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.
Original language | English |
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Pages (from-to) | 161-165 |
Number of pages | 5 |
Journal | American Heart Journal |
Volume | 246 |
DOIs | |
State | Published - Apr 2022 |
Externally published | Yes |
Keywords
- atherosclerotic cardiovascular disease
- health insurance
- healthcare disparities
- healthcare utilization
- preventive medicine
- primary care
- socioeconomic position
- specialty care