AI Article Synopsis
- - The study investigates the prevalence of heart failure across different races and socioeconomic statuses within the Military Health System, highlighting increasing morbidity and mortality rates.
- - Analyzed data from over 5.4 million beneficiaries aged 18 to 64 revealed that 18.1% had preclinical heart failure and 2.5% had clinical heart failure, with significant disparities linked to race and socioeconomic status.
- - Key findings indicate that Black individuals, men, and those of lower socioeconomic status have a higher prevalence of both preclinical and clinical heart failure, emphasizing the need for targeted prevention efforts.
Article Abstract
Background: Morbidity and mortality related to heart failure are increasing and disparities are widening. These alarming trends, often confounded by access to care, are poorly understood. This study evaluates the prevalence of all stages of heart failure by race and socioeconomic status in an environment with no access barrier to care.
Methods: We conducted a cross-sectional observational study of adult beneficiaries aged 18 to 64 years of the Military Health System (MHS), a model for universal health care for fiscal years 2018-2019. We calculated prevalence of preclinical (stages A/B) or clinical (stages C/D) heart failure stages as defined by professional guidelines. Results were analyzed by age, race, and socioeconomic status (using military rank as a proxy).
Results: Among 5,440,761 MHS beneficiaries aged 18 to 64 years, prevalence of preclinical and clinical heart failure was 18.1% and 2.5%, respectively. Persons with preclinical heart failure were middle aged, with similar proportions of men and women, while those with heart failure were older, mainly men. After multivariable adjustment, male sex (1.35 odds ratio [OR] [preclinical]; 1.95 OR [clinical]), Black race (1.64 OR [preclinical]; 1.88 OR [clinical]) and lower socioeconomic status were significantly associated with large increases in the prevalence of all stages of heart failure.
Conclusion: All stages of heart failure are highly prevalent among MHS beneficiaries of working age and, in an environment with no access barrier to care, there are striking disparities by race and socioeconomic status. The high prevalence of preclinical heart failure, particularly notable among Black beneficiaries, delineates a critical time window for prevention.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10592056 | PMC |
| http://dx.doi.org/10.1016/j.amjmed.2023.07.007 | DOI Listing |
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