Low use of statins for secondary prevention in primary care: a survey in a northern Swedish population

BMC Primary Care

Table 3 Statin treatment prior to first-time myocardial infarction according to patient and primary care clinic characteristics (n = 928)

Characteristics	Treatment with statins	p
Patient characteristics
Female gender	57/344 (16.6 %)	0.630
Male gender	104/584 (17.8 %)	0.630
Age <70 years	67/433 (15.5 %)	0.158
Age ≥70 years	94/495 (19.0 %)	0.158
Manual workers	95/528 (18.0 %)	0.626
Non-manual employees and self-employed	58/347 (16.7 %)	0.626
Prior cardiovascular disease (CVD)	57/165 (34.5 %)	<0.001
No prior CVD	104/763 (13.6 %)	<0.001
Diabetes, current diagnosis	84/171 (49.1 %)	<0.001
Diabetes not recorded	77/757 (10.2 %)	<0.001
SCORE <5 %	11/144 (7.6 %)	0.728
SCORE ≥5 % - <10 %	3/55 (5.5 %)
SCORE ≥10 %	0/15 (0.0 %)
Proportion of GP salaries paid to GPs working on short-term contracts
0–9 % (low short-term clinics)	48/351 (13.7 %)	0.047
10–39 % (medium)	54/255 (21.2 %)
≥ 40 % (high)	59/322 (18.3 %)

CVD is a composite of diagnoses including angina pectoris, prior revascularisation, ischaemic stroke/transitory ischaemic attack, or peripheral artery disease (PAD). PAD comprised leg artery disease, a stenosing lesion of the carotid or atherosclerotic aneurysm. Current diagnosis of diabetes includes diabetes of type 1 or type 2. SCORE: Systematic Coronary Risk Estimation, assessed in patients aged 40–65 years without prior CVD or diabetes. Three cases were missing data on statins and 53 on employment status

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