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Exploring the Factors Influencing Coronary Heart Disease Prevalence in the US Population: A Retrospective
Mahima Kuruvila1, Kavya Maddineni2, Srija Reddy Koppula3
1Internal Medicine, Caribbean Medical University School of Medicine, Chicago, USA.
Insights
Coronary heart disease (CHD) prevalence varies significantly by age, sex, race, income, and health status in the U.S. Targeted public health interventions are crucial to address these identified health disparities.
Area of Science:
- Cardiovascular epidemiology
- Public health research
- Health disparities
Background:
- Coronary heart disease (CHD) is a major global health issue, marked by plaque buildup in coronary arteries.
- Despite advancements, significant prevalence disparities in CHD persist within the U.S. population.
- Addressing these disparities is critical for effective healthcare system management.
Purpose of the Study:
- To investigate the prevalence disparities of Coronary heart disease (CHD).
- Utilize the 2022 Behavioral Risk Factor Surveillance System (BRFSS) dataset for analysis.
- Identify demographic, socioeconomic, and health-related factors associated with CHD prevalence.
Main Methods:
- Retrospective observational study using the 2022 BRFSS dataset.
- Analysis included descriptive statistics and logistic regression.
- Conducted using the BRFSS Web Enabled Analysis Tool (CDC).
Main Results:
- Older adults (65+) and males had higher odds of CHD compared to younger individuals and females.
- Hispanics reported the lowest CHD odds across racial groups.
- Factors like inability to work, lower income ($15,000-$20,000), poor physical health, and Medicare use were associated with increased CHD odds.
Conclusions:
- Significant disparities in CHD prevalence exist across demographic, socioeconomic, health status, and healthcare access factors in the U.S.
- Urgent need for targeted interventions to mitigate these disparities.
- Improving public health outcomes requires addressing the identified CHD prevalence variations.
Introduction:
Coronary heart disease (CHD) remains a significant global health concern and is characterized by inadequate blood supply to the myocardium due to the accumulation of plaque in the coronary arteries. Despite therapeutic advancements, prevalence disparities persist across various segments of the U.S. population, posing a significant challenge to healthcare systems. This study aims to find the prevalence disparities of CHD using Behavioral Risk Factor Surveillance System (BRFSS) data.
Methodology:
A retrospective observational study was done using the 2022 BRFSS dataset on January 17, 2024. The study examined the presence of CHD as the dependent variable and investigated various independent variables. Descriptive and logistic regression analyses were conducted using the BRFSS Web Enabled Analysis Tool (Centers for Disease Control and Prevention, Atlanta, GA). Data management and storage utilized Microsoft Excel, and graphical analysis employed GraphPad Prism, version 9.4.1 (GraphPad Software, Inc., San Diego, CA).
Results:
In demographics, respondents aged 65+ had higher CHD odds, while females exhibited lower risk than males. Hispanics had the lowest odds of CHD among all races. Socioeconomically, inability to work and retirees had higher CHD odds, as did income below $20,000 but ≥$15,000. Poor physical health increased CHD odds, as did having multiple healthcare providers. Medicare users had the highest CHD odds among insurance options.
Conclusions:
Significant disparities in CHD prevalence were seen across demographic, socioeconomic, health status, and healthcare access dimensions in the United States, emphasizing the urgent need for targeted interventions to address these disparities and improve overall public health outcomes.
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