management of cardiovascular risk factors (CVRFs). We thus aimed at assessing geographical levels of CVRFs in Switzerland.
Swiss Health Survey for 2007 (N = 17,879). Seven administrative regions were defined: West (Leman), West-Central (Mittelland), Zurich, South (Ticino), North-West, East and Central Switzerland. Obesity, smoking, hypertension, dyslipidemia and diabetes prevalence, treatment and screening within the last 12 months were assessed by interview.
After multivariate adjustment for age, gender, educational level, marital status and Swiss citizenship, no significant differences were found between regions regarding prevalence of obesity or current smoking. Similarly, no differences were found regarding hypertension screening and prevalence. Two thirds of subjects who had been told they had high blood pressure were treated, the lowest treatment rates being found in East Switzerland: odds-ratio and [95% confidence interval] 0.65 [0.50-0.85]. Screening for hypercholesterolemia was more frequently reported in French (Leman) and Italian (Ticino) speaking regions. Four out of ten participants who had been told they had high cholesterol levels were treated and the lowest treatment rates were found in German-speaking regions. Screening for diabetes was higher in Ticino (1.24 [1.09 - 1.42]). Six out of ten participants who had been told they had diabetes were treated, the lowest treatment rates were found for German-speaking regions.
In Switzerland, cardiovascular risk factor screening and management differ between regions and these differences cannot be accounted for by differences in populations' characteristics. Management of most cardiovascular risk factors could be improved.

Keywords
Adult, Aged, Cardiovascular Diseases/diagnosis, Cardiovascular Diseases/epidemiology, Cardiovascular Diseases/prevention & control, Cross-Sectional Studies, Diabetes Mellitus/epidemiology, Dyslipidemias/epidemiology, Educational Status, Female, Humans, Hypertension/epidemiology, Male, Marital Status, Mass Screening/psychology, Mass Screening/utilization, Middle Aged, Multivariate Analysis, Obesity/epidemiology, Population Surveillance, Prevalence, Residence Characteristics, Risk Factors, Self Report, Smoking/epidemiology, Social Class, Switzerland/epidemiology, Transients and Migrants/statistics & numerical data
Pubmed
Web of science
Open Access
Yes
Create date
29/03/2012 13:30
Last modification date
20/08/2019 16:13
Usage data