Association of income and educational attainment in hospitalization events in atrial fibrillation

Tertulien, Tarryn; Chen, Yimin; Althouse, Andrew D.; Essien, Utibe R.; Johnson, Amber; Magnani, Jared W.

doi:10.1016/j.ajpc.2021.100201

Cited by 18 publications

(13 citation statements)

References 46 publications

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“…34 In addition, our study found higher risk of nonelective hospitalizations for men reliant on a government pension solely (a relatively low level of income), which is in line with a retrospective cohort study among patients 65 years or older in the Netherlands 11 and a study among 339 US adults with a mean age of 72.3 years focusing on any hospitalization. 35 Regarding cause-specific nonelective hospitalization, we found an association between sources of income and nonelective hospitalization due to respiratory conditions, which is in agreement with previous studies on any cause-specific hospitalizations in Europe. 10,36 We also found a tendency toward a higher risk of nonelective hospitalization because of respiratory diseases among those with a low educational level which agrees with results from other studies on any hospitalizations.…”

Section: Current Findings In Context Of Other Evidencesupporting

confidence: 92%

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

et al. 2022

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Section: Current Findings In Context Of Other Evidencesupporting

confidence: 92%

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

et al. 2022

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“…Social factors, in particular education and income, influence the incidence, management, and outcomes of cardiovascular diseases, including AF. [15] , [16] , [17] , [18] , [19] Mou et al. have examined the lifetime risk for developing AF according to income and education in the Atherosclerosis Risk in Community (ARIC) study.…”

Section: Introductionmentioning

confidence: 99%

The association of education and household income with the lifetime risk of incident atrial fibrillation: The Framingham Heart study

Ataklte

Huang

Kornej

et al. 2022

American Journal of Preventive Cardiology

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“…Further, social risk factors such as income level and educational attainment may contribute to racial and ethnic disparities in cardiovascular care. 12 , 13 As social risk factors contribute to health outcomes, understanding how they modify procedural use is likewise a priority for developing appropriate strategies to address racial disparities. 14 , 15 , 16 , 17 Social risk factors, such as income, education, and neighborhood socioeconomic status, have been shown to modify racial differences in cardiovascular risk and disease.…”

mentioning

confidence: 99%

Association of Race and Ethnicity on the Management of Acute Non−ST‐Segment Elevation Myocardial Infarction

Tertulien

Broughton

Swabe

et al. 2022

JAHA

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Background Prior studies have reported disparities by race in the management of acute myocardial infarction (MI), with many studies having limited covariates or now dated. We examined racial and ethnic differences in the management of MI, specifically non–ST‐segment‐elevation MI (NSTEMI), in a large, socially diverse cohort of insured patients. We hypothesized that the racial and ethnic disparities in the receipt of coronary angiography or percutaneous coronary intervention would persist in contemporary data. Methods and Results We identified individuals presenting with incident, type I NSTEMI from 2017 to 2019 captured by a health claims database. Race and ethnicity were categorized by the database as Asian, Black, Hispanic, or White. Covariates included demographics (age, sex, race, and ethnicity); Elixhauser variables, including cardiovascular risk factors and other comorbid conditions; and social factors of estimated annual household income and educational attainment. We examined rates of coronary angiography and percutaneous coronary intervention by race and ethnicity and income categories and in multivariable‐adjusted models. We identified 87 094 individuals (age 73.8±11.6 years; 55.6% male; 2.6% Asian, 13.4% Black, 11.2% Hispanic, 72.7% White) with incident NSTEMI events from 2017 to 2019. Individuals of Black race were less likely to undergo coronary angiography (odds ratio [OR], 0.93; [95% CI, 0.89–0.98]) and percutaneous coronary intervention (OR, 0.86; [95% CI, 0.81–0.90]) than those of White race. Hispanic individuals were less likely (OR, 0.88; [95% CI, 0.84–0.93]) to undergo coronary angiography and percutaneous coronary intervention (OR, 0.85; [95% CI, 0.81–0.89]) than those of White race. Higher annual household income attenuated differences in the receipt of coronary angiography across all racial and ethnic groups. Conclusions We identified significant racial and ethnic differences in the management of individuals presenting with NSTEMI that were marginally attenuated by higher household income. Our findings suggest continued evidence of health inequities in contemporary NSTEMI treatment.

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Association of income and educational attainment in hospitalization events in atrial fibrillation

Cited by 18 publications

References 46 publications

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

Socioeconomic Inequalities in Elective and Nonelective Hospitalizations in Older Men

The association of education and household income with the lifetime risk of incident atrial fibrillation: The Framingham Heart study

Association of Race and Ethnicity on the Management of Acute Non−ST‐Segment Elevation Myocardial Infarction

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