Trends and disparities in coronary artery disease prevalence among U.S. adults from 2019 to 2022.
Publication/Presentation Date
5-25-2024
Abstract
BACKGROUND: Coronary artery disease (CAD) is the leading cause of death in the U.S. Understanding trends and potential disparities in CAD prevalence is crucial for public health strategies.
OBJECTIVE: Examine trends and disparities in CAD prevalence among U.S. adults (2019-2022).
METHODS: CDC's National Health Interview Survey's data was analyzed, employing regression analysis with Joinpoint and ARIMA models by ChatGPT-4 for trend forecasting.
RESULTS: CAD prevalence among U.S. adults was relatively stable, increasing slightly from 4.6 % (95 % CI: 4.3-4.9) in 2019 to 4.9 % (95 % CI: 4.7-5.2) in 2022. Males experienced significant rise in prevalence, with an APC of 3.1 % (95 % CI: 1.45-4.85, p-value < 0.000001), increasing from 5.9 % to 6.4 %. Female prevalence also increased significantly, with APC of 2.0 % (95 % CI: 0.46-3.59, p-value = 0.003599), moving from 3.4 % to 3.6 %. Notable age-related disparities appeared, especially in those aged 75 and over, with rates peaking at 20.0 % in 2020 before decreasing to 19.7 % in 2022. Racial disparities revealed higher prevalence among White adults at 5.4 % and noticeable increase among Asian adults from 2.8 % to 3.8 %. Geographic factors also influenced prevalence, particularly outside metropolitan areas, Northeast, and South regions of US. Employment status influenced CAD rates and a lower prevalence observed in the employed (1.7 % to 1.9 %) compared to unemployed (9.9 % to 10.3 %). Veterans (13.4 % to 12.6 %) reported higher prevalence rates than non-veterans. ARIMA projections suggest stable prevalence until 2026.
CONCLUSION: Despite stable overall prevalence, significant disparities exist. Targeted interventions are essential, particularly for high-risk demographics such as males, older adults, and veterans.
Volume
49
Issue
8
First Page
102645
Last Page
102645
ISSN
1535-6280
Published In/Presented At
Khalid, N., Haider, S., Abdullah, M., Asghar, S., Laghari, M. A., & Rajeswaran, Y. (2024). Trends and disparities in coronary artery disease prevalence among U.S. adults from 2019 to 2022. Current problems in cardiology, 49(8), 102645. Advance online publication. https://doi.org/10.1016/j.cpcardiol.2024.102645
Disciplines
Medicine and Health Sciences
PubMedID
38796947
Department(s)
Department of Medicine, Department of Medicine Fellows and Residents, Fellows and Residents
Document Type
Article
