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Intérêt des données de remboursement de l’assurance-maladie pour l’étude des disparités territoriales de la prévalence de l’asthme : une étude en Provence-Alpes-Côte d’Azur

Abstract : Background.-Data on asthma prevalence at a small-area level would be useful to set up and monitor French local public health policies. This study, based on drug reimbursement databases in southeastern France, aimed to (1) compare asthma-like disorders prevalence estimated by using three different indicators; (2) study sociodemographic characteristics associated with these indicators; (3) verify whether these indicators are equivalent to study geographical disparities of the asthma-like disorders prevalence at a small-area level. Methods.-The study was conducted among the beneficiaries of the National Health Insurance Fund aged 18-44 years residing in southeastern France in 2010 (n = 1,371,816). Using data on asthma drugs reimbursements (therapeutic class R03), we built three indicators to assess asthma-like disorders prevalence: at least 1, 2 or 3 purchase(s) in 2010. We analyzed sociodemographic characteristics associated with these indicators, and their geographical disparities at a small-area level using multilevel logistic regression models. Results.-The crude asthma-like disorders prevalence varied between 2.6% and 8.4% depending on the indicator. It increased with age, was higher for women than for men, and among low-income people for all three indicators. We measured significant geographical disparities. Areas with high prevalence rates were the same regardless of the indicator. Conclusion.-The indicators built in this study can be useful to identify high prevalence areas. They could contribute to launch discussion on environmental health issues at the local level.
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https://www.hal.inserm.fr/inserm-03354139
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Submitted on : Friday, September 24, 2021 - 4:26:09 PM
Last modification on : Tuesday, October 19, 2021 - 10:51:00 PM

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A Bocquier, Y El-Haïk, M Jardin, S Cortaredona, S Nauleau, et al.. Intérêt des données de remboursement de l’assurance-maladie pour l’étude des disparités territoriales de la prévalence de l’asthme : une étude en Provence-Alpes-Côte d’Azur. Epidemiology and Public Health / Revue d'Epidémiologie et de Santé Publique, Elsevier Masson, 2015, 63 (3), pp.155 - 162. ⟨10.1016/j.respe.2015.03.122⟩. ⟨inserm-03354139⟩

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