Study looks at differences between African-Americans, whites in statin therapy

June 13, 2018

Bottom Line: African American patients were less likely to receive guideline-appropriate statin therapy than white patients and the difference can be explained by a combination of demographic and clinical characteristics, socioeconomic status, patient beliefs and clinician factors.

Why The Research Is Interesting: African American individuals are at higher risk of hardening and narrowing of the arteries than white individuals, although reasons for this difference are unknown.

Who and When: 5,689 patients in a nationwide registry who were eligible for statin therapy and who have, or are at high risk for, atherosclerotic cardiovascular disease.

What (Study Measures and Outcomes): Use and dosing of statin therapy according to the 2013 American College of Cardiology/American Heart Association guideline by race (African American or white)

How (Study Design): This was a registry-based study.

Authors: Michael G. Nanna, M.D., Duke University Medical Center, Durham, North Carolina, and coauthors

Results: African Americans patients were slightly less likely than white individuals to receive statins overall and less likely to receive statins at guideline-recommended intensity, although different perceptions and beliefs regarding statin therapy, demographics, clinical characteristics, socioeconomic status and lower frequency of care by cardiologists accounted for the differences.

Study Limitations: Researchers didn't assess the reasoning behind clinician decisions to prescribe or not prescribe statin therapy; therefore, it is possible that there could have been contraindications to therapy in both African American and white participants or patient refusal.

Related material: The Editor's Note, "Addressing Cardiovascular  Disease Disparities - Are We Getting Closer to the Truth?" by Clyde W. Yancy, M.D., M.Sc., Feinberg School of Medicine, Northwestern University, Chicago, and Deputy Editor, JAMA Cardiology, is also available on the For The Media website.

To Learn More: The full study is available on the For The Media website.

(doi:10.1001/jamacardio.2018.1511)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
-end-
Want to embed a link to this study in your story? Link will be live at the embargo time http://jamanetwork.com/journals/jamacardiology/fullarticle/10.1001/jamacardio.2018.1511

JAMA Cardiology

Related Socioeconomic Status Articles from Brightsurf:

Psychological status rather than cognitive status is associated with incorrect perception of risk of falling in patients with moderate stage dementia
Dementia is associated with an impaired self-perception with potentially harmful consequences for health status and clinical risk classification in this patient group with an extraordinary high risk of falling.

Study shows socioeconomic status linked to heart failure mortality in United States
A variety of treatments exist to address heart failure, yet it continues to carry a poor prognosis.

'Low' socioeconomic status is the biggest barrier to STEM participation
A new study has found that socioeconomic status (SES) has the strongest impact on whether secondary school students study the STEM sciences.

Socioeconomic inequalities are decisive in the health of the elderly
Researchers at the UPV/EHU, Osakidetza and the Department of Health have reviewed scientific papers that analyse the relationship between socioeconomic inequalities and health among the elderly population in Spain.

Cooperation with high status individuals may increase one's own status
While other animals tend to gain status through aggression, humans are typically averse to allowing such dominant individuals to achieve high status.

Massachusetts General study identifies pathway linking socioeconomic status to cardiovascular risk
A biological pathway previously found to contribute to the impact of stress on the risk of cardiovascular disease also may underlie the increased incidence of such disease experienced by individuals with lower socioeconomic status.

How can organizations promote and benefit from socioeconomic diversity?
A new white paper has been published by the Society for Industrial and Organizational Psychology.

Socioeconomic status associated with likelihood of receiving a heart pump
Racial/ethnic minorities, patients who are uninsured or only have Medicaid insurance and those living in low-income ZIP codes were less likely to receive a heart pumping device known as a left ventricular assist device (LVAD).

Blacks with high socioeconomic status less likely to seek mental health care
In her latest research paper Sirry Alang questions why there is a significant unmet need for mental health care among Blacks and identifies solutions among healthcare systems to fix it: teach the history of racism in medicine; and actively seek, privilege and legitimize the narratives of black people.

Salad, soda and socioeconomic status: Mapping a social determinant of health in Seattle
Seattle residents who live in waterfront neighborhoods tend to have healthier diets compared to those who live along Interstate-5 and Aurora Avenue, according to new research on social disparities from the University of Washington School of Public Health.

Read More: Socioeconomic Status News and Socioeconomic Status Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.