Socioeconomic disparities in healthcare utilization for atherosclerotic cardiovascular disease

Bhav Jain, Simar Singh Bajaj, Joseph Alexander Paguio, Jasper Seth Yao, Bruce A. Casipit, Edward Christopher Dee, Deepak L. Bhatt

Research output: Contribution to journalLetterpeer-review

2 Scopus citations

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 languageEnglish
Pages (from-to)161-165
Number of pages5
JournalAmerican Heart Journal
Volume246
DOIs
StatePublished - Apr 2022
Externally publishedYes

Keywords

  • atherosclerotic cardiovascular disease
  • health insurance
  • healthcare disparities
  • healthcare utilization
  • preventive medicine
  • primary care
  • socioeconomic position
  • specialty care

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