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<publisher>HAL CCSD</publisher>
<title lang=en>Hypertension and perceived material insecurity in a disadvantaged Caribbean population</title>
<creator>Carrère, Philippe</creator>
<creator>Atallah, André</creator>
<creator>Lang, Thierry</creator>
<creator>Lepage, Benoît</creator>
<creator>Inamo, Jocelyn</creator>
<contributor>Département de médecine générale ; Université des Antilles et de la Guyane (UAG)</contributor>
<contributor>Service de cardiologie ; Centre Hospitalier de la Basse Terre</contributor>
<contributor>Epidémiologie et anlyses en santé publique: risques, maladies chroniques et handicaps ; Université Paul Sabatier - Toulouse 3 (UPS) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Service d'épidémiologie [Toulouse] ; CHU Toulouse [Toulouse]</contributor>
<contributor>Service de cardiologie ; Hôpital La Meynard</contributor>
<description>International audience</description>
<source>ISSN: 0003-3928</source>
<source>EISSN: 1768-3181</source>
<source>Annales de Cardiologie et d'Angéiologie</source>
<publisher>Elsevier Masson</publisher>
<identifier>hal-00739792</identifier>
<identifier>https://hal.univ-antilles.fr/hal-00739792</identifier>
<identifier>https://hal.univ-antilles.fr/hal-00739792/document</identifier>
<identifier>https://hal.univ-antilles.fr/hal-00739792/file/HTA_et_precarite_percue_en_guadeloupe_-_Copie.pdf</identifier>
<source>https://hal.univ-antilles.fr/hal-00739792</source>
<source>Annales de Cardiologie et d'Angéiologie, Elsevier Masson, 2012, 61 (3), pp.134-9. 〈10.1016/j.ancard.2012.04.023〉</source>
<identifier>DOI : 10.1016/j.ancard.2012.04.023</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ancard.2012.04.023</relation>
<identifier>PUBMED : 22681983</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/22681983</relation>
<language>fr</language>
<subject lang=en>Hypertension</subject>
<subject lang=en>Cardiovascular</subject>
<subject lang=en>Psychosocial</subject>
<subject lang=en>Risk behaviors</subject>
<subject lang=en>Financial insecurity</subject>
<subject lang=en>Socioeconomic</subject>
<subject lang=en>Age</subject>
<subject lang=en>Adult</subject>
<subject lang=en>Disadvantage</subject>
<subject lang=en>Unemployed</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>OBJECTIVE: To assess the relationship between hypertension and perceived material insecurity in a disadvantaged Caribbean population. PATIENTS AND METHODS: We used data from a cross-sectional study involving 2420 disadvantaged subjects aged 18-69 years, included consecutively at three Guadeloupian health centers. Hypertension was diagnosed over two consultations with a total of six blood pressure measurements. Perceived material insecurity was assessed using a closed-ended question. RESULTS: The prevalence of hypertension was estimated at 17.7% among subjects who believed their material situation would improve in the future, at 28.2% among those who believed it would remain the same, and at 43.3% among those who believed it would deteriorate. A multivariate logistic regression analysis showed that hypertension risk more than doubled (OR: 2.35 - P: 0.002) among subjects who believed that their material situation would deteriorate in the future compared to those who believed that their situation would improve, with no significant sex-related differences. This relationship was especially strong among subjects aged 40 years or more (OR: 3.30 - P<10(-3)), and among subjects with low education level (OR: 3.81 - P: 0.003), but was independent of the other tested variables. CONCLUSION: In this disadvantaged population, perceived material insecurity is a psychosocial factor strongly associated with hypertension, independently of subjects' risk behaviors. Subjects aged 40 years or more and subjects with a low education level seem the most vulnerable.</description>
<date>2012-06</date>
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