The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study
Fil: Salgado, VM. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
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2024
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| Acceso en línea: | http://repositorio.cedes.org/handle/123456789/4785 https://doi.org/10.1371/journal.pone.0305948 |
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I61-R167-123456789-47852025-04-12T15:45:42Z The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study Salgado, Maria Victoria Penko, Joanne Fernández, Alicia Ríos-Fetchko, Francine Coxson, Pamela Mejía, Raúl M Heart Disease Risk Factors Coronary Disease Mortality Cardiovascular Diseases Argentina Diabetes Mellitus Fil: Salgado, VM. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Penko, J. CEDES. Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California; United States of America Fil: Fernández, A. UCSF Latinx Center of Excellence, University of California San Francisco, San Francisco, California; United States of America Fil: Rios-Fetchko, F. UCSF Latinx Center of Excellence, University of California San Francisco, San Francisco, California; United States of America Fil: Coxson, PG. UCSF Latinx Center of Excellence, University of California San Francisco, San Francisco, California; United States of America Fil: Mejia, R. Centro de Estudios de Estado y Sociedad. Buenos Aires; Argentina Background The well-established inverse relationship between socioeconomic status (SES) and risk of developing coronary heart disease (CHD) cannot be explained solely by differences in traditional risk factors. Objective To model the role SES plays in the burden of premature CHD in Argentina. Materials and methods We used the Cardiovascular Disease Policy Model-Argentina to project incident CHD events and mortality in low and high-SES Argentinean adults 35 to 64 years of age from 2015 to 2024. Using data from the 2018 National Risk Factor Survey, we defined low SES as not finishing high-school and/or reporting a household income in quintiles 1 or 2. We designed simulations to apportion CHD outcomes in low SES adults to: (1) differences in the prevalence of traditional risk factors between low and high SES adults; (2) nontraditional risk associated with low SES status; (3) preventable events if risk factors were improved to ideal levels; and (4) underlying age- and sex-based risk. Results 56% of Argentina´s 35- to 64-year-old population has low SES. Both high and low SES groups have poor control of traditional risk factors. Compared with high SES population, low SES population had nearly 2-fold higher rates of incident CHD and CHD deaths per 10 000 person-years (incident CHD: men 80.8 [95%CI 76.6–84.9] vs 42.9 [95%CI 37.4–48.1], women 39.0 [95%CI 36.-41.2] vs 18.6 [95%CI 16.3–20.9]; CHD deaths: men 10.0 [95%CI 9.5–10.5] vs 6.0 [95%CI 5.6–6.4], women 3.2 [95%CI 3.0–3.4] vs 1.8 [95%CI 1.7–1.9]). Nontraditional low SES risk accounts for 73.5% and 70.4% of the event rate gap between SES levels for incident CHD and CHD mortality rates, respectively. Discussion CHD prevention policies in Argentina should address contextual aspects linked to SES, such as access to education or healthcare, and should also aim to implement known clinical strategies to achieve better control of CHD risk factors in all socioeconomic levels. 2024-07-04T01:56:28Z 2024-07-04T01:56:28Z 2024-06-24 Artículo Salgado MV, Penko J, Fernández A, Rios-Fetchko F, Coxson PG, Mejia R (2024) The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study. PLoS ONE 19(6): e0305948. https://doi.org/10.1371/journal.pone.0305948 http://repositorio.cedes.org/handle/123456789/4785 https://doi.org/10.1371/journal.pone.0305948 en PLoS ONE;19(6): e0305948 application/pdf |
| institution |
Centro de Estudios de Estado y Sociedad (CEDES) |
| institution_str |
I-61 |
| repository_str |
R-167 |
| collection |
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad |
| language |
Inglés |
| topic |
Heart Disease Risk Factors Coronary Disease Mortality Cardiovascular Diseases Argentina Diabetes Mellitus |
| spellingShingle |
Heart Disease Risk Factors Coronary Disease Mortality Cardiovascular Diseases Argentina Diabetes Mellitus Salgado, Maria Victoria Penko, Joanne Fernández, Alicia Ríos-Fetchko, Francine Coxson, Pamela Mejía, Raúl M The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study |
| topic_facet |
Heart Disease Risk Factors Coronary Disease Mortality Cardiovascular Diseases Argentina Diabetes Mellitus |
| description |
Fil: Salgado, VM. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. |
| format |
Artículo |
| author |
Salgado, Maria Victoria Penko, Joanne Fernández, Alicia Ríos-Fetchko, Francine Coxson, Pamela Mejía, Raúl M |
| author_facet |
Salgado, Maria Victoria Penko, Joanne Fernández, Alicia Ríos-Fetchko, Francine Coxson, Pamela Mejía, Raúl M |
| author_sort |
Salgado, Maria Victoria |
| title |
The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study |
| title_short |
The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study |
| title_full |
The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study |
| title_fullStr |
The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study |
| title_full_unstemmed |
The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study |
| title_sort |
burden of premature coronary heart disease among adults with low socioeconomic status in argentina: a modeling study |
| publishDate |
2024 |
| url |
http://repositorio.cedes.org/handle/123456789/4785 https://doi.org/10.1371/journal.pone.0305948 |
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