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Does Health Inequity Begin at Home?

Does Health Inequity Begin at Home? Association of Socioeconomic Disadvantage With Long-term Mortality After Myocardial Infarction Original Investigation Research Invited Commentary Edward P. Havranek, MD In this issue of JAMA Cardiology, Berman and colleagues This study fits well into the larger literature on social de- examined data from 2 major academic hospitals in Boston, terminants of cardiovascular health in general and associa- Massachusetts, and found that despite receiving initial care in tion of neighborhood factors with cardiovascular health in par- the same facilities, individuals who lived in poor neighbor- ticular. A multitude of socially determined factors are known hoods had strikingly higher to contribute to worse cardiovascular health, including in- cardiovascular mortality af- come, educational level, occupation, race/ethnicity, lan- Multimedia ter a myocardial infarction guage, and social connectedness. The literature on the impor- than did individuals who lived tance of neighborhood goes back at least to a seminal article Related article page 880 in more affluent neighbor- by Diez Roux et al published in 2001 that demonstrated that hoods. The study by Berman the incidence of coronary heart disease was higher for indi- and colleagues adds substantively to the understanding viduals who were living in poorer neighborhoods, even after of the social determinants of cardiovascular http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Does Health Inequity Begin at Home?

JAMA Cardiology , Volume 6 (8) – Aug 19, 2021

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Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2021.0500
Publisher site
See Article on Publisher Site

Abstract

Association of Socioeconomic Disadvantage With Long-term Mortality After Myocardial Infarction Original Investigation Research Invited Commentary Edward P. Havranek, MD In this issue of JAMA Cardiology, Berman and colleagues This study fits well into the larger literature on social de- examined data from 2 major academic hospitals in Boston, terminants of cardiovascular health in general and associa- Massachusetts, and found that despite receiving initial care in tion of neighborhood factors with cardiovascular health in par- the same facilities, individuals who lived in poor neighbor- ticular. A multitude of socially determined factors are known hoods had strikingly higher to contribute to worse cardiovascular health, including in- cardiovascular mortality af- come, educational level, occupation, race/ethnicity, lan- Multimedia ter a myocardial infarction guage, and social connectedness. The literature on the impor- than did individuals who lived tance of neighborhood goes back at least to a seminal article Related article page 880 in more affluent neighbor- by Diez Roux et al published in 2001 that demonstrated that hoods. The study by Berman the incidence of coronary heart disease was higher for indi- and colleagues adds substantively to the understanding viduals who were living in poorer neighborhoods, even after of the social determinants of cardiovascular

Journal

JAMA CardiologyAmerican Medical Association

Published: Aug 19, 2021

References