Heart attacks, strokes and other consequences of cardiovascular disease are particularly dangerous for people who face inequity.
Source: “Heart Disease and Stroke Statistics—2022 Update: A Report from the American Heart Association,” by Connie W. Tsao et al., inSource: “Perceived Discrimination and Hypertension Risk among Participants in the Multi-Ethnic Study of Atherosclerosis,” by Allana T. Forde et al., inSource: “Perceived Discrimination and Hypertension Risk among Participants in the Multi-Ethnic Study of Atherosclerosis,” by Allana T. Forde et al.
Even when test results are accurate, barriers to treatment persist, particularly in low- and middle-income countries. It can prove nearly impossible for some people—like the farmer who spends his days doing manual labor—to get to a clinic in the first place. In South Africa, subsidized health care ensures that patients at many clinics do not pay for preventive drugs, says Kengne of the South African Medical Research Council. “If they can get to the clinic, the medication is free,” he says.
Those biases are not limited to low-income countries. They frequently prevent access to quality care in high-income countries, too, particularly if someone is Black or female. “The places where we start to see a gender divide and increased heart disease rates in women” is in places where they experience discrimination, says Mount Sinai cardiologist Mehran. “That includes right here in the U.S., where there’s discrimination against them based on income, education, and other factors.
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