Featured Research

from universities, journals, and other organizations

Low Neighborhood Income, Medicaid Linked To Delays In Reaching Hospital After Heart Attack

Date:
September 22, 2008
Source:
JAMA and Archives Journals
Summary:
Individuals with Medicaid insurance and those who live in neighborhoods with lower household incomes appear less likely than others to reach the hospital within two hours of having a heart attack.

Individuals with Medicaid insurance and those who live in neighborhoods with lower household incomes appear less likely than others to reach the hospital within two hours of having a heart attack, according to a new report.

Related Articles


Patients tend to have better outcomes after an acute myocardial infarction (heart attack) if they receive medical treatment in a timely manner, according to background information in the article. Time-dependent treatments, such as clot-dissolving therapy or heart catheterization to reopen blocked arteries, are more likely to be given to patients who arrive at the hospital quickly. "Despite efforts to reduce time elapsed between the onset of acute myocardial infarction symptoms and hospital arrival, prehospital delay times have not improved over the years," the authors write.

Randi E. Foraker, M.A., of the University of North Carolina, Chapel Hill, and colleagues examined the medical records of 6,746 men and women hospitalized with heart attack between 1993 and 2002. From the records, the researchers determined the prehospital delay time, or the time elapsed between the onset of symptoms and arrival at the hospital. Participants' addresses were geocoded and linked with 2000 U.S. census socioeconomic data. Median (midpoint) household income for each participant's area was classified as low (less than $33,533), medium ($33,533 to $50,031) or high ($50,032 or more). Health insurance status was noted and the distance from the residence to the hospital was calculated.

A total of 36 percent of the patients arrived at the hospital within two hours of developing symptoms (short delay), 42 percent between two hours and 12 hours (medium delay) and 22 percent between 12 and 72 hours (long delay). "Low neighborhood household income was associated with a higher odds of long vs. short delay and medium vs. short delay compared with high neighborhood household income in a model including age, sex, race and study community," the authors write. "These associations persisted after additionally controlling for health insurance status, diabetes, hypertension, emergency medical services (EMS) use, chest pain, year of acute myocardial infarction event and distance from residence to hospital."

In addition, patients with Medicaid were more likely to have a long or medium vs. a short delay than were patients with prepaid insurance or with prepaid insurance plus Medicare.

"Reducing socioeconomic and insurance disparities in prehospital delay is critical because excess delay time may hinder effective care for acute myocardial infarction," the authors note. "Prolonged prehospital delay among patients from low neighborhood income areas and among Medicaid recipients suggests a need for increased recognition of and rapid response to acute myocardial infarction symptoms within these populations. Interventions that have been considered include the following: community education and awareness campaigns, targeted interventions by health care professionals aimed at reducing prehospital delay among patients with known coronary heart disease and promoting EMS use throughout the community."

This research was supported by a contract from the National Heart, Lung, and Blood Institute and was also funded in part by a National Institutes of Health, NHLBI and National Research Service Award training grant. The Atherosclerosis Risk in Communities (ARIC) study is carried out as a collaborative study supported by NHLBI contracts.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Foraker et al. Neighborhood Income, Health Insurance, and Prehospital Delay for Myocardial Infarction: The Atherosclerosis Risk in Communities Study. Archives of Internal Medicine, 2008; 168 (17): 1874 DOI: 10.1001/archinte.168.17.1874

Cite This Page:

JAMA and Archives Journals. "Low Neighborhood Income, Medicaid Linked To Delays In Reaching Hospital After Heart Attack." ScienceDaily. ScienceDaily, 22 September 2008. <www.sciencedaily.com/releases/2008/09/080922174519.htm>.
JAMA and Archives Journals. (2008, September 22). Low Neighborhood Income, Medicaid Linked To Delays In Reaching Hospital After Heart Attack. ScienceDaily. Retrieved January 30, 2015 from www.sciencedaily.com/releases/2008/09/080922174519.htm
JAMA and Archives Journals. "Low Neighborhood Income, Medicaid Linked To Delays In Reaching Hospital After Heart Attack." ScienceDaily. www.sciencedaily.com/releases/2008/09/080922174519.htm (accessed January 30, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, January 30, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

CDC: Get Vaccinated for Measles

CDC: Get Vaccinated for Measles

Reuters - US Online Video (Jan. 30, 2015) The CDC is urging people to get vaccinated for measles amid an outbreak that began at Disneyland and has now infected more than 90 people. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Obama To Outline New Plan For Personalized Medicine

Obama To Outline New Plan For Personalized Medicine

Newsy (Jan. 30, 2015) President Obama is expected to speak with drugmakers Friday about his Precision Medicine Initiative first introduced last week. Video provided by Newsy
Powered by NewsLook.com
NFL Concussions Down; Still on Parents' Minds

NFL Concussions Down; Still on Parents' Minds

AP (Jan. 30, 2015) The NFL announced this week that the number of game concussions dropped by a quarter over last season. Still, the dangers of the sport still weigh on players, and parents&apos; minds. (Jan. 30) Video provided by AP
Powered by NewsLook.com
U.S. Wants to Analyze DNA from 1 Million People

U.S. Wants to Analyze DNA from 1 Million People

Reuters - US Online Video (Jan. 30, 2015) The U.S. has proposed analyzing genetic information from more than 1 million American volunteers to learn how genetic variants affect health and disease. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins