Health Disparities and Cardiovascular Disease

dc.contributor.authorNiakouei, Ava
dc.contributor.authorTehrani, Minoo
dc.contributor.authorFulton, Lawrence V.
dc.date.accessioned2020-05-21T15:47:42Z
dc.date.available2020-05-21T15:47:42Z
dc.date.issued2020-03
dc.description.abstractThe number one leading cause of death in 2017 for Americans was cardiovascular disease (CVD), and health disparities can exacerbate risks. This study evaluates the 2018 Behavioral Risk Factor Surveillance System (BRFSS) (n = 437,436) to estimate population risks for behavioral, socio-economic, psychological, and biological factors. A general linear model with a quasi-binomial link function indicated higher risks for the following groups: smokers (odds ratio, OR = 0.688), individuals with higher body mass index scores (OR = 1.023), persons unable to work (OR = 2.683), individuals with depression (OR = 1.505), workers who missed more days due to mental issues (OR = 1.12), the elderly, males (OR = 1.954), those in race categories “indigenous Americans, Alaskan non-Hispanics”, “Black Hispanics,” or “other, non-Hispanic,” and individuals with lower income. Surprisingly, increased consumption of alcohol was not found to be a risk factor as in other studies. Additional study of alcohol risk factors is needed. Further, Black non-Hispanics were associated with lower rates of CVD/MI (myocardial infarction), a finding that is supported by recent evidence of more unhealthy behaviors in other races. The results of this study highlight 2018 CVD/MI disparities based on the BRFSS and suggest the need for additional policy interventions including education and providing increased access to health care for the disadvantaged. The principles of beneficence and justice require policy interventions such as these.
dc.description.departmentHealth Administration
dc.formatText
dc.format.extent12 pages
dc.format.medium1 file (.pdf)
dc.identifier.citationNiakouei, A., Tehrani, M., & Fulton, L. (2020). Health disparities and cardiovascular disease. Healthcare, 8(1), 65.
dc.identifier.doihttps://doi.org/10.3390/healthcare8010065
dc.identifier.issn2227-9032
dc.identifier.urihttps://hdl.handle.net/10877/10118
dc.language.isoen
dc.publisherMultidisciplinary Digital Publishing Institute
dc.rights.holder© 2020 The Authors.
dc.rights.licenseThis work is licensed under a Creative Commons Attribution 4.0 International License.
dc.sourceHealthcare, 2020, Vol. 8, No. 1, Article 65.
dc.subjectsmoking
dc.subjectdrinking
dc.subjectunderserved
dc.subjecthealth disparities
dc.subjectcardiovascular disease
dc.subjectHealth Administration
dc.titleHealth Disparities and Cardiovascular Disease
dc.typeArticle

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