Journal article
Association of Health Professional Shortage Areas and Cardiovascular Risk Factor Prevalence, Awareness, and Control in the Multi-Ethnic Study of Atherosclerosis (MESA)
Circulation Cardiovascular quality and outcomes, v 4(5), pp 565-U131
01 Sep 2011
PMID: 21878669
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background-Individuals living in primary care health professional shortage areas (PC-HPSA), often have difficulty obtaining medical care; however, no previous studies have examined association of PC-HPSA residence with prevalence of cardiovascular disease risk factors.
Methods and Results-To examine this question, the authors used data from the Multi-Ethnic Study of Atherosclerosis baseline examination (2000 -2002). Outcomes included the prevalence of diabetes, hypertension, hyperlipidemia, smoking, and obesity as well as the awareness and control of diabetes, hypertension, and hyperlipidemia. Multivariable Poisson models were used to examine the independent association of PC-HPSA residence with each outcome. Models were sequentially adjusted for demographics, acculturation, socioeconomic status, access to health care, and neighborhood socioeconomic status. Similar to the national average, 16.7% of Multi-Ethnic Study of Atherosclerosis participants lived in a PC-HPSA. In unadjusted analyses, prevalence rates of diabetes (14.8% versus 11.0%), hypertension (48.2% versus 43.1%), obesity (35.7% versus 31.1%), and smoking (15.5% versus 12.1%) were significantly higher among residents of PC-HPSAs. There were no significant differences in the awareness or control of diabetes, hypertension, or hyperlipidemia. After adjustment, residence in a PC-HPSA was not independently associated with cardiovascular disease risk factor prevalence, awareness, or control.
Conclusions-This study suggests that increased prevalence of cardiovascular disease risk factors in PC-HPSAs are explained by the demographic and socioeconomic characteristics of their residents. Future interventions aimed at increasing the number of primary care physicians may not improve cardiovascular risk without first addressing other factors underlying health care disparities. (Circ Cardiovasc Qual Outcomes. 2011;4:565-572.)
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Details
- Title
- Association of Health Professional Shortage Areas and Cardiovascular Risk Factor Prevalence, Awareness, and Control in the Multi-Ethnic Study of Atherosclerosis (MESA)
- Creators
- Norrina B. Allen - Northwestern UniversityAna Diez-Roux - University of MichiganKiang Liu - Northwestern UniversityAlain G. Bertoni - Wake Forest UniversityMoyses Szklo - Johns Hopkins UniversityMartha Daviglus - Northwestern University
- Publication Details
- Circulation Cardiovascular quality and outcomes, v 4(5), pp 565-U131
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- R43HL095169 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) T32HL069771; N01-HC-95159; N01-HC-95169 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Drexel University
- Web of Science ID
- WOS:000295028800014
- Scopus ID
- 2-s2.0-80054766193
- Other Identifier
- 991020112198204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems