ArticleAmerican journal of preventive cardiology2020
Association of cardiovascular risk factor profile and financial hardship from medical bills among non-elderly adults in the United States.
Article in American journal of preventive cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Financial Toxicity and Its Determinants in Cardiovascular Diseases: A Systematic Review and Bayesian Meta-Analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Association of Medication Adherence With Health Outcomes in the ISCHEMIA Trial.Journal of the American College of Cardiology · 2022Trial
- Integrating financial risk into cardiometabolic prevention: From price transparency to patient-level insights into diabetes-related spending.American journal of preventive cardiology · 2026Article
- Association Between Delayed/Forgone Medical Care and Resource Utilization Among Women with Breast Cancer in the United States.Annals of surgical oncology · 2025Article
- Financial Well-Being Among US Adults with Vascular Conditions: Differential Impacts Among Blacks and Hispanics.Ethnicity & disease · 2024Article
- Social determinants of financial stress and association with psychological distress among young adults 18-26 years in the United States.Frontiers in public health · 2024Article
- Does financial hardship associate with abnormal quantitative myocardial perfusion and major adverse cardiovascular event?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023Article
- Health care costs of cardiovascular disease in China: a machine learning-based cross-sectional study.Frontiers in public health · 2023Article
- Unfavorable social determinants of health are associated with higher burden of financial toxicity among patients with atherosclerotic cardiovascular disease in the US: findings from the National Health Interview Survey.Archives of public health = Archives belges de sante publique · 2022Article
Corrections and comments
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Authors and funding
14 authors at 9 institutions in 1 country.
Funding
Abstract
backgroundWhile optimal cardiovascular risk factor (CRF) profile is associated with lower mortality, morbidity, and healthcare expenditures among individuals with atherosclerotic cardiovascular disease (ASCVD), less is known regarding its impact on financial hardship from medical bills. Therefore, we assessed whether an optimal CRF profile is associated with a lower burden of financial hardship from medical bills and a reduction in cost-related barriers to health.
methodsWe used a nationally representative sample of adults between 18 and 64 years from the National Health Interview Survey between 2013 and 2017. We assessed ASCVD status and the number of risk factors to categorize the study population into 4 mutually exclusive categories: ASCVD (irrespective of CRF profile) and non-ASCVD with poor, average, and optimal CRF profile. Adjusted logistic regression model was used to determine the association of ASCVD/CRF profile with financial hardship from medical bills and cost-related barriers to health (cost-related medication non-adherence (CRN), foregone/delayed care, and high financial distress).
resultsWe included 119,388 non-elderly adults, representing 189 million individuals annually across the United States. Non-ASCVD/optimal CRF profile individuals had a lower prevalence of financial hardship and an inability paying medical bills when compared with individuals with ASCVD (24% vs 45% and 6% vs 19%, respectively). Among individuals without ASCVD and an optimal CRF profile, the prevalence of each cost-related barrier to health was <50% compared with individuals with ASCVD. Poor/low income and uninsured individuals within non-ASCVD/average CRF profile strata had a lower prevalence of financial hardship and an inability paying medical bills when compared with middle/high income and insured individuals with ASCVD. Non-ASCVD individuals with optimal CRF profile had the lowest odds of all barriers to health.
conclusionOptimal CRF profile is associated with a lower prevalence of financial hardship from medical bills and cost-related barriers to health despite lower income and lack of insurance.
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Registered trials
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