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Progress on Heart Disease Has Not Reached the Poor in America: Research

By Stephen Ryneberg
Health Day Reporter

Wednesday, June 7, 2017 (HealthDay News)-Americans have made great strides in reducing Heart diseaseHowever, two new studies suggest that one group (the poor) is still behind.

Risk Heart disease Between 1999 and 2014, there was a 20 percent decline between the middle class and the rich Americans, according to researchers.

But these levels are High blood pressure, Smoking and having other risk factors Heart disease And stroke Researchers have discovered, as they did 15 or 20 years ago.

Dr. Ayodele Odutayo, Principal Investigator of one study, said:

Public health needs to focus specifically on reducing income inequality in cardiovascular risk factors blood pressure And smokingSaid the fright. He is at St. Michael’s Hospital in Toronto.

“This includes not only increasing access to health insurance, but also ensuring that insurance plans for low-income adults provide adequate management and counseling related to cardiovascular risk factors. “It will be,” said Odutayo.

For research, Odutayo and his colleagues with the United States National Health in 1999-2014 Nutrition A survey to collect data on more than 17,000 adults aged 40-79 years. These were grouped according to income level (high, medium, or below federal poverty level). The annual income of a family of four is $ 24,600.

Researchers say that the percentage of poor people at absolute risk Cardiovascular disease Between 1999 and 2004, more than 20% were 15%. However, it rose to nearly 17% from 2011 to 2014.

In addition, average systole blood pressure -First blood pressure measurement-Among the poorest Americans, it dropped by just one point from 128 mmHg to 127 mmHg.

Similarly smoking According to the report, it fell from about 37 percent to 36 percent among the poor Americans.

However, for more prosperous adults, the proportion of adults with a cardiovascular risk of 20% or higher dropped from 12% to 10% between 2011 and 2014.

Average systolic blood pressure in middle- and high-income earners dropped from 126 to 122 mm Hg, smoking Researchers have found a reduction from 14 percent to less than 9 percent.

Trends in the number of adults Diabetes And average total cholesterol Researchers found that the level did not change with income.

This paper was published online in the journal on June 7th. JAMA Cardiology..

A second study in the same issue of the journal also found income-based inequality.

Over the last decade, numerous initiatives have been attempted and failed to improve the cardiovascular health of low-income earners, said Adam Beckman, lead author of health consultants in Bethesda, Maryland.

“Despite these efforts, High blood pressure It decreased for high-income earners, but increased for low-income earners. ”

Beckman’s study used national US survey data from 2005 to 2014 to examine risk factors for adults over the age of 25.

“Rate Diabetes It decreased for high-income earners, but did not change for low-income earners. ”

Fees High cholesterol And obesity He said there was an increase in both the high-income and low-income groups, but the poor were more than the rich.

smoking According to Beckman, both the high-income and low-income groups have declined, but the rich have declined more than the poor.

“Our results emphasize the need to more quickly identify and expand effective approaches to improving cardiovascular health in low-income communities,” he added.

One expert said the results of these studies were not surprising.

“But the impact of these results is shocking,” said Dr. Donald Lloyd Jones, an American spokesman. heart Association.



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Poor people do not receive the public health support they need Quit smoking Get proper medical care to control or prevent blood pressure High blood pressure Lloyd Jones said in the first place. He chairs preventive medicine at the Feinberg School of Medicine at Northwestern University in Chicago.

“We have to make this bed and lie in it. The burden is disproportionate to the poor. The safety net is getting thinner and frayed,” Lloyd Jones said. Said.

If there is a specific provision of Medical Expenses Burden Optimization Law He added that the negative impact would be primarily on the poor, as Republican lawmakers hoped.

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References

Source: Ayodele Odutayo, MD, Li Ka Shing Knowledge Institute of St. Michael’s Hospital, Toronto, and University of Oxford, England; Adam Beckman, Aledade Inc., Bethesda, Maryland. Dr. Donald Lloyd Jones, Doctor of Medicine, American Heart Association Spokesman, Chairman of Preventive Medicine, Fineberg School of Medicine, Northwestern University, Professor of Cardiology in Chicago. June 7, 2017, JAMA Cardiology,online

Progress on Heart Disease Has Not Reached the Poor in America: Research

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