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Journal article
Access to Care and Cardiovascular Disease Prevention: A Cross-Sectional Study in 2 Latino Communities
Medicine (Baltimore), v 94(34), pp e1441-e1441
28 Aug 2015
PMID: 26313803
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cardiovascular disease (CVD) is the leading killer of Americans. CVD is understudied among Latinos, who have high levels of CVD risk factors. This study aimed to determine whether access to health care (ie, insurance status and having a usual source of care) is associated with 4 CVD prevention factors (ie, health care utilization, CVD screening, information received from health care providers, and lifestyle factors) among Latino adults and to evaluate whether the associations depended on CVD clinical risk/disease.
Data were collected as part of a community-engaged food environment intervention study in East Los Angeles and Boyle Heights, CA. Logistic regressions were fitted with insurance status and usual source of care as predictors of the 4 CVD prevention factors while controlling for demographics. Analyses were repeated with interactions between self-reported CVD clinical risk/disease and access to care measures.
Access to health care significantly increased the odds of CVD prevention. Having a usual source of care was associated with all factors of prevention, whereas being insured was only associated with some factors of prevention. CVD clinical risk/disease did not moderate any associations.
Although efforts to reduce CVD risk among Latinos through the Affordable Care Act could be impactful, they might have limited impact in curbing CVD among Latinos, via the law's expansion of insurance coverage. CVD prevention efforts must expand beyond the provision of insurance to effectively lower CVD rates.
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Details
- Title
- Access to Care and Cardiovascular Disease Prevention
- Creators
- Héctor E. Alcalá - From the UCLA Fielding School of Public Health, Los Angeles, CAStephanie L. Albert - From the UCLA Fielding School of Public Health, Los Angeles, CADylan H. Roby - From the UCLA Fielding School of Public Health, Los Angeles, CAJacob Beckerman - From the UCLA Fielding School of Public Health, Los Angeles, CAPhilippe Champagne - From the UCLA Fielding School of Public Health, Los Angeles, CARon Brookmeyer - From the UCLA Fielding School of Public Health, Los Angeles, CAMichael L. Prelip - From the UCLA Fielding School of Public Health, Los Angeles, CADeborah C. Glik - From the UCLA Fielding School of Public Health, Los Angeles, CAMoira Inkelas - From the UCLA Fielding School of Public Health, Los Angeles, CARosa-Elenna Garcia - From the UCLA Fielding School of Public Health, Los Angeles, CAAlexander N. Ortega - From the UCLA Fielding School of Public Health, Los Angeles, CA
- Publication Details
- Medicine (Baltimore), v 94(34), pp e1441-e1441
- Publisher
- Wolters Kluwer Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000363559500001
- Scopus ID
- 2-s2.0-84944889536
- Other Identifier
- 991019296573004721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Public, Environmental & Occupational Health