Effect of Socioeconomic Status on Propensity to Change Risk Behaviors Following Myocardial Infarction: Implications for Healthy Lifestyle Medicine

Diann E. Gaalema, Rebecca J. Elliott, Zachary H. Morford, Stephen T. Higgins, Philip A. Ades

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations

Abstract

Failure to change risk behaviors following myocardial infarction (MI) increases the likelihood of recurrent MI and death. Lower-socioeconomic status (SES) patients are more likely to engage in high-risk behaviors prior to MI. Less well known is whether propensity to change risk behaviors after MI also varies inversely with SES. We performed a systematized literature review addressing changes in risk behaviors following MI as a function of SES. 2160 abstracts were reviewed and 44 met eligibility criteria. Behaviors included smoking cessation, cardiac rehabilitation (CR), medication adherence, diet, and physical activity (PA). For each behavior, lower-SES patients were less likely to change after MI. Overall, lower-SES patients were 2 to 4 times less likely to make needed behavior changes (OR's 0.25–0.56). Lower-SES populations are less successful at changing risk behaviors post-MI. Increasing their participation in CR/secondary prevention programs, which address multiple risk behaviors, including increasing PA and exercise, should be a priority of healthy lifestyle medicine (HLM).

Original languageEnglish (US)
Pages (from-to)159-168
Number of pages10
JournalProgress in Cardiovascular Diseases
Volume60
Issue number1
DOIs
StatePublished - Jun 2017
Externally publishedYes

Keywords

  • Health behaviors
  • Myocardial infarction
  • Risk factors
  • Secondary prevention
  • Socioeconomic status

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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