Abstract 17698: Will Access to Timely Primary Care Influence the Success of the American Heart Association’s 2020 Strategic Impact Goals? A Report From the 2012 National Health Interview Survey
Background: The AHA’s 2020 Strategic Impact Goals are to improve cardiovascular (CV) health and reduce related deaths by 20% by 2020. Our objective is to examine the association between perceived barriers to timely primary care and CV metrics relevant to these goals for the US population.
Methods: We examined data on key CV metrics (aspirin, blood pressure, cholesterol and smoking) from 34,525 respondents (estimated 234.9 million adults) to the 2012 National Health Interview Survey. Barriers to primary care included: unable to get through on telephone, unable to obtain appointment soon enough, long wait in the physician’s office, limited clinic hours, and lack of transportation. National estimates were obtained using appropriate sampling weights. Odd ratios for CV metrics for adults with ≥ 1 vs. no barriers were obtained from logistic regression models.
Results: The majority of respondents were 18-64 years of age (82%), non-Hispanic white (66%) and currently employed (62%); 52% were female and 16% reported no insurance. An estimated 24.7 million (10.7%) adults reported ≥ 1 barriers in the past year. Of the 46.3 million (32%) who were advised to take aspirin, 17% reported no aspirin use. Of the 60 million (26%) with documented hypertension, 85% had high BP in the last year. Of the 62 million (26%) with high cholesterol, 70% reported high rates in the last year. Of the 42 million (18%) who were current smokers, only 46% attempted to quit in the last year. Compared to those without barriers, adults with ≥ 1 barriers were more likely to be advised to take aspirin but less likely to follow the recommendation, were more likely to report diagnoses of CV risk factors and attempts to quit smoking (table).
Conclusion: Barriers to timely primary care are likely markers of CV burden and are associated with key metrics that impact CV health and mortality among adults. These patient-centered factors merit further exploration when designing strategies to achieve the AHA’s 2020 Strategic Impact goals.
Author Disclosures: L. Venkitachalam: None. M.M. Gerkovich: None. J.E. Allsworth: None. J.N. Ross: None. M. Hoffman: None. K.B. Williams: None.
- © 2014 by American Heart Association, Inc.