Cargando…
Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States
BACKGROUND: Increasingly studies have identified socioeconomic factors adversely affecting healthcare outcomes for a multitude of diseases. To date, however, there has not been a study correlating socioeconomic details from nationwide databases on the prevalence of advanced coronary artery disease....
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3457990/ https://www.ncbi.nlm.nih.gov/pubmed/23050011 http://dx.doi.org/10.1371/journal.pone.0046314 |
_version_ | 1782244601362382848 |
---|---|
author | Bashinskaya, Bronislava Nahed, Brian V. Walcott, Brian P. Coumans, Jean-Valery C. E. Onuma, Oyere K. |
author_facet | Bashinskaya, Bronislava Nahed, Brian V. Walcott, Brian P. Coumans, Jean-Valery C. E. Onuma, Oyere K. |
author_sort | Bashinskaya, Bronislava |
collection | PubMed |
description | BACKGROUND: Increasingly studies have identified socioeconomic factors adversely affecting healthcare outcomes for a multitude of diseases. To date, however, there has not been a study correlating socioeconomic details from nationwide databases on the prevalence of advanced coronary artery disease. We seek to identify whether socioeconomic factors contribute to advanced coronary artery disease prevalence in the United States. METHODS AND FINDINGS: State specific prevalence data was queried form the United States Nationwide Inpatient Sample for 2009. Patients undergoing percutaneous coronary angioplasty and coronary artery bypass graft were identified as principal procedures. Non-cardiac related procedures, lung lobectomy and hip replacement (partial and total) were identified and used as control groups. Information regarding prevalence was then merged with data from the Behavioral Risk Factor Surveillance System, the largest, on-going telephone health survey system tracking health conditions and risk behaviors in the United States. Pearson's correlation coefficient was calculated for individual socioeconomic variables including employment status, level of education, and household income. Household income and education level were inversely correlated with the prevalence of percutaneous coronary angioplasty (−0.717; −0.787) and coronary artery bypass graft surgery (−0.541; −0.618). This phenomenon was not seen in the non-cardiac procedure control groups. In multiple linear regression analysis, socioeconomic factors were significant predictors of coronary artery bypass graft and percutaneous transluminal coronary angioplasty (p<0.001 and p = 0.005, respectively). CONCLUSIONS: Socioeconomic status is related to the prevalence of advanced coronary artery disease as measured by the prevalence of percutaneous coronary angioplasty and coronary artery bypass graft surgery. |
format | Online Article Text |
id | pubmed-3457990 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-34579902012-10-03 Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States Bashinskaya, Bronislava Nahed, Brian V. Walcott, Brian P. Coumans, Jean-Valery C. E. Onuma, Oyere K. PLoS One Research Article BACKGROUND: Increasingly studies have identified socioeconomic factors adversely affecting healthcare outcomes for a multitude of diseases. To date, however, there has not been a study correlating socioeconomic details from nationwide databases on the prevalence of advanced coronary artery disease. We seek to identify whether socioeconomic factors contribute to advanced coronary artery disease prevalence in the United States. METHODS AND FINDINGS: State specific prevalence data was queried form the United States Nationwide Inpatient Sample for 2009. Patients undergoing percutaneous coronary angioplasty and coronary artery bypass graft were identified as principal procedures. Non-cardiac related procedures, lung lobectomy and hip replacement (partial and total) were identified and used as control groups. Information regarding prevalence was then merged with data from the Behavioral Risk Factor Surveillance System, the largest, on-going telephone health survey system tracking health conditions and risk behaviors in the United States. Pearson's correlation coefficient was calculated for individual socioeconomic variables including employment status, level of education, and household income. Household income and education level were inversely correlated with the prevalence of percutaneous coronary angioplasty (−0.717; −0.787) and coronary artery bypass graft surgery (−0.541; −0.618). This phenomenon was not seen in the non-cardiac procedure control groups. In multiple linear regression analysis, socioeconomic factors were significant predictors of coronary artery bypass graft and percutaneous transluminal coronary angioplasty (p<0.001 and p = 0.005, respectively). CONCLUSIONS: Socioeconomic status is related to the prevalence of advanced coronary artery disease as measured by the prevalence of percutaneous coronary angioplasty and coronary artery bypass graft surgery. Public Library of Science 2012-09-25 /pmc/articles/PMC3457990/ /pubmed/23050011 http://dx.doi.org/10.1371/journal.pone.0046314 Text en © 2012 Bashinskaya et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Bashinskaya, Bronislava Nahed, Brian V. Walcott, Brian P. Coumans, Jean-Valery C. E. Onuma, Oyere K. Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States |
title | Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States |
title_full | Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States |
title_fullStr | Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States |
title_full_unstemmed | Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States |
title_short | Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States |
title_sort | socioeconomic status correlates with the prevalence of advanced coronary artery disease in the united states |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3457990/ https://www.ncbi.nlm.nih.gov/pubmed/23050011 http://dx.doi.org/10.1371/journal.pone.0046314 |
work_keys_str_mv | AT bashinskayabronislava socioeconomicstatuscorrelateswiththeprevalenceofadvancedcoronaryarterydiseaseintheunitedstates AT nahedbrianv socioeconomicstatuscorrelateswiththeprevalenceofadvancedcoronaryarterydiseaseintheunitedstates AT walcottbrianp socioeconomicstatuscorrelateswiththeprevalenceofadvancedcoronaryarterydiseaseintheunitedstates AT coumansjeanvaleryce socioeconomicstatuscorrelateswiththeprevalenceofadvancedcoronaryarterydiseaseintheunitedstates AT onumaoyerek socioeconomicstatuscorrelateswiththeprevalenceofadvancedcoronaryarterydiseaseintheunitedstates |