ArticleJournal of general internal medicine2011
Income-related inequity in initiation of evidence-based therapies among patients with acute myocardial infarction.
Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Cardiovascular Wellness-The Role of Lifestyle and Health Equity: A Perspective.Health science reports · 2025Article
- Software-driven chronic disease management: Algorithm design and implementation in a community-based blood pressure control pilot.SAGE open medicine · 2024Article
- Assessing and Addressing Social Determinants of Cardiovascular Health: JACC State-of-the-Art Review.Journal of the American College of Cardiology · 2023Review
- The mortality risk after myocardial infraction in migrants compared with natives: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2023Review
- Association Between Social Vulnerability Index and Cardiovascular Disease: A Behavioral Risk Factor Surveillance System Study.Journal of the American Heart Association · 2022Article
- Association of Race and Ethnicity on the Management of Acute Non-ST-Segment Elevation Myocardial Infarction.Journal of the American Heart Association · 2022Article
- The Influence of Socioeconomic Status on the Prognosis and Profile of Patients Admitted for Acute Heart Failure during COVID-19 Pandemic: Overestimated Aspects or a Multifaceted Hydra of Cardiovascular Risk Factors?Healthcare (Basel, Switzerland) · 2021Article
- Ethnic and Racial Disparities in Acute Myocardial Infarction.Current cardiology reports · 2020Review
- Factors Associated with County-Level Variation in the Prescription of Statins.Journal of managed care & specialty pharmacy · 2019Article
- Coverage and Access for Americans with Cardiovascular Disease or Risk Factors After the ACA: a Quasi-experimental Study.Journal of general internal medicine · 2019Article
- Review
- Negotiating Tensions Between Theory and Design in the Development of Mailings for People Recovering From Acute Coronary Syndrome.JMIR human factors · 2017Article
- Article
- Outcomes after first percutaneous coronary intervention for acute myocardial infarction according to patient funding source.BMC health services research · 2014Article
- Sex, socioeconomic status, access to cardiac catheterization, and outcomes for acute coronary syndromes in the context of universal healthcare coverage.Circulation. Cardiovascular quality and outcomes · 2014Article
- Adherence to preventive statin therapy according to socioeconomic position.European journal of clinical pharmacology · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPrevious research has shown a socioeconomic status (SES) gradient in the receipt of cardiac services following acute myocardial infarction (AMI), but much less is known about SES and the use of secondary preventive medicines following AMI.
objectivesTo examine the role of income in initiation of treatment with ACE-inhibitors, beta-blockers and statins in the 120 days following discharge from hospital for first AMI.
designA cross-sectional study with a population-based cohort.
participantsFirst-time AMI patients between age 40 and 100 discharged alive from the hospital and surviving at least 120 days following discharge between January 1, 1999 and September 3, 2006. MAIN MEASURES: Binary variables indicating whether the patient had filled at least one prescription for each of the medicines of interest. KEY
resultsOur results reveal a significant and positive income gradient with initiation of the guideline-recommended medicines among male AMI patients. Men in the third income quintile and above were significantly more likely to initiate treatment with any of the medicines than those in the first quintile, with those in the fifth income quintile having 37%, 50% and 71% higher odds of initiating ACE-inhibitors, beta-blockers and statins, respectively, than men in the lowest income quintile [OR = 1.37 95% CI (1.24, 1.51); OR = 1.50 95% CI (1.35, 1.68); and OR = 1.71 95% CI (1.53, 190)]. The gradient was not present among women, although women in the fifth income quintile were more likely to initiate beta-blockers and statins than women in the lowest income quintile [OR = 1.25 95% CI (1.06, 1.47) and OR = 1.32 95% CI (1.12, 1.54)].
conclusionsThere were inequities in treatment following AMI in the form of a clear and often significant gradient between income and initiation of evidence-based pharmacologic therapies among male patients. This gradient persisted despite significant changes in coverage levels for the costs of these medicines.
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