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dc.contributor.authorBashinskaya, Bronislava
dc.contributor.authorNahed, Brian Vala
dc.contributor.authorWalcott, Brian Patrick
dc.contributor.authorCoumans, Jean-Valery C E
dc.contributor.authorOnuma, Oyere Kalu
dc.date.accessioned2013-04-05T15:18:34Z
dc.date.issued2012
dc.identifier.citationBashinskaya, Bronislava, Brian V. Nahed, Brian P. Walcott, Jean-Valery C. E. Coumans, and Oyere K. Onuma. 2012. Socioeconomic status correlates with the prevalence of advanced coronary artery disease in the United States. PLoS ONE 7(9): e46314.en_US
dc.identifier.issn1932-6203en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:10498800
dc.description.abstractBackground: Increasingly studies have identified socioeconomic factors adversely affecting healthcare outcomes for a multitude of diseases. To date, however, there has not been a study correlating socioeconomic details from nationwide databases on the prevalence of advanced coronary artery disease. We seek to identify whether socioeconomic factors contribute to advanced coronary artery disease prevalence in the United States. Methods and Findings: State specific prevalence data was queried form the United States Nationwide Inpatient Sample for 2009. Patients undergoing percutaneous coronary angioplasty and coronary artery bypass graft were identified as principal procedures. Non-cardiac related procedures, lung lobectomy and hip replacement (partial and total) were identified and used as control groups. Information regarding prevalence was then merged with data from the Behavioral Risk Factor Surveillance System, the largest, on-going telephone health survey system tracking health conditions and risk behaviors in the United States. Pearson's correlation coefficient was calculated for individual socioeconomic variables including employment status, level of education, and household income. Household income and education level were inversely correlated with the prevalence of percutaneous coronary angioplasty (−0.717; −0.787) and coronary artery bypass graft surgery (−0.541; −0.618). This phenomenon was not seen in the non-cardiac procedure control groups. In multiple linear regression analysis, socioeconomic factors were significant predictors of coronary artery bypass graft and percutaneous transluminal coronary angioplasty (p<0.001 and p = 0.005, respectively). Conclusions: Socioeconomic status is related to the prevalence of advanced coronary artery disease as measured by the prevalence of percutaneous coronary angioplasty and coronary artery bypass graft surgery.en_US
dc.language.isoen_USen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.isversionofdoi:10.1371/journal.pone.0046314en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3457990/pdf/en_US
dash.licenseLAA
dc.subjectBiologyen_US
dc.subjectPopulation Biologyen_US
dc.subjectEpidemiologyen_US
dc.subjectMedicineen_US
dc.subjectCardiovascularen_US
dc.subjectCoronary Artery Diseaseen_US
dc.subjectCardiovascular Disease Epidemiologyen_US
dc.subjectClinical Epidemiologyen_US
dc.subjectSocial Epidemiologyen_US
dc.subjectNon-Clinical Medicineen_US
dc.subjectSocioeconomic Aspects of Healthen_US
dc.subjectPublic Healthen_US
dc.subjectSurgeryen_US
dc.subjectCardiovascular Surgeryen_US
dc.titleSocioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United Statesen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalPLoS ONEen_US
dash.depositing.authorCoumans, Jean-Valery C E
dc.date.available2013-04-05T15:18:34Z
dc.identifier.doi10.1371/journal.pone.0046314*
dash.contributor.affiliatedOnuma, Oyere Kalu
dash.contributor.affiliatedCoumans, Jean-Valery
dash.contributor.affiliatedWalcott, Brian
dash.contributor.affiliatedNahed, Brian


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