Black patients from disadvantaged neighborhoods had the worst mortality of all groups<\/p>\n<\/h3>\n
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THURSDAY, May 13, 2021 (HealthDay News) — Neighborhood disadvantage is independently associated with increased mortality after myocardial infarction (MI), according to a study presented at the annual meeting of the American College of Cardiology, held virtually from May 15 to 17.<\/p>\n
Jesse Goitia, M.D., from the Kaiser Permanente Los Angeles Medical Center, and colleagues investigated the association between neighborhood disadvantage (using the Area Deprivation Index) and long-term mortality after MI. The analysis included 31,747 patients admitted to a Southern California Kaiser Permanente hospital with acute MI (from 2006 through 2016).<\/p>\n
The researchers found that after 5.2 years of follow-up, after adjusting for age, sex, race\/ethnicity, comorbidities, and medications, living in a disadvantaged neighborhood was independently associated with increased all-cause mortality after MI (hazard ratio, 1.05). The worst mortality was seen among Black patients from disadvantaged neighborhoods versus White patients from well-resourced neighborhoods (hazard ratio, 1.19) and White patients from disadvantaged neighborhoods (hazard ratio, 1.14). Compared with White patients, Black patients from well-resourced neighborhoods did not have worse mortality.<\/p>\n
“A key takeaway from our study is that there are a lot of social and environmental factors that can affect a person’s outcome after a heart attack,” Goitia said in a statement. “I think that a broad, overarching approach to start addressing those factors at the neighborhood level would pay dividends for businesses, health insurers, providers, and patients.”<\/p>\n
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