Socioeconomic disparities in healthcare utilization for atherosclerotic cardiovascular disease Journal Article


Authors: Jain, B.; Singh Bajaj, S.; Paguio, J. A.; Yao, J. S.; Casipit, B. A.; Dee, E. C.; Bhatt, D. L.
Article Title: Socioeconomic disparities in healthcare utilization for atherosclerotic cardiovascular disease
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. © 2022 Elsevier Inc.
Keywords: adult; aged; major clinical study; letter; health care utilization; health insurance; education; atherosclerotic cardiovascular disease; medical specialist; cholesterol; glucose; blood pressure; general practitioner; coronary artery atherosclerosis; primary care; income; preventive medicine; poverty; health care survey; healthcare disparities; human; male; female; healthcare utilization; socioeconomic position; specialty care; economic inequality; national health interview survey; social inequality
Journal Title: American Heart Journal
Volume: 246
ISSN: 0002-8703
Publisher: Mosby Elsevier  
Date Published: 2022-04-01
Start Page: 161
End Page: 165
Language: English
DOI: 10.1016/j.ahj.2022.01.011
PUBMED: 35093303
PROVIDER: scopus
DOI/URL:
Notes: Letter -- Export Date: 1 March 2022 -- Source: Scopus
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  1. Edward Christopher Dee
    253 Dee