Trends in self-reported prevalence and management of hypertension, hypercholesterolemia and diabetes in Swiss adults between 1992 and 2007

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Ressource 1Télécharger: BIB_09E7B755AB50.P001.pdf (218.25 [Ko])
Etat: Serval
Version: Après imprimatur
ID Serval
serval:BIB_09E7B755AB50
Type
Mémoire
Sous-type
(Mémoire de) maîtrise (master)
Collection
Publications
Titre
Trends in self-reported prevalence and management of hypertension, hypercholesterolemia and diabetes in Swiss adults between 1992 and 2007
Auteur(s)
Estoppey Daniel
Directeur(s)
Marques-Vidal Pedro Manuel
Institution
Université de Lausanne, Faculté de biologie et médecine
Adresse
Institut universitaire de médecine sociale et préventive (IUMSP), Biopôle 1, Route de la Corniche 2, CH-1066 Epalinges, Switzerland
Statut éditorial
Acceptée
Date de publication
2010
Langue
anglais
Nombre de pages
37
Résumé
PURPOSE: to assess the trends of prevalence of self-reported cardiovascular risk factors (CV RFs: hypertension, hypercholesterolemia, diabetes) and their management for the period of 1992 to 2007 in Switzerland.
METHODS: four health interview surveys conducted between 1992 and 2007 in representative samples of the Swiss population (63,782 subjects overall). Self-reported CV RFs prevalence, treatment and control levels were computed after weighting. Weights were calculated by raking ratio such that the marginal distribution of the weighted totals conforms to the marginal distribution of the target population. Multivariate analysis was conducted using logistic regression.
RESULTS: prevalence of all CV RFs increased between 1992 and 2007. Also, the prevalence of self-reported treatment among subjects with CV RFs increased, as confirmed by multivariate analysis: OR for hypolipidemic treatment relative to 1992: 0.64 [0.52-0.78]; 1.39 [1.18-1.65] and 2.00 [1.69-2.36] for 1997, 2002 and 2007, respectively. Still, in 2007, circa 40% of hypertensive, 60% of hypercholesterolemic and 50% of diabetic subjects weren't treated. On the other hand, there is an increase of the prevalence of controlled RFs as reported by treated subjects. This was confirmed by multivariate analysis 12.1 [12.0 - 12.2]; 4.16 [4.1 - 4.23] and 2.85 [2.79 - 2.90] for hypertension, hypercholesterolemia and diabetes, respectively, in 2007, relative to 1992.
CONCLUSION: the prevalence of self-reported hypertension, hypercholesterolemia and diabetes increased between 1992 and 2007 in the Swiss population. Despite a good control of treated subjects, still a significant percentage of subjects with CV RFs are not treated.
Mots-clé
Adult , Hypertension/epidemiology , Hypercholesterolemia/epidemiology , Diabetes Mellitus/epidemiology , Self Report , Switzerland
Création de la notice
08/03/2011 15:46
Dernière modification de la notice
03/03/2018 13:32
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