Observational studyJournal of the American Heart Association2016
Sex Differences in Financial Barriers and the Relationship to Recovery After Acute Myocardial Infarction.
Observational study in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- What Do We Know About Young Adult Cardiac Patients' Experience? A Systematic Review.Frontiers in psychology · 2020Pooled it
- Modeling the Exposome in Murine Cardiovascular Disease.JACC. Basic to translational science · 2026Review
- Article
- Psychological Burden and Psychosocial Stress in Younger and Middle-Aged Women with Prior Myocardial Infarction.Medicina (Kaunas, Lithuania) · 2026Article
- Disparities in cardiovascular disease outcomes and economic burdens among minorities in southeastern Virginia.BMC cardiovascular disorders · 2025Observational
- Stress and cardiovascular disease: an update.Nature reviews. Cardiology · 2024Review
- Gender-Related Factors Associated With Outcomes of Acute Coronary Syndrome in Young Female Patients.CJC open · 2024Review
- Impact of Marital Stress on 1-Year Health Outcomes Among Young Adults With Acute Myocardial Infarction.Journal of the American Heart Association · 2023Observational
- Higher burden of cardiometabolic and socioeconomic risk factors in women with type 2 diabetes: an analysis of the Glycemic Reduction Approaches in Diabetes (GRADE) baseline cohort.BMJ open diabetes research & care · 2023 · on this mapArticle
- Addressing Financial Barriers to Health Care Among People Who are Low-Income and Insured in New York City, 2014-2017.Journal of community health · 2023Article
- Cardiovascular and psychosocial risks among patients below age 50 with acute myocardial infarction.BMC cardiovascular disorders · 2023Article
- A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities.Circulation · 2023Review
- Social and gender determinants related to health inequities in a community in ArgentinaRevista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021Article
- A Mobile Health Intervention System for Women With Coronary Heart Disease: Usability Study.JMIR formative research · 2020Article
- Psychosocial Factors and Recovery After Acute Myocardial Infarction in Younger Women.Current cardiology reports · 2019Review
- Social Factors, Sex, and Mortality Risk After Coronary Artery Bypass Grafting: A Population-Based Cohort Study.Journal of the American Heart Association · 2019Article
- Barriers to Healthcare Access and Long-Term Survival After an Acute Coronary Syndrome.Journal of general internal medicine · 2018Article
- Implementation Research to Address the United States Health Disadvantage: Report of a National Heart, Lung, and Blood Institute Workshop.Global heart · 2018Review
- Acute myocardial infarction in young women: current perspectives.International journal of women's health · 2018Review
- Young Women With Acute Myocardial Infarction: Current Perspectives.Circulation. Cardiovascular quality and outcomes · 2017Review
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundFinancial barriers to health care are associated with worse outcomes following acute myocardial infarction (AMI). Yet, it is unknown whether the prevalence of financial barriers and their relationship with post-AMI outcomes vary by sex among young adults. METHODS AND
resultsWe assessed sex differences in patient-reported financial barriers among adults aged <55 years with AMI using data from the Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients study. We examined the prevalence of financial barriers and their association with health status 12 months post-AMI. Among 3437 patients, more women than men reported financial barriers to medications (22.3% vs 17.2%; P=0.001), but rates of financial barriers to services were similar (31.3% vs 28.9%; P=0.152). In multivariable linear regression models adjusting for baseline health, psychosocial status, and clinical characteristics, compared with no financial barriers, women and men with financial barriers to services and medications had worse mental functional status (Short Form-12 mental health score: mean difference [MD]=-3.28 and -3.35, respectively), greater depressive symptomatology (Patient Health Questionnaire-9: MD, 2.18 and 2.16), lower quality of life (Seattle Angina Questionnaire-Quality of Life: MD, -4.98 and -7.66), and higher perceived stress (Perceived Stress Score: MD, 3.76 and 3.90; all P<0.05). There was no interaction between sex and financial barriers.
conclusionsFinancial barriers to care are common in young patients with AMI and associated with worse health outcomes 1 year post-AMI. Whereas women experienced more financial barriers than men, the association did not vary by sex. These findings emphasize the importance of addressing financial barriers to recovery post-AMI in young adults.
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Registered trials
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