A study of more than 100 million Americans in 3,123 counties found a correlation between cardiac death and their level of income. Getty Images
February 2, 2021 — A new study has found in the U.S. shows higher economic prosperity was associated with a small relative decrease in cardiovascular mortality among middle-aged adults. The study was published this week in the Journal of the American Medical Association (JAMA).
Cardiovascular death rates over the last decade have stopped declining for non-elderly adults in the U.S. The factors driving these trends are poorly understood and may be related to underlying economic trends, given the strong association between cardiovascular disease and economic indicators such as income.
To assess a potential association between changes in economic prosperity and trends in cardiovascular mortality in middle-aged U.S. adults, researchers at Penn Medicine evaluated county-level mortality and economic data.
The researchers reviewed county-level mortality data from 3,123 U.S. counties from 2010 to 2017. Counties with the greatest improvement in economic prosperity had a decline in cardiovascular mortality for middle-aged adults, while counties that had the lowest increase or decrease in economic prosperity had no change in mortality rates. Every 10-point greater change in economic prosperity was significantly associated with a 0.4% lower cardiovascular mortality rate per year among middle-aged adults.
“We found that a relative increase in economic prosperity was significantly associated with a small but significant relative decrease in cardiovascular mortality among middle-aged adults,” said lead author Sameed Khatana, M.D., MPH, an instructor of cardiovascular medicine in the Perelman School of Medicine at the University of Pennsylvania. “Understanding how economic factors influence cardiovascular health is crucial for devising strategies to address and improve a community’s health.”
The study includes 102 million residents aged 40 to 64 years correlated to 979,228 cardiovascular deaths.
Related Health Disparities Content:
5 Technologies to Help Overcome Healthcare Disparities in the Next Decade
COVID-19 Cardiovascular Registry Details Disparities Among Hospitalized Patients
Study Finds Removing Cost from Calcium Score Testing Increased Utilization
Blacks Have Higher Mortality After PCI
VIDEO: New Ideas in Addressing Cardiovascular Disease Disparities — Interview with Clyde Yancy, M.D.
Blood Pressure Control Less Likely Among Those Treated in Low-income Areas
VIDEO: Reducing Hypertension Among African-Americans — Interview with Kim Allan Williams, M.D.
Studies Find Race and Gender Disparities in Implantable Heart Devices
VIDEO: How Smartphones May Revolutionize Healthcare in the Developing World — Interview with Jacques Kpodonu, M.D.
Study Reveals Racial Gender Disparities in Care for New Atrial Fibrillation Patients
Nearly All ICD Implants Performed on Insured Patients
Disparities Found in Standard of Cardiac Care for Heart Valve Disease in Minorities
Women, Blacks Face Larger Loss of Life Expectancy After Heart Attack
Reference:
August 15, 2024 
