Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd12.150342
Personal Author:
Tchwenko, Samuel ; Fleming, Eleanor ; Perry, Geraldine S.
Tchwenko, Samuel ; Fleming, Eleanor ; Perry, Geraldine S. Less -
Description:
Introduction

The US Preventive Services Task Force recommends aspirin use for men aged 45 to 79, when the potential benefit of preventing myocardial infarctions outweighs the potential harm of gastrointestinal hemorrhage. We determined prevalence and predictors of aspirin use for primary prevention of myocardial infarction vis-à-vis risk among men aged 45 to 79 in North Carolina.

Methods

The study used data for men aged 45 to 79 without contraindications to aspirin use or a history of cardiovascular disease from the 2013 North Carolina Behavioral Risk Factor Surveillance System survey. Stratification by risk of myocardial infarction was based on history of diabetes, high cholesterol, high blood pressure, and smoking. Analyses were performed in Stata version 13.0 (StataCorp LP); survey commands were used to account for complex sampling design.

Results

Most respondents, 74.2% (95% confidence interval [CI], 71.2%–77.0%), had at least one risk factor for myocardial infarction. Prevalence of aspirin use among respondents with risk factors was 44.8% (95% CI, 41.0–48.5) and was significantly higher than the prevalence among respondents without risk factors (prevalence ratio: 1.44 [95% CI, 1.17–1.78]). No significant linear dose (number of risk factors)–response (taking aspirin) relationship was found (P for trend = .25). Older age predicted (P = .03) aspirin use among respondents with at least one myocardial infarction risk factor.

Conclusion

Most men aged 45 to 79 in North Carolina have at least one risk factor for myocardial infarction, but less than half use aspirin. Interventions aimed at boosting aspirin use are needed among at-risk men in North Carolina.


Subject:
[+]
Aged
Aspirin
Behavioral Risk Factor Surveillance System
Diabetes Mellitus
Humans
Hypercholesterolemia
Hypertension
Male
Middle Aged
Myocardial Infarction/epidemiology
Myocardial Infarction/prevention & Control*
Original Research
Platelet Aggregation Inhibitors
Primary Prevention
Risk Assessment
Smoking

Source:
Prev Chronic Dis. 12.
Pubmed ID:
26583574
Pubmed Central ID:
PMC4655480
Document Type:
Journal Article
Place as Subject:
North Carolina
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:a6a10aefb20c600c6ecb8c3ab1e3295589e2ad4c8a5ff8b4d644d6f1546610dc
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-12-E202.nxml	bin
  	PCD-12-E202s01.gif	gif
  	PCD-12-E202s01.jpg	jpeg
  	PCD-12-E202s02.gif	gif
  	PCD-12-E202s02.jpg	jpeg

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