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Poorer care for the poor? Having fewer assets is associated with poorer care during, and worse outcomes after, an IHCA

  • Suzanne R. Avis
    Correspondence
    Corresponding author at: Cardiovascular Discovery Group, Kolling Institute, L12 / 10 Westbourne St., ST LEONARDS NSW 2064, Australia.
    Affiliations
    Cardiovascular Discovery Group, Kolling Institute, University of Sydney, Sydney, Australia
    Tasmanian School of Medicine, University of Tasmania, Sydney, Australia
    Search for articles by this author
  • Gemma A. Figtree
    Affiliations
    Cardiovascular Discovery Group, Kolling Institute, University of Sydney, Sydney, Australia
    Search for articles by this author
      World-wide, and across all age groups, being poor increases an individual’s risk of contracting an infectious disease, suffering a traumatic injury, or developing chronic disease.
      • Laflamme L.
      • Hasselberg M.
      • Burrows S.
      Socioeconomic Differences in Injury Risks. A Review of Findings and a Discussion of Potential Countermeasures.
      • European Centre for Disease Prevention and Control
      Health inequalities, the financial crisis, and infectious disease in Europe.
      • Niessen L.W.
      • Mohan D.
      • Akuoku J.K.
      • et al.
      Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda.
      Poverty is strongly implicated in poor health outcomes, with the association between socio-economic status (SES) and mortality comparable in strength and consistency to that between tobacco use, alcohol consumption, hypertension, obesity, diabetes, inadequate physical activity, and mortality.
      • Stringhini S.
      • Carmeli C.
      • Jokela M.
      • Avendaño M.
      • Muennig P.
      • Guida F.
      • et al.
      Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1·7 million men and women.
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      References

        • Laflamme L.
        • Hasselberg M.
        • Burrows S.
        Socioeconomic Differences in Injury Risks. A Review of Findings and a Discussion of Potential Countermeasures.
        World Health Organization, Copenhagen, Denmark2009
        • European Centre for Disease Prevention and Control
        Health inequalities, the financial crisis, and infectious disease in Europe.
        ECDC, Stockholm2013
        • Niessen L.W.
        • Mohan D.
        • Akuoku J.K.
        • et al.
        Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda.
        Lancet. 2018; 391: 2036-2046
        • Stringhini S.
        • Carmeli C.
        • Jokela M.
        • Avendaño M.
        • Muennig P.
        • Guida F.
        • et al.
        Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1·7 million men and women.
        Lancet. 2017; 389: 1229-1237
        • Mensah G.A.
        • Wei G.S.
        • Sorlie P.D.
        • et al.
        Decline in Cardiovascular Mortality: Possible Causes and Implications.
        Circ Res. 2017; 120: 366-380
        • Roth G.A.
        • Mensah G.A.
        • Johnson C.O.
        • Addolorato G.
        • Ammirati E.
        • Baddour L.M.
        • et al.
        Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: Update From the GBD 2019 Study.
        J Am Coll Cardiol. 2020; 76: 2982-3021
        • Simoni A.H.
        • Frydenlund J.
        • Kragholm K.H.
        • Bøggild H.
        • Jensen S.E.
        • Johnsen S.P.
        Socioeconomic inequity in incidence, outcomes and care for acute coronary syndrome: A systematic review.
        Int J Cardiol. 2022; 356: 19-29
      1. Australian Institute of Health and Welfare 2019. Indicators of socioeconomic inequalities in cardiovascular disease, diabetes and chronic kidney disease, Cat. No.CDK 12. Canberra: AIHW.

        • Havranek E.P.
        • Mujahid M.S.
        • Barr D.A.
        • et al.
        American Heart Association Council on Quality of Care and Outcomes Research, Council on Epidemiology and Prevention, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Health, and Stroke Council. Social Determinants of Risk and Outcomes for Cardiovascular Disease: A Scientific Statement From the American Heart Association.
        Circulation. 2015; 132: 873-898
        • Tawakol A.
        • Osborne M.T.
        • Wang Y.
        • et al.
        Stress-Associated Neurobiological Pathway Linking Socioeconomic Disparities to Cardiovascular Disease.
        J Am Coll Cardiol. 2019; 73: 3243-3255
        • Needham B.L.
        • Adler N.
        • Gregorich S.
        • et al.
        Socioeconomic status, health behavior, and leukocyte telomere length in the National Health and Nutrition Examination Survey, 1999–2002.
        Soc Sci Med. 2013; 85: 1-8
        • Arnold N.S.
        • Noren Hooten N.
        • Zhang Y.
        • et al.
        The association between poverty and gene expression within peripheral blood mononuclear cells in a diverse Baltimore City cohort.
        PLoS One. 2020; 15: e0239654
        • FitzGerald C.
        • Hurst S.
        Implicit bias in healthcare professionals: a systematic review.
        BMC Med Ethics. 2017; 18: 19
        • López L.
        • Wilper A.P.
        • Cervantes M.C.
        • et al.
        Racial and sex differences in emergency department triage assessment and test ordering for chest pain, 1997–2006.
        Acad Emerg Med. 2010; 17: 801-808
        • Johar M.
        • Jones G.S.
        • Savage E.
        Emergency admissions and elective surgery waiting times.
        Health Econ. 2013; 22: 749-756
        • Spiers G.F.
        • Liddle J.E.
        • Stow D.
        • et al.
        Measuring older people's socioeconomic position: a scoping review of studies of self-rated health, health service and social care use.
        J Epidemiol Community Health. 2022; 76 (Epub 2022 Mar 15): 572-579https://doi.org/10.1136/jech-2021-218265
        • Stankovic N.
        • Holmberg M.J.
        • Granfeldt A.
        • Andersen L.W.
        Socioeconomic status and outcomes after in-hospital cardiac arrest.
        Resuscitation. 2022; 180: 140-149
        • Nong P.
        • Raj M.
        • Creary M.
        • Kardia S.L.R.
        • Platt J.E.
        Patient-Reported Experiences of Discrimination in the US Health Care System.
        JAMA Netw Open. 2020; 3 (PMID: 33320264; PMCID: PMC7739133): e2029650https://doi.org/10.1001/jamanetworkopen.2020.29650
        • Loignon C.
        • Gottin T.
        • Dupéré S.
        • Bedos C.
        General practitioners' perspective on poverty: a qualitative study in Montreal, Canada.
        Fam Pract. 2018; 35 (PMID: 28968901; PMCID: PMC6191939): 105-110https://doi.org/10.1093/fampra/cmx078
        • Bloch G.
        • Rozmovits L.
        • Giambrone B.
        Barriers to primary care responsiveness to poverty as a risk factor for health.
        BMC Fam Pract. 2011; 29 (PMID: 21714925; PMCID: PMC3135547): 62https://doi.org/10.1186/1471-2296-12-62
        • Agerström J.
        • Carlsson M.
        • Bremer A.
        • Herlitz J.
        • Israelsson J.
        • Årestedt K.
        Discriminatory cardiac arrest care? Patients with low socioeconomic status receive delayed cardiopulmonary resuscitation and are less likely to survive an in-hospital cardiac arrest.
        Eur Heart J. 2021; 42: 861-869
      2. World Health Organization. Joint United Nations statement on ending discrimination in health care settings. World Health Organization; 2017. https://apps.who.int/iris/handle/10665/259622. License: CC BY-NC-SA 3.0 IGO.