Prevalence and functional status of ischemic heart disease and heart failure in the adult population in France: findings from the “Handicap-Santé” self-report surveys
Introduction: Ischemic heart disease (IHD) and heart failure (HF) are common and serious chronic conditions. The objectives of this study are to estimate the "reported" prevalence of a history of IHD and HF in the French adult population based on the "Handicap-Santé" surveys and to describe activity limitations and social participation restrictions, as well as the quality of life of people with these conditions. Methods: "Handicap-Santé" is a system of self-reported surveys conducted via face-to-face interviews comprising a household component (HSM, conducted in 2008) and an institutional component (HSI, in 2009); 29,931 people were interviewed for HSM and 9,104 for HSI. The data were age-standardized to describe activity and social participation restrictions among adults with a history of CPI (but without IC) and those with IC. Results: The reported prevalence of CPI is 3.7% overall in the adult population, and that of IC is 2.3%. Patients’ quality of life is impaired, with a more marked reduction in the average physical score for HF than for PCI. In the population reporting PCI but not HF, 35.2% reported being “severely limited due to a health problem,” while this proportion was 50.0% for those with HF. Among the basic activities of daily living, difficulties with personal hygiene and dressing were reported most frequently, but with a higher frequency among those with HF. Among those aged 25 to 60, the impact on employment is significant: the employment rate, which was 78% in the population without CPI or IC, was limited to 56.6% for those with CPI but no IC and to 38.8% for those with IC. Discussion-Conclusion: This study describes the significant functional impact of these conditions. Its main limitation stems from the self-reported nature of data collection in the HSM-HSI surveys. Furthermore, while the survey allows for the study of associations between conditions and restrictions on activity or social participation, it does not allow for conclusions regarding causality. (R.A.)
Author(s): de Peretti C, Perel C, Tuppin P, Iliou MC, Juilliere Y, Gabet A, Olie V, Danet S, Danchin N
Publishing year: 2014
Pages: 172-81
Weekly Epidemiological Bulletin, 2014, n° 9-10, p. 172-81
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