Déterminants sociaux de la santé cardiovasculaire chez les femmes oranaises (Etude ISOR)

Houti, Leila; Hamani-medjaoui, Imane; Ouhaibi-djellouli, Hadjira; Lardjam-hetraf, Sarah-aicha

Journal de la Faculté de Médecine
Volume 1, Numéro 2, Pages 169-175
2017-09-30

Déterminants Sociaux De La Santé Cardiovasculaire Chez Les Femmes Oranaises (etude Isor)

Auteurs : Houti Leila . Hamani-medjaoui Imane . Ouhaibi-djellouli Hadjira . Lardjam-hetraf Sarah-aicha .

Résumé

Abstract Introduction - Cardiovascular diseases, which are related to changes in lifestyle, are the leading cause of death in the world. At the same time, it appears that these diseases are associated with socio-cultural determinants and there are risk gradients depending on the socio-economic level. On the other hand, the risk is unequal in both genders. The objective of this study is to evaluate the cardiovascular health among women in Oran. Patients and methods - A cross-sectional study was carried out between 2007 and 2009, on a sample of 787 subjects, including 409 women, aged 30-64 years. The subjects, randomly selected from the list of insured persons residing in Oran city, participated in a clinical, anthropometric and biological survey. Cardiovascular health was assessed on the following risk factors: body and abdominal obesity, diabetes, high blood pressure, increased blood fats and metabolic syndrome defined according to the NCEP-ATPIII criteria. Results - It appears that 44% of women are uneducated or of primary level and 62% are unemployed. A total of 79% had low or no daily physical activity, 32.5% were obese, 19.6% were hypertensive, and 9.7% had diabetes. Finally, it appears also that 30% of women are at risk of cardiovascular disease. This risk is increased two fold higher in unemployed women. Women with a high level of education (academic or professional) are better protected than women with low level of education . Conclusion - Notwithstanding the general preventive actions on physical activity and balanced diet, it becomes clear that promoting women’s status through education and access to employment will help to improve their health.