Persistent socioeconomic disparities in cardiovascular risk factors and health in the United States: Medical Expenditure Panel Survey 2002-2013

doi:10.1016/j.atherosclerosis.2017.12.014

. 2018 Feb:269:301-305.

doi: 10.1016/j.atherosclerosis.2017.12.014. Epub 2017 Dec 8.

Persistent socioeconomic disparities in cardiovascular risk factors and health in the United States: Medical Expenditure Panel Survey 2002-2013

Affiliations

¹ Tecnologico de Monterrey, Catedra de Cardiología y Medicina Vascular, Nuevo Leon, Mexico; Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA.
² Division of Cardiac Surgery, University of British Columbia, Vancouver, BC, Canada.
³ Center for Outcomes Research and Evaluation, Yale New Haven Hospital, Yale University, New Haven, CT, USA.
⁴ Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA.
⁵ Division of Cardiology and Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
⁶ Division of Cardiology, UT Southwestern Medical Center, Dallas, TX, USA.
⁷ Michael E. DeBakey VA Medical Center & Section of Cardiovascular Research, Baylor College of Medicine, Houston, TX, USA.
⁸ Cardiovascular Imaging Program, Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Boston, MA, USA.
⁹ The Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, MD, USA.
¹⁰ Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA; The Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, MD, USA; Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL, USA; Department of Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA; Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, FL, USA. Electronic address: KhurramN@baptisthealth.net.

PMID: 29254694
DOI: 10.1016/j.atherosclerosis.2017.12.014

Persistent socioeconomic disparities in cardiovascular risk factors and health in the United States: Medical Expenditure Panel Survey 2002-2013

Javier Valero-Elizondo et al. Atherosclerosis. 2018 Feb.

. 2018 Feb:269:301-305.

doi: 10.1016/j.atherosclerosis.2017.12.014. Epub 2017 Dec 8.

Authors

Affiliations

¹ Tecnologico de Monterrey, Catedra de Cardiología y Medicina Vascular, Nuevo Leon, Mexico; Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA.
² Division of Cardiac Surgery, University of British Columbia, Vancouver, BC, Canada.
³ Center for Outcomes Research and Evaluation, Yale New Haven Hospital, Yale University, New Haven, CT, USA.
⁴ Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA.
⁵ Division of Cardiology and Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
⁶ Division of Cardiology, UT Southwestern Medical Center, Dallas, TX, USA.
⁷ Michael E. DeBakey VA Medical Center & Section of Cardiovascular Research, Baylor College of Medicine, Houston, TX, USA.
⁸ Cardiovascular Imaging Program, Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Boston, MA, USA.
⁹ The Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, MD, USA.
¹⁰ Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA; The Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, MD, USA; Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL, USA; Department of Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA; Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, FL, USA. Electronic address: KhurramN@baptisthealth.net.

PMID: 29254694
DOI: 10.1016/j.atherosclerosis.2017.12.014

Abstract

Background and aims: Socioeconomic status (SES) has been linked to worse cardiovascular risk factor (CRF) profiles and higher rates of cardiovascular disease (CVD), with an especially high burden of disease for low-income groups. We aimed to describe the trends in prevalence of CRFs among US adults by SES from 2002 to 2013.

Methods: Data from the Medical Expenditure Panel Survey was analyzed. CRFs (obesity, diabetes, hypertension, physical inactivity, smoking and hypercholesterolemia), were ascertained by ICD-9-CM and/or self-report.

Results: The proportion of individuals with obesity, diabetes and hypertension increased overall, with low-income groups representing a higher prevalence for each CRF. Of note, physical inactivity had the highest prevalence increase, with the "lowest-income" group observing a relative percent increase of 71.1%.

Conclusions: Disparities in CRF burden continue to increase, across SES groups. Strategies to potentially eliminate the persistent health disparities gap may include a shift to greater coverage for prevention, and efforts to engage in healthy lifestyle behaviors.

Keywords: Cardiovascular disease; Epidemiology; Health disparities; Risk factors.

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Persistent socioeconomic disparities in cardiovascular risk factors and health in the United States: Medical Expenditure Panel Survey 2002-2013

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Persistent socioeconomic disparities in cardiovascular risk factors and health in the United States: Medical Expenditure Panel Survey 2002-2013

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