Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Rate of LCL-C Control Among Uninsured Adults

J Am Heart Assoc; ePub 2017 Nov 2; Egan, et al

In both publicly and privately insured adults, low-density lipoprotein cholesterol (LDL-C) control improved similarly over time; however, this was not the case among the uninsured. This according to a study that compared awareness, treatment, and control of elevated LDL-C among insured vs uninsured and publicly vs privately insured adults (aged 21 to 64 years), in the National Health and Nutrition Examination Surveys from 2001 to 2004, 2005 to 2008, and 2009 to 2012. Researchers found:

  • Compared with insured adults, uninsured adults were younger; were more often minority; reported lower incomes; less education; and fewer healthcare encounters; and had lower awareness and treatment of elevated LDL-C.
  • LDL-C control was higher among insured vs uninsured adults in 2001 to 2004 and increased by 2009 to 2012.
  • Publicly insured adults had more healthcare visits/year than privately insured adults, along with similar awareness, treatment, and LDL-C control from 2001 to 2012.
  • Public insurance vs uninsured was a significant predictor of LDL-C control; whereas income <200% vs ≥200% of federal poverty was a significant negative predictor.

Egan BM, Li J, Sarasua SM, et al. Cholesterol control among uninsured adults did not improve from 2001-2004 to 2009-2012 as disparities with both publicly and privately insured adults doubled. [Published online ahead of print November 2, 2017]. J Am Heart Assoc. doi:10.1161/JAHA.117.006105.

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