If certain provisions of the Affordable Care Act are gutted, as Republican lawmakers hope, the negative effects will fall mostly on the poor, he added
Americans have made major strides in reducing heart disease, but two new studies suggest one group — the poor — still lags behind. Risk of heart disease among middle-class and rich Americans declined 20 percent between 1999 and 2014, researchers said. But those levels changed little among the poor, who are as likely to have high blood pressure, to smoke and have other risk factors for heart disease and stroke as they did 15 or 20 years ago, the researchers found. “Adults in all income strata have not benefited equally from efforts to improve control of cardiovascular risk factors in the United States,” said Dr. Ayodele Odutayo, lead researcher of one of the studies. Public health must focus on reducing income disparities in cardiovascular risk factors, particularly blood pressure and smoking, said Odutayo. He is with St. Michael’s Hospital in Toronto. “This not only includes expanding access to health insurance, but also ensuring that insurance plans that cover adults with lower incomes provide adequate management and counseling related to cardiovascular risk factors,” Odutayo said. For the study, Odutayo and his colleagues used the 1999-2014 U.S. National Health and Nutrition Examination surveys to collect data on more than 17,000 adults, ages 40 to 79. They were grouped according to income level: high, 의정부출장업소 middle or at or below the federal poverty level — $24,600 annual income for a family of...
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