The report condemns the strong social inequalities in access to care – the Orange Act

Posted on Wednesday, September 21, 2022 at 10:45 am.

The prevalence of chronic diseases, the risk of abandoning treatment, the implementation of screening tests… Social inequalities are felt in the health system, the 2022 report on the health of the population in France, published on Wednesday, highlights.

Already from an early age, there are noticeable differences between children according to the socio-professional category of their parents: twice as many working children as children of managers are overweight in some large kindergartens, notes Dres.

If the prevalence of vision problems is the same, the children of workers are less likely to wear glasses than the children of executives (31% versus 37%), according to a report by the Statistical Service of the Ministries of Social Affairs.

Over the course of a lifetime, the risk of developing a chronic disease, with the exception of some cancers, is higher for the poorest than for the richest.

The poorest 10% of French people thus develop diabetes 2.8 times more often than the richest 10%. The risk of developing chronic liver or pancreatic disease is also 2.4 times higher among the poorest compared to the richest, and twice as high for psychiatric illness.

Only the case of cancer stands out: it would occur “slightly less often in people with the most modest standard of living”. Affluent people “are often looked after for prostate and breast cancer” and modest people for lung cancer, the Drees note.

However, this can be explained by lower uptake of screening tests: in 2019, women aged 50 to 74 who had never had a mammogram were 24% among the wealthiest, compared to 39% among the least confident.

Waiver of care also affects the most modest, highlighted by medical deserts in certain territories. For DREES, these differences can be partially explained by “lifestyles that vary according to social background.”

Among the most modest, the diet includes less fruits and vegetables, with greater obesity, the statistical service also notes.

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