A study finds a ‘poverty penalty’ for heart attack patients exists in six countries, including Canada and the U.S., in spite of the vastly different health care systems
Your chances of surviving a heart attack and of receiving life-saving treatment are better if you’re from a wealthy neighbourhood, according to a new study that shows mortality rates are 10 to 20 per cent higher among patients in low-income areas than those with a high-income postal code.
The researchers looked at the health data of nearly 290,000 patients, ages 66 and older, who were hospitalized with a type of heart attack called ST-elevation myocardial infarction , and more than 843,000 hospitalized with non-ST-elevation myocardial infarction , between 2013 and 2018. They examined the treatment patterns and outcomes of patients in Canada, England, the U.S., the Netherlands, Israel and Taiwan.
The research team also found low-income patients were less likely to receive certain treatments, including cardiac catheterization, stents and bypass surgeries. And they were more likely to be readmitted to hospital. From the findings, he said, the income-based health gap, or what he referred to as “the poverty penalty,” was present in all six countries, though to a lesser extent in Taiwan.
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