Regular use of aspirin for cardiovascular disease prevention in Italy

Alessandra Lugo, Rosario Asciutto, Cristina Bosetti, Fabio Parazzini, Carlo La Vecchia, Silvano Gallus

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: Only a few European studies focused on aspirin use in the general population. We provide updated information on the prevalence and determinants of regular aspirin use for the prevention of cardiovascular disease (CVD) in the Italian adult population. Method: We used data from a survey conducted in Italy in 2013, on a sample of 3000 individuals, representative of the general Italian population aged ≥. 15. years. Results: Overall, 10.9% of Italians reported a regular use of aspirin, 11.2% of men and 10.5% of women. Aspirin use significantly increased with age. The highest prevalence of aspirin use was observed among the elderly (30.3%), ex-smokers (22.6%), and in individuals with a diagnosis of diabetes (52.0%), hypertension (42.6%) or hypercholesterolemia (38.6%). After adjustment for several covariates, no significant heterogeneity in aspirin use was observed according to education, body mass index, and physical activity. Only 1.2% of low CVD risk individuals regularly used aspirin versus 48.3% of individuals with high CVD risk. Conclusion: About 3.4. million high CVD risk Italians do not regularly use aspirin for primary or secondary prevention. Thus, more widespread preventive strategy is recommended for this population, once individual benefits of regular aspirin use exceed harms.

Original languageEnglish
Pages (from-to)48-51
Number of pages4
JournalPreventive Medicine
Volume63
DOIs
Publication statusPublished - 2014

Fingerprint

Italy
Aspirin
Cardiovascular Diseases
Population
Primary Prevention
Secondary Prevention
Hypercholesterolemia
Body Mass Index
Exercise
Hypertension
Education

Keywords

  • Aspirin
  • Cardiovascular risk
  • Diabetes
  • Hypercholesterolemia
  • Hypertension
  • Italy
  • Prevention

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Regular use of aspirin for cardiovascular disease prevention in Italy. / Lugo, Alessandra; Asciutto, Rosario; Bosetti, Cristina; Parazzini, Fabio; La Vecchia, Carlo; Gallus, Silvano.

In: Preventive Medicine, Vol. 63, 2014, p. 48-51.

Research output: Contribution to journalArticle

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abstract = "Objective: Only a few European studies focused on aspirin use in the general population. We provide updated information on the prevalence and determinants of regular aspirin use for the prevention of cardiovascular disease (CVD) in the Italian adult population. Method: We used data from a survey conducted in Italy in 2013, on a sample of 3000 individuals, representative of the general Italian population aged ≥. 15. years. Results: Overall, 10.9{\%} of Italians reported a regular use of aspirin, 11.2{\%} of men and 10.5{\%} of women. Aspirin use significantly increased with age. The highest prevalence of aspirin use was observed among the elderly (30.3{\%}), ex-smokers (22.6{\%}), and in individuals with a diagnosis of diabetes (52.0{\%}), hypertension (42.6{\%}) or hypercholesterolemia (38.6{\%}). After adjustment for several covariates, no significant heterogeneity in aspirin use was observed according to education, body mass index, and physical activity. Only 1.2{\%} of low CVD risk individuals regularly used aspirin versus 48.3{\%} of individuals with high CVD risk. Conclusion: About 3.4. million high CVD risk Italians do not regularly use aspirin for primary or secondary prevention. Thus, more widespread preventive strategy is recommended for this population, once individual benefits of regular aspirin use exceed harms.",
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