Researchers from Center for Outcomes Research Report on Findings in Public Health Management and Practice (Race and Ethnicity and Cardiometabolic Risk Profile: Disparities Across Income and Health Insurance In a National Sample of Us Adults): Health and Medicine – Public Health Management and Practice

Insurance Daily News

2022 JAN 03 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- A new study on Health and Medicine - Public Health Management and Practice is now available. According to news reporting from Houston, Texas, by NewsRx journalists, research stated, “Income and health insurance are important social determinants of cardiovascular disease (CVD) and may explain much racial/ethnic variation in CVD burden. However, racial/ethnic disparities in cumulative cardiometabolic (CMB) risk profile by insurance type and income level have not been studied on a national scale.”

The news correspondents obtained a quote from the research from Center for Outcomes Research, “To test the hypothesis that racial/ethnic minorities experience greater CMB burden at each income level and insurance type than non-Hispanic Whites (NHW). This study used nationally representative data from the National Health Interview Survey (NHIS). Observational (cross-sectional). In total, 134661 (weighted N = 197780611) adults, 18 years or older, from the 2013-2017 NHIS. CMB risk profile. Intervention/Analysis: Age-adjusted prevalence of optimal, average, and poor CMB risk profile-defined respectively as self-report of 0, 1-2, and 3 or more risk factors of diabetes, hypertension, obesity, or hypercholesterolemia-was examined for NHW, non-Hispanic Blacks (NHB), and Hispanics. Multivariable ordinal logistic regression models were used to test the association between race and ethnicity and CMB profile overall and separately by household income level and insurance type. Overall, 15% of NHB and 11% of Hispanics experienced poor CMB risk profile, compared with 9% for NHW. In fully adjusted models, NHB and Hispanics, respectively had nearly 25%-90% and 10%-30% increased odds of poor CMB profile across insurance types and 45%-60% and 15%-30% increased odds of poor CMB profile across income levels, relative to NHW. The observed disparities were widest for the Medicare group (NHB: OR = 1.90; Hispanics: OR = 1.31) and highest-income level (NHB: OR = 1.62). Racial/ethnic minorities experience poor CMB profile at each level of income and insurance.”

According to the news reporters, the research concluded: “These findings point to the need for greater investigation of unmeasured determinants of minority cardiovascular (CV) health, including structural racism and implicit bias in CV care.”

This research has been peer-reviewed.

For more information on this research see: Race and Ethnicity and Cardiometabolic Risk Profile: Disparities Across Income and Health Insurance In a National Sample of Us Adults. Journal of Public Health Management and Practice, 2022;28(1). Journal of Public Health Management and Practice can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Journal of Public Health Management and Practice - http://journals.lww.com/jphmp/pages/default.aspx)

Our news journalists report that additional information may be obtained by contacting Zulqarnain Javed, Houston Methodist Acad Inst, Center for Outcomes Research, Houston, TX, United States. Additional authors for this research include Khurram Nasir, Muhammad Haisum Maqsood and Zahir Amin.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1097/phh.0000000000001441. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.