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Social Deprivation and Peripheral Artery Disease
David Nash1, Graham McClure2, Tara M Mastracci3
1Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
The Canadian Journal of Cardiology
|December 31, 2021
Summary
Socioeconomic status significantly impacts peripheral artery disease (PAD) risk, management, and outcomes. Lower socioeconomic status is linked to higher PAD incidence and poorer results due to reduced access to care and underutilization of treatments.
Area of Science:
- Vascular Medicine
- Public Health
- Health Disparities
Background:
- Peripheral artery disease (PAD) affects millions globally.
- Socioeconomic status (SES) is increasingly recognized as a determinant of health.
- The intricate relationship between SES and PAD requires detailed examination.
Purpose of the Study:
- To conduct a narrative review exploring the complex link between socioeconomic status and peripheral artery disease.
- To elucidate how social determinants influence PAD development, management, and patient outcomes.
Main Methods:
- Narrative review of existing literature.
- Synthesis of studies examining socioeconomic factors and peripheral artery disease.
Main Results:
- Populations with lower socioeconomic status exhibit increased risk for PAD development.
- Factors contributing to higher PAD risk include prevalent cardiovascular risk factors and limited healthcare access.
- Underutilization of secondary prevention strategies (medication, smoking cessation, exercise) in socially deprived groups leads to adverse outcomes like amputation and reduced survival.
Conclusions:
- Socioeconomic status is a critical factor influencing peripheral artery disease prognosis.
- Addressing health disparities requires interventions to identify high-risk individuals and enhance healthcare access for low-SES populations.
- Recognizing the role of social determinants is vital for improving PAD outcomes.
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