Reference : Reversing social gradient: Impact of patients’ communication with their practitioners...
Scientific congresses, symposiums and conference proceedings : Paper published in a book
Human health sciences : Public health, health care sciences & services
Sustainable Development
Reversing social gradient: Impact of patients’ communication with their practitioners on adherence to preventive behaviours
[en] 264
Baumann, Michèle mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Bucki, Barbara [> >]
Tchicaya, Anastase [Luxembourg Institute of Socio-Economic Research - LISER]
Le Bihan, Etienne [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
"Health Psychology across the Lifespan: Uniting Research, Practice and Policy”
32nd Conference of the European Health Psychology Society
August 21th – August 25, 2018
[en] quality of communication ; patient-doctor ; secondary prevention ; financial situation ; reversing social gradiant ; cardiovascular disease
[en] Good communication with a physician has positive effects on the patients’ adopting preventive behaviours. Knowing social inequalities in health, we aimed at analysing in what extent financial situation influences the associations between quality of communication and improved secondary preventive behaviours and limited risk factors - in cardiovascular diseases: hypertension, overweight, obesity, hypercholesterolemia, diabetes.
Methods: 1,289 patients who underwent a coronary angiography in Luxembourg completed a self-administered questionnaire in 2008/09 and 2013/14. The association between improving each preventive eating behaviour (decrease of salt, sugar, fat consumption; increase of fruits/vegetables) and the quality of physician-patient communication (5-items scale) was evaluated using logistic regression models. Perceived financial situation (difficult, easy, and very easy) was introduced in interaction with the communication score.
Findings: Patients declared in a difficult or easy financial situation had a higher probability of decreasing their salt intake when physician-patient communication quality was higher (OR [95% CI] respectively: 1.139 [1.045; 1.240], 1.105 [1.032; 1.182]). The pattern was similar for increased consumption of fruits/vegetables in patients with hypertension, diabetes, overweight and hypercholesterolemia. Reduced sugar consumption was associated with communication quality in hypercholesterolemia patients in financial difficulty (OR [95% CI]: 1.095 [1.009; 1.189]).
Discussion: The quality of communication has a higher impact on adopting healthy behaviours in patients declaring themselves in financial difficulty. These findings raise awareness on the importance, in patients with perceived financial difficulties, of physician-patient quality to improve adherence to the secondary preventive recommendations. Across the lifespan, it highlights the role of physicians in reversing their patients’ social gradient.
Integrative Research Unit: Social and Individual Development (INSIDE) > PEARL Institute for Research on Socio-Economic Inequality (IRSEI)
University of Luxembourg - UL
F3R-INS-PFN-12MDYN > C12/BM/3978355: MDYNRFC > 01/03/2013 - 29/02/2016 > BAUMANN Michèle
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