miércoles, 22 de mayo de 2019

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

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.

Valero-Elizondo J1, Hong JC2, Spatz ES3, Salami JA4, Desai NR3, Rana JS5, Khera R6, Virani SS7, Blankstein R8, Blaha MJ9, Nasir K10.

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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.