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Income disparity and incident cardiovascular disease in older Americans.

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Citation: Progress in Cardiovascular Diseases. 2021 Jul 25PMID: 34320387Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: Clinical Cardiac Electrophysiology Fellowship | Internal Medicine Residency | MedStar Georgetown University HospitalForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021 Local holdings: Available in print through MWHC library: 2004 - 2006ISSN:

0033-0620

Name of journal: Progress in cardiovascular diseasesAbstract: CONCLUSION: Among community-dwelling older Americans free of baseline CVD, an annual household income <METHODS: Of the 5795 Medicare-eligible community-dwelling older Americans aged 65-100 years in the Cardiovascular Health Study (CHS), 4518 (78%) were free of baseline CVD, defined as heart failure, acute myocardial infarction, stroke, or peripheral arterial disease. Of them, 1846 (41%) had lower income, defined as a total annual household income <OBJECTIVE: To examine the association between income and cardiovascular disease (CVD) in community-dwelling older adults.RESULTS: Matched participants (n = 2156) had a mean age of 73 years, 63% were women, and 13% African American. During an overall follow-up of 23 years, incident CVD, all-cause mortality and the combined endpoint of incident CVD or mortality occurred in 1094 (51%), 1726 (80%) and 1867 (87%) individuals, respectively. Compared with the higher income group, hazard ratio (HR) for time to the first occurrence of incident CVD in the lower income group was 1.16 with a 95% confidence interval (CI) of 1.03 to 1.31. A lower income was also associated with a significantly higher risk of all-cause mortality (HR, 1.19; 95% CI, 1.08-1.30), and consequently a higher risk of the combined endpoint of incident CVD or death (HR, 1.20; 95% CI, 1.09-1.31).All authors: Ahmed A, Ahmed AA, Alagiakrishnan K, Allman RM, Brar V, Deedwania P, Faselis C, Fonarow GC, Lam PH, Morgan CJ, Safren L, Sheikh FHFiscal year: FY2022 Digital Object Identifier:

https://dx.doi.org/10.1016/j.pcad.2021.07.010

Date added to catalog: 2021-11-01

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34320387	Available		34320387

Available in print through MWHC library: 2004 - 2006

CONCLUSION: Among community-dwelling older Americans free of baseline CVD, an annual household income < 6,000 is independently associated with significantly higher risks of new-onset CVD and death. Copyright (c) 2021. Published by Elsevier Inc.

METHODS: Of the 5795 Medicare-eligible community-dwelling older Americans aged 65-100 years in the Cardiovascular Health Study (CHS), 4518 (78%) were free of baseline CVD, defined as heart failure, acute myocardial infarction, stroke, or peripheral arterial disease. Of them, 1846 (41%) had lower income, defined as a total annual household income < 6,000. Using propensity scores for lower income, estimated for each of the 4518 participants, we assembled a matched cohort of 1078 pairs balanced on 42 baseline characteristics. Outcomes included centrally adjudicated incident CVD and mortality.

OBJECTIVE: To examine the association between income and cardiovascular disease (CVD) in community-dwelling older adults.

RESULTS: Matched participants (n = 2156) had a mean age of 73 years, 63% were women, and 13% African American. During an overall follow-up of 23 years, incident CVD, all-cause mortality and the combined endpoint of incident CVD or mortality occurred in 1094 (51%), 1726 (80%) and 1867 (87%) individuals, respectively. Compared with the higher income group, hazard ratio (HR) for time to the first occurrence of incident CVD in the lower income group was 1.16 with a 95% confidence interval (CI) of 1.03 to 1.31. A lower income was also associated with a significantly higher risk of all-cause mortality (HR, 1.19; 95% CI, 1.08-1.30), and consequently a higher risk of the combined endpoint of incident CVD or death (HR, 1.20; 95% CI, 1.09-1.31).

English