Disparities in Guideline-Recommended Statin Use for Prevention of Atherosclerotic Cardiovascular Disease by Race, Ethnicity, and Gender : A Nationally Representative Cross-Sectional Analysis of Adults in the United States
Authors' conclusion
Statin use disparities for several race-ethnicity-gender groups are not explained by measurable differences in medical appropriateness of therapy, access to health care, and socioeconomic status.
Study context
- Population
- Persons eligible for statin therapy per 2013 and 2018 ACC/AHA blood cholesterol guidelines, NHANES 2015–2020
- Exposure
- Statin use by race-ethnicity-gender vs non-Hispanic White men
- Outcome
- Statin use (aPR adjusted for age, disease severity, access to health care and socioeconomic status)
Main finding
As reported in the abstract
Statin use, primary prevention
Each group vs Non-Hispanic White menAdjusted prevalence ratio (95% CI)
Non-Hispanic Black men
0.73(0.59–0.88)
Non-Mexican Hispanic women
0.74(0.53–0.95)
Observational data: associations, not effects.
Further findings
| Outcome | aPR (CI) | |
|---|---|---|
| Statin use, secondary preventionNon-Hispanic Black men vs Non-Hispanic White men | 0.81 (0.64–0.97) | |
| Statin use, secondary preventionOther/multiracial men vs Non-Hispanic White men | 0.58 (0.20–0.97) | |
| Statin use, secondary preventionMexican American women vs Non-Hispanic White men | 0.36 (0.10–0.61) | |
| Statin use, secondary preventionNon-Mexican Hispanic women vs Non-Hispanic White men | 0.57 (0.33–0.82) | |
| Statin use, secondary preventionNon-Hispanic White women vs Non-Hispanic White men | 0.69 (0.56–0.83) | |
| Statin use, secondary preventionNon-Hispanic Black women vs Non-Hispanic White men | 0.75 (0.57–0.92) | |
| 0.10.31310Adjusted prevalence ratio (log scale) |
Original publication
Disparities in Guideline-Recommended Statin Use for Prevention of Atherosclerotic Cardiovascular Disease by Race, Ethnicity, and Gender : A Nationally Representative Cross-Sectional Analysis of Adults in the United States. Ann Intern Med. Published 25 July 2023. doi:10.
Summarised from the published abstract; every number is checked against it