Priya Vart|Josef Coresh|Lucia Kwak|Shoshana H. Ballew|Gerardo Heiss|Kunihiro Matsushita
Socioeconomic Status and Incidence of Hospitalization With Lower?Extremity Peripheral Artery Disease: Atherosclerosis Risk in Communities Study
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|University of North Carolina at Chapel Hill|Johns Hopkins University
background compared coronary heart disease heart failure stroke relationship low socioeconomic status ses peripheral artery disease pad less well established examined association ses incidence hospitalization pad explored whether association explained traditional cardiovascular risk factors healthcare access methods results total 12 517 participants atherosclerosis risk communities aric study 19871989 prior pad examined individuallevel ses assessed household income low lt12 000year medium 12 000 24 999year high 25 000year double approximate values 2016 educational attainment lthigh school high school gthigh school arealevel ses area deprivation index quintiles median followup 236 interquartile range 196245 years 433 participants hospitalization pad cox proportional hazards regression analysis demographically adjusted hazard ratio 242 181323 low household income 208 160269 low educational attainment 218 135353 deprived neighborhoods compared high ses counterparts adjustment traditional cardiovascular risk factors heath care access associations attenuated remained significant particularly income education results consistent stratified race p values interaction gt02 ses parameters conclusions low individual arealevel ses strong predictors hospitalization pad part due increased prevalence cardiovascular risk factors poor access care groups additional risk factors may also need identified acted eliminate ses disparities pad hospitalization