دورية أكاديمية
أعرض في EDS

The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study.

التفاصيل البيبلوغرافية
العنوان: The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study.
المؤلفون: Salgado MV; Centro de Estudios de Estado y Sociedad, Ciudad de Buenos Aires, Argentina.; Unidad de Conocimiento Traslacional Hospitalaria Patagónica, Hospital SAMIC El Calafate, El Calafate, Santa Cruz, Argentina., Penko J; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America., Fernández A; UCSF Latinx Center of Excellence, University of California San Francisco, San Francisco, California, United States of America., Rios-Fetchko F; UCSF Latinx Center of Excellence, University of California San Francisco, San Francisco, California, United States of America., Coxson PG; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America., Mejia R; Centro de Estudios de Estado y Sociedad, Ciudad de Buenos Aires, Argentina.; Hospital de Clínicas, Universidad de Buenos Aires, Ciudad de Buenos Aires, Argentina.
المصدر: PloS one [PLoS One] 2024 Jun 24; Vol. 19 (6), pp. e0305948. Date of Electronic Publication: 2024 Jun 24 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Coronary Disease*/epidemiology , Coronary Disease*/mortality , Social Class*, Humans ; Argentina/epidemiology ; Adult ; Middle Aged ; Male ; Female ; Risk Factors ; Prevalence ; Low Socioeconomic Status
مستخلص: Background: The well-established inverse relationship between socioeconomic status (SES) and risk of developing coronary heart disease (CHD) cannot be explained solely by differences in traditional risk factors.
Objective: To model the role SES plays in the burden of premature CHD in Argentina.
Materials and Methods: We used the Cardiovascular Disease Policy Model-Argentina to project incident CHD events and mortality in low and high-SES Argentinean adults 35 to 64 years of age from 2015 to 2024. Using data from the 2018 National Risk Factor Survey, we defined low SES as not finishing high-school and/or reporting a household income in quintiles 1 or 2. We designed simulations to apportion CHD outcomes in low SES adults to: (1) differences in the prevalence of traditional risk factors between low and high SES adults; (2) nontraditional risk associated with low SES status; (3) preventable events if risk factors were improved to ideal levels; and (4) underlying age- and sex-based risk.
Results: 56% of Argentina´s 35- to 64-year-old population has low SES. Both high and low SES groups have poor control of traditional risk factors. Compared with high SES population, low SES population had nearly 2-fold higher rates of incident CHD and CHD deaths per 10 000 person-years (incident CHD: men 80.8 [95%CI 76.6-84.9] vs 42.9 [95%CI 37.4-48.1], women 39.0 [95%CI 36.-41.2] vs 18.6 [95%CI 16.3-20.9]; CHD deaths: men 10.0 [95%CI 9.5-10.5] vs 6.0 [95%CI 5.6-6.4], women 3.2 [95%CI 3.0-3.4] vs 1.8 [95%CI 1.7-1.9]). Nontraditional low SES risk accounts for 73.5% and 70.4% of the event rate gap between SES levels for incident CHD and CHD mortality rates, respectively.
Discussion: CHD prevention policies in Argentina should address contextual aspects linked to SES, such as access to education or healthcare, and should also aim to implement known clinical strategies to achieve better control of CHD risk factors in all socioeconomic levels.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Salgado et al. 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 credited.)
References: Rev Peru Med Exp Salud Publica. 2013 Oct-Dec;30(4):641-8. (PMID: 24448943)
Curr Cardiol Rep. 2017 Sep 30;19(11):115. (PMID: 28965316)
Health Place. 2022 Sep;77:102611. (PMID: 34210611)
Am J Epidemiol. 1996 Nov 15;144(10):934-42. (PMID: 8916504)
Am Heart J. 2009 Jun;157(6):988-94. (PMID: 19464408)
Am J Public Health. 2011 Feb;101(2):294-301. (PMID: 21164095)
Am J Epidemiol. 2016 Mar 1;183(5):452-61. (PMID: 26861239)
N Engl J Med. 2015 Nov 26;373(22):2103-16. (PMID: 26551272)
BMC Public Health. 2015 Dec 29;15:1312. (PMID: 26715537)
Demography. 1999 Nov;36(4):445-60. (PMID: 10604074)
BMC Cardiovasc Disord. 2011 Jun 03;11:28. (PMID: 21639906)
Circulation. 2019 Jun 18;139(25):e1082-e1143. (PMID: 30586774)
Popul Health Metr. 2009 Jun 08;7:8. (PMID: 19505309)
Ann Fam Med. 2004 Sep-Oct;2(5):469-73. (PMID: 15506583)
Int J Public Health. 2013 Apr;58(2):277-84. (PMID: 22615030)
Circulation. 2014 Apr 8;129(14):1483-92. (PMID: 24573352)
Medicina (B Aires). 2019;79(6):438-444. (PMID: 31829945)
Prev Med. 1975 Dec;4(4):518-25. (PMID: 1208363)
Am J Public Health. 1987 Nov;77(11):1417-26. (PMID: 3661794)
Int J Cardiol. 2011 Aug 4;150(3):332-7. (PMID: 21550675)
J Urban Health. 2008 Nov;85(6):923-37. (PMID: 18830819)
Int J Epidemiol. 2012 Jun;41(3):871-86. (PMID: 22438428)
Lancet Glob Health. 2019 Jun;7(6):e748-e760. (PMID: 31028013)
Lancet. 2017 Mar 25;389(10075):1229-1237. (PMID: 28159391)
Lancet. 2002 Dec 14;360(9349):1903-13. (PMID: 12493255)
Circulation. 2018 May 15;137(20):2166-2178. (PMID: 29760227)
BMJ Open. 2011 May 26;1(1):e000126. (PMID: 22021769)
N Engl J Med. 2007 Dec 6;357(23):2371-9. (PMID: 18057339)
JAMA Cardiol. 2020 Aug 1;5(8):899-908. (PMID: 32459344)
Stroke. 2016 Jun;47(6):1640-2. (PMID: 27217510)
Am J Prev Cardiol. 2020 Oct 15;4:100094. (PMID: 34327470)
Ann N Y Acad Sci. 1999;896:262-77. (PMID: 10681903)
Diabetes Care. 2023 Jan 1;46(Suppl 1):S158-S190. (PMID: 36507632)
Circulation. 1993 Nov;88(5 Pt 1):2172-9. (PMID: 8222112)
Rev Med Chil. 2007 Nov;135(11):1370-9. (PMID: 18259647)
تواريخ الأحداث: Date Created: 20240624 Date Completed: 20240624 Latest Revision: 20240626
رمز التحديث: 20240626
مُعرف محوري في PubMed: PMC11195980
DOI: 10.1371/journal.pone.0305948
PMID: 38913678
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0305948