Abstract
Background and aims
Socioeconomic status (SES) has been linked to worse cardiovascular risk factor (CRF)
profiles and higher rates of cardiovascular disease (CVD), with an especially high
burden of disease for low-income groups. We aimed to describe the trends in prevalence
of CRFs among US adults by SES from 2002 to 2013.
Methods
Data from the Medical Expenditure Panel Survey was analyzed. CRFs (obesity, diabetes,
hypertension, physical inactivity, smoking and hypercholesterolemia), were ascertained
by ICD-9-CM and/or self-report.
Results
The proportion of individuals with obesity, diabetes and hypertension increased overall,
with low-income groups representing a higher prevalence for each CRF. Of note, physical
inactivity had the highest prevalence increase, with the “lowest-income” group observing
a relative percent increase of 71.1%.
Conclusions
Disparities in CRF burden continue to increase, across SES groups. Strategies to potentially
eliminate the persistent health disparities gap may include a shift to greater coverage
for prevention, and efforts to engage in healthy lifestyle behaviors.
Keywords
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Article info
Publication history
Published online: December 08, 2017
Accepted:
December 7,
2017
Received in revised form:
November 23,
2017
Received:
July 28,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
