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dc.creatorMullachery, Pricila H.
dc.creatorVela, Emili
dc.creatorMontse Cleries
dc.creatorComin-Colet, Josep
dc.creatorNasir, Khurram
dc.creatorDiez Roux, Ana V.
dc.creatorCainzos-Achirica, Miguel
dc.creatorMauri, Josepa
dc.creatorBilal, Usama
dc.description.abstractBackground: Understanding the magnitude of cardiovascular disease (CVD) inequalities is the first step toward addressing them. The linkage of socioeconomic and clinical data in universal health care settings provides critical information to characterize CVD inequalities. Methods and Results: We employed a prospective cohort design using electronic health records data from all residents of Catalonia aged 18+ between January and December of 2019 (N=6 332 228). We calculated age‐adjusted sex‐specific prevalence of 5 CVD risk factors (diabetes, hypertension, hyperlipidemia, obesity, and smoking), and 4 CVDs (coronary heart disease, cerebrovascular disease, atrial fibrillation, and heart failure). We categorized income into high, moderate, low, and very low according to individual income (tied to prescription copayments) and receipt of welfare support. We found large inequalities in CVD and CVD risk factors among men and women. CVD risk factors with the largest inequalities were diabetes, smoking, and obesity, with prevalence rates 2‐ or 3‐fold higher for those with very low (versus high) income. CVDs with the largest inequalities were cerebrovascular disease and heart failure, with prevalence rates 2 to 4 times higher for men and women with very low (versus high) income. Inequalities varied by age, peaking at midlife (30–50 years) for most diseases, while decreasing gradually with age for smoking. Conclusions: We found wide and heterogeneous inequalities by income in 5 CVD risk factors and 4 CVD. Our findings in a region with a high‐quality public health care system and universal coverage stress that strong equity‐promoting policies are necessary to reduce disparities in CVD.
dc.format.extent19 pages
dc.relation.ispartofFaculty/Researcher Works
dc.relation.haspartJournal of the American Heart Association Cardiovascular and Cerebrovascular Disease, Vol. 11, Iss. 17
dc.relation.isreferencedbyAmerican Heart Association
dc.rightsAttribution-NonCommercial-NoDerivs CC BY-NC-ND
dc.subjectCardiovascular disease
dc.subjectHealth disparities
dc.subjectHealth equity
dc.subjectSocioeconomic status
dc.titleInequalities by Income in the Prevalence of Cardiovascular Disease and Its Risk Factors in the Adult Population of Catalonia
dc.type.genreJournal article
dc.description.departmentHealth Services Administration and Policy
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact
dc.description.schoolcollegeTemple University. College of Public Health
dc.temple.creatorMullachery, Pricila H.

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