Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Letter/Communication
Polypill for Cardiovascular Disease Prevention in an Underserved Population
The New England journal of medicine, v 382(1), pp 94-95
02 Jan 2020
PMID: 31875509
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Muñoz and colleagues found that the polypill can reduce cardiovascular risk among vulnerable persons at intermediate-to-high risk. Despite the promising findings,1 polypill approaches to primary prevention in low-income populations address the tip of a much larger iceberg, particularly if used regardless of baseline risk.1,2 Fundamental causes of disease,3 such as disadvantageous socioeconomic conditions, are at the root of a variety of adverse health outcomes, including cardiovascular disease and cancer, both of which disproportionately affect the poor. Fundamental causes operate through pathways that include unhealthy diets, sedentary behaviors, smoking, excessive alcohol consumption, and psychosocial stress.3 Interventions that ignore fundamental causes and focus on proximal factors let the former affect health through other mechanisms. Lack of structural interventions may explain the decline in life expectancy observed in the United States in recent years despite an 80% increase in statin use.4 We applaud efforts to improve therapeutic adherence and the management of cardiovascular risk among high-risk persons from underserved communities using polypills. However, before escalating these to larger populations with heterogeneous risks,1,2 we should work to invent a polypill against social injustice and poverty.
Metrics
14 Record Views
Details
- Title
- Polypill for Cardiovascular Disease Prevention in an Underserved Population
- Creators
- Usama Bilal - Drexel UniversityMiguel Cainzos-Achirica - Johns Hopkins University
- Publication Details
- The New England journal of medicine, v 382(1), pp 94-95
- Publisher
- New England Journal of Medicine; United States
- Number of pages
- 2
- Resource Type
- Letter/Communication
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000505606700026
- Scopus ID
- 2-s2.0-85077208266
- Other Identifier
- 991014878183404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, General & Internal