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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
[Cardiovascular risk factors in the population at risk of poverty and social exclusión]
Carlos Álvarez-Fernández1, Manuel Vaquero-Abellán2, África Ruíz-Gandara3
1Departamento de Seguridad y Salud Laboral, Ayuntamiento de Córdoba, Córdoba, España.
Goals:
Detect if there are differences in prevalence, distribution of cardiovascular risk factors and risk according to REGICOR and SCORE's function; between people belonging to different occupational classes and population at risk of social exclusion.
Design:
Cross-sectional. SITE: Occupational health unit of the City Hall of Córdoba.
Participants:
Sample availability of 628 people, excluding 59 by age or incomplete data. The group of municipal workers was obtained randomly while all contracted exclusion risk was taken.
Intervention:
No preventive, diagnostic or therapeutic actions that modify the course of the previous situation of workers were applied.
Main Measurements:
Smoke, glucose, lipids, blood pressure and BMI as main variables. T-student were used for comparison of means and percentages for Chi2. Statistical significance attached to an alpha error <5% and confidence interval with a 95% security. Receiver operator curves (ROC) were employed to find out what explanatory variables predict group membership of workers at risk of exclusion.
Results:
Smoking (95% CI: -.224;-.443), hypercholesterolemia (95% CI: -.127;-.320), obesity (95% CI: -.005;-0.214), diabetes (95% CI: -.060;-.211) and cardiovascular risk were higher in men at risk of exclusion. In women there were differences in the same variables except smoking (P=.053).
Conclusions:
The existence of inequalities in prevalence of cardiovascular risk factors is checked. In a context of social crisis, health promotion and primary prevention programs directing to the most vulnerable, they are needed to mit.
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