High inequalities associated with socioeconomic deprivation in cardiovascular disease burden and antihypertensive medication in Hungary

Klára Boruzs, A. Juhász, Csilla Nagy, Z. Szabó, Mihajlo Jakovljevic, Klára Bíró, R. Ádány

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The wide life expectancy gap between the old and new member states of the European Union is most strongly related to the high rate of premature mortality caused by cardiovascular diseases (CVDs). To learn more about the background of this gap, the relationship of socioeconomic status (SES) with CVD mortality, morbidity and the utilization of antihypertensive drugs was studied in Hungary, a Central-Eastern European country with an extremely high relative risk of premature CVD mortality. Risk analysis capabilities were used to estimate the relationships between SES, which was characterized by tertiles of a multidimensional composite indicator (the deprivation index) and CVD burden (mortality and morbidity) as well as the antihypertensive medications at the district level in Hungary. The excess risks caused by premature mortality from CVDs showed a strong correlation with deprivation using the Rapid Inquiry Facility. The distribution of prevalence values related to these diseases was found to be similar, but in the areas of highest deprivation, where the prevalence of chronic ischaemic heart diseases and cerebrovascular diseases was found to be higher than the national average by 30 and 20%, the prevalence of hypertension exceeded the national average by only 4%. A linear association between the relative frequency of prescriptions/redemptions and deprivation for most antihypertensive drugs, except angiotensinogen receptor blockers, was shown. More intense screening for hypertension is proposed to improve the control of CVDs in countries affected by high disease burden.

Original languageEnglish
Article number839
JournalFrontiers in Pharmacology
Volume9
Issue numberAUG
DOIs
Publication statusPublished - Aug 3 2018

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Hungary
Antihypertensive Agents
Cardiovascular Diseases
Premature Mortality
Social Class
Mortality
Hypertension
Morbidity
Cerebrovascular Disorders
Angiotensinogen
European Union
Life Expectancy
Myocardial Ischemia
Prescriptions

Keywords

  • Antihypertensive drugs
  • Cardiovascular mortality
  • Deprivation
  • Prescription
  • Primary care
  • Primary non-compliance
  • Redemption

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)

Cite this

High inequalities associated with socioeconomic deprivation in cardiovascular disease burden and antihypertensive medication in Hungary. / Boruzs, Klára; Juhász, A.; Nagy, Csilla; Szabó, Z.; Jakovljevic, Mihajlo; Bíró, Klára; Ádány, R.

In: Frontiers in Pharmacology, Vol. 9, No. AUG, 839, 03.08.2018.

Research output: Contribution to journalArticle

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