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Cited by 27Health disparities and outcomesCoronary Interventions and DiagnosticsCardiac Health and Mental Health

Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States

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Bashinskaya, Bronislava, Nahed, Brian V., Walcott, Brian P., Coumans, Jean-Valery C. E., Onuma, Oyere K.·2012·PLoS ONE
DOI 10.1371/journal.pone.0046314PMC PMC3457990
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Abstract

BACKGROUND: Increasingly studies have identified socioeconomic factors adversely affecting healthcare outcomes for a multitude of diseases. To date, however, there has not been a study correlating socioeconomic details from nationwide databases on the prevalence of advanced coronary artery disease. We seek to identify whether socioeconomic factors contribute to advanced coronary artery disease prevalence in the United States. METHODS AND FINDINGS: State specific prevalence data was queried form the United States Nationwide Inpatient Sample for 2009. Patients undergoing percutaneous coronary angioplasty and coronary artery bypass graft were identified as principal procedures. Non-cardiac related procedures, lung lobectomy and hip replacement (partial and total) were identified and used as control groups. Information regarding prevalence was then merged with data from the Behavioral Risk Factor Surveillance System, the largest, on-going telephone health survey system tracking health conditions and risk behaviors in the United States. Pearson's correlation coefficient was calculated for individual socioeconomic variables including employment status, level of education, and household income. Household income and education level were inversely correlated with the prevalence of percutaneous coronary angioplasty (-0.717; -0.787) and coronary artery bypass graft surgery (-0.541; -0.618). This phenomenon was not seen in the non-cardiac procedure control groups. In multiple linear regression analysis, socioeconomic factors were significant predictors of coronary artery bypass graft and percutaneous transluminal coronary angioplasty (p<0.001 and p=0.005, respectively). CONCLUSIONS: Socioeconomic status is related to the prevalence of advanced coronary artery disease as measured by the prevalence of percutaneous coronary angioplasty and coronary artery bypass graft surgery.

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  • Socioeconomic status is inversely associated with all phases of CVD progression, from the onset of risk factors through mortality due to CVD.

    “The inverse association of socioeconomic status (SES) with all phases of the progression of CVD is well established, from the onset of risk factors through mortality due to CVD [41-45].”

    From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [42]

    The Introduction links socioeconomic factors to CAD risk factors, and the Discussion reports an inverse relationship between education level and cardiac revascularization procedures (pages not provided). These passages support parts of the claimed progression, but the paper does not establish an inverse SES association with every phase or with CVD mortality specifically. (LLM, conf=0.88)

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Authors
Bashinskaya, B., Nahed, B. V., Walcott, B. P., Coumans, J.-V. C. E., & Onuma, O. K.
Affiliations
  • Boston University (US)
  • Harvard University (US)
Corresponding author
Walcott, Brian P.
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2012-09-25
Volume
7
Issue
9
Pages
e46314
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0046314
PMC
PMC3457990
OpenAlex
W2108278739
Cited by
27
References
41
Citations by year
2025: 1 · 2023: 6 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 4 · 2013: 1
FWCI
2.56
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords
socioeconomic status, coronary artery disease, percutaneous transluminal coronary angioplasty, coronary artery bypass grafting, household income, educational attainment, employment status, health disparities, prevalence, Behavioral Risk Factor Surveillance System, National Inpatient Sample
MeSH terms
Coronary Artery Bypass, Coronary Artery Disease, Employment, Female, Humans, Male, Social Class, United States, Angioplasty, Balloon, Coronary, Prevalence, Linear Models

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