Regional disparities in cardiovascular risk factors in France: A five- year analysis of the GAZEL cohort

被引：18

作者：

Tran P.D. ^{[1
,2
]}

Leclerc A. ^{[1
]}

Chastang J.F. ^{[1
]}

Goldberg M. ^{[1
]}

机构：

[1] INSERM U 88, Hop. National de Saint-Maurice

[2] INSERM U 88, Hop. National de Saint-Maurice, 94415 Saint-Maurice, Cedex

来源：

European Journal of Epidemiology | 1998年 / 14卷 / 6期

关键词：

High lipids; Hypertension; Obesity; Prevalence; Region;

D O I：

10.1023/A:1007437517370

中图分类号：

学科分类号：

摘要：

Objectives: the study was set up to explore regional disparities in France in the annual prevalence of cardiovascular risk factors (hypertension, high lipids, obesity, diabetes and tobacco consumption) and protective factors (alcohol intake) in members of the GAZEL Cohort and to determine which, if any, risk factors followed the same north-south gradient as the one known for cardiovascular mortality. Methods: the population studied comprised 18,070 subjects aged from 35 to 50 years, employed by the French national gas and electricity company. Every year from 1989 to 1993 they received a self- administered questionnaire by mail. From the replies, differences in risk factor prevalence were evaluated by an odds ratio adjusted for sex and age, using a marginal model. Results: a regional effect was found (p < 0.001) for arterial hypertension, with high odds ratios in northern France and low ratios in the south east, for high lipids, with high odds ratios in Champagne, the Loire region and Upper Normandy and low ratios in the south east and the Paris area, and for obesity, with high odds ratios in the north and north east and low ratios in the south, south east and west. Conclusion: these results show a gradient between the north and south east for hypertension, obesity, and to a lesser degree high lipids. This gradient corresponds to the known regional disparities for cardiovascular mortality.

引用

页码：535 / 543

页数：8

共 40 条

[1]

Myocardial infarction and coronary deaths in the World Health Organization MONICA Project (registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents), Circulation, 90, pp. 583-612, (1994)

[2]

Risk factors, Int J Epidemiol, 18, 1 SUPPL., (1989)

[3]

Ducimetiere P., Richard J.L., Dietary lipids and coronary heart disease: Is there a French paradox?, Nutr Metab Cardiovasc Dis, 2, pp. 195-201, (1992)

[4]

Michel E., Disparités régionales de la mortalité en France. Situation en 1990, Solidarité Santé - Etudes Statistiques, 1, pp. 77-91, (1993)

[5]

Douste-Blazy Ph., Ruidavets J.B., Arvciller D., Et al., Facteurs de risque cardiovasculaire dans la population de deux régions couvertes par les registres MONICA-FRANCE: Strasbourg et Toulouse, Rev Epidémiol Santé Publique, 36, pp. 342-349, (1988)

[6]

Simon C., Nuttens M.C., Ruidavets J.B., Et al., Blood pressure and dietary intake in a French population sample from three regions, Rev Epidémiol Santé Publique, 38, pp. 531-538, (1990)

[7]

Mesbah M., Chwalow A.J., Balkau B., Costagliola D., Et al., Prevalence of non-insulin dependent diabetes as perceived by general practitioners in France, Rev Epidémiol Santé Publique, 43, pp. 225-230, (1995)

[8]

Goldberg M., Leclerc A., Chastang J.F., Et al., Mise en place d'une cohorte épidémiologique à Electricité de France-Gaz de France. Recrutement des volontaires, Rev Epidémiol Santé Publique, 38, pp. 265-368, (1990)

[9]

Goldberg M., Leclerc A., Chastang J.F., Et al., Mise en place d'une cohorte épidémiologique à Electricité de France-Gaz de France. Principales caractéristiques de l'échantillon, Rev Epidémiol Santé Publique, 38, pp. 378-380, (1990)

[10]

Dang Tran P., Leclerc A., Chastang J.F., Et al., Prévalence des problèmes de santé dans la cohorte Gazel(EDF-GDF): Répartition et disparités regionales, Rev Epidémiol Santé Publique, 42, pp. 285-300, (1994)

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