Cholesterol Control Among Uninsured Adults Did Not Improve From 2001‐2004 to 2009‐2012 as Disparities With Both Publicly and Privately Insured Adults Doubled

Background Low‐density lipoprotein cholesterol (LDL‐C) control is higher among insured than uninsured adults, but data on time trends and contributing factors are incomplete and important for improving health equity. Methods and Results Awareness, treatment, and control of elevated LDL‐C were compar...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Heart Association 2017-11, Vol.6 (11), p.n/a
Main Authors: Egan, Brent M., Li, Jiexiang, Sarasua, Sara M., Davis, Robert A., Fiscella, Kevin A., Tobin, Jonathan N., Jones, Daniel W., Sinopoli, Angelo
Format: Article
Language:English
Subjects:
Adult
adult treatment panel‐3
Anticholesteremic Agents - economics
Anticholesteremic Agents - therapeutic use
Biomarkers - blood
cholesterol
Cholesterol, LDL - blood
Drug Costs
Female
health disparities
Health Services Accessibility - trends
Healthcare Disparities - economics
Healthcare Disparities - trends
healthcare insurance
Humans
Hypercholesterolemia - blood
Hypercholesterolemia - drug therapy
Hypercholesterolemia - economics
Hypercholesterolemia - epidemiology
Insurance Coverage - economics
Insurance Coverage - trends
Insurance, Health - economics
Insurance, Health - trends
Male
Medical Assistance - economics
Medical Assistance - trends
Medically Uninsured
Middle Aged
Nutrition Surveys
Original Research
Poverty
Private Sector - economics
Private Sector - trends
Time Factors
Treatment Outcome
United States - epidemiology
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Low‐density lipoprotein cholesterol (LDL‐C) control is higher among insured than uninsured adults, but data on time trends and contributing factors are incomplete and important for improving health equity. Methods and Results Awareness, treatment, and control of elevated LDL‐C were compared among insured versus uninsured and publicly versus privately insured adults, aged 21 to 64 years, in National Health and Nutrition Examination Surveys from 2001 to 2004, 2005 to 2008, and 2009 to 2012 using Adult Treatment Panel‐3 criteria. Compared with insured adults, uninsured adults were younger; were more often minority; reported lower incomes, less education, and fewer healthcare encounters; and had lower awareness and treatment of elevated LDL‐C (P
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.117.006105