Articles

Socioeconomic Disparities in Healthcare Utilization for Atherosclerotic Cardiovascular Disease

Jain B, Bajaj SS, Paguio JA, et al.

Journal: 

Am Heart J

First published: January 27, 2022  DOI: 10.1016/j.ahj.2022.01.011

Abstract

Background

The impact of the social determinants of health on healthcare utilization for patients with atherosclerotic cardiovascular disease (ASCVD) remains incompletely characterized.

Methods

We queried the National Health Interview Survey from 2000-2018 to examine disparities in healthcare utilization metrics by education, income-to-poverty ratio, and health insurance coverage for adults with self-reported ASCVD.

Results

We show that, while education and income-to-poverty ratios demonstrated significant disparities for provider visits and preventive screenings, the largest disparities were noted for health insurance coverage.

Conclusions

These trends suggest that efforts to expand private or government insurance to improve coverage for patients with ASCVD may address healthcare utilization-based disparities.


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