Prevention & lipidsResearch article

Social Drivers of Health Advisory

JACC AdvPublished

  • Projection study

Authors' conclusion

Total CVD prevalence is projected to increase from 2020 to 2050 across education, insurance, and income categories with greatest increases occurring in those with a college degree. However, multiple risk factors, most CVD conditions, and total CVD prevalence are generally projected to be highest among populations with less education, public insurance, and lower income compared to respective SDOH categories. Efforts to address SDOH should be prioritized to mitigate the forecast.

Study context

Population
United States population, by social drivers of health (education, insurance, income), 2020 to 2050
Comparison
Cardiovascular disease (CVD) projections according to education, insurance, and income

Main finding

As reported in the abstract

Risk factors and individual CVD conditions · 2050
  • Most risk factors and individual CVD conditions estimated to worsen and remain the worst for those with less education, Medicare or Medicaid beneficiaries, and lower income

Further findings

OutcomeValues
Total CVD prevalence, Medicare beneficiaries · 2050 · highest prevalence of total CVD throughout the eraMedicare beneficiaries 86%

Total CVD prevalence by education · 2020 to 2050

Increase for college graduates
10.0 percentage points higher
Similar prevalence across education levels by 2050

Total CVD prevalence by income

Increases projected to be similar across income categories

Original publication

Social Drivers of Health Advisory. JACC Adv. Published 5 August 2026. doi:10.1016/j.jacadv.2026.103101

Summarised from the published abstract; every number is checked against it