Living in Marginalized Neighborhoods Linked to Adverse Outcomes in Acute MI
THURSDAY, July 10, 2025 -- For younger acute myocardial infarction (AMI) survivors, living in marginalized neighborhoods is associated with adverse outcomes, according to a study published online July 2 in JAMA Network Open.
Leo E. Akioyamen, M.D., from the University of Toronto, and colleagues examined the association of living in a marginalized neighborhood with mortality and care for younger AMI survivors (younger than 65 years) in a universal health care system in a population-based retrospective cohort study. Data were included for 65,464 AMI patients (median age, 56 years).
The researchers found an association for increasing neighborhood marginalization with higher rates of mortality beginning 30 days after discharge and persisting over time. Mortality rates varied from 2.2 to 5.2 percent in the least and most marginalized quintiles (Q1 and Q5) at three years. During three years of follow-up, adjusted hazard ratios for mortality were significantly higher in patients from marginalized neighborhoods and varied from 1.13 (95 percent confidence interval, 0.95 to 1.35) in Q2 to 1.52 (95 percent confidence interval, 1.29 to 1.80) in Q5. Differences were observed between Q1 and Q5 in visits to primary care physicians (96.1 and 91.6 percent, respectively) and cardiologists (88.0 and 75.7 percent, respectively), as well as in diagnostic testing over one year.
"Our findings suggest that younger individuals may be more vulnerable to the adverse effects of neighborhood marginalization and that universal health care may be insufficient to redress outcome inequities after AMI," the authors write.
Several authors disclosed ties to the biopharmaceutical industry.
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2025 HealthDay. All rights reserved.
Read this next
Aspirin Linked to Lower CRC Recurrence for Molecularly Defined Subgroup
FRIDAY, Sept. 19, 2025 -- Aspirin is associated with a lower incidence of colorectal cancer (CRC) recurrence among certain patients with rectal or colon cancer with somatic...
Cannabis Use Increases Diabetes Risk Nearly Fourfold
FRIDAY, Sept. 19, 2025 -- Cannabis use is associated with a nearly quadrupled risk for developing type 2 diabetes, according to a study presented at the annual meeting of the...
Slightly More Than Half of Pregnant Women With Epilepsy See Neurologist in Year Predelivery
FRIDAY, Sept. 19, 2025 -- Just over half (55 percent) of pregnant women with epilepsy (WWE) saw a neurologist in the year prior to delivery, according to a study presented at the...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.