Heart attack is sometrhing that gives a fair indication about the lifestyle of the person. As compared to some of the other ailments where there are some discrete factors at work, when one talks about the risks that are related to the heart failure, it can be said that the socioeconomic factors play an important role when it comes to the prediction of the heart failure (Hagström et al. 2018, p.83). In case of the heart diseases, there is always a definitive pattern that one gets to see. There are some individual cardiovascular aspects as well that are needed to be taken into consideration when discussing the impact of heart failure. For instance, the level of income, the education and even the locality in which one is living becomes a factor when determination of the risk of the heart failure is carreid out. The key finding during the course of the reseach was the fact that there was an increase in about 5 % in the areas where the per capita income was on the lower side (Gassett et al. 2015, p.26). These areas were termed as the deproved areas and the questionable lifestyle choices as well as some other factors were the reasons that these neighbourhoods were at the increased risk of the heart attack. Now, the key reason shat is needed to be looked at is that what are some of the reasons duet o which one gets to see a strong coorelation between the risk of the heart disease and the neighborhood or the locality in which they are living. IT would be interesting to see what is the relationship that exists among the different factors that tend to increase the risk of the heart disease (Hagström et al. 2018, p.83). For instance, it has been witnessed that almost 35 % of the cases of the heart diseases are coming from the localities that belong to the poor demographics. So this reseach is going to talk about these factors play out and how closely heart diseased and neighbourhood are related (Gassett et al. 2015, p.26).
Method
During the course of the reseach, the key thing that is needed to be looked at is to find the evidence the supports this notion and argument that how neigbourhood and heart disease are related to one another (Foraker et al. 2014, p.51). There are many conisderations that are going to be taken care off during this reseach (Havranek et al. 2015, p.873). For instance, the databases that are going tobe accessed. In order to have valid information, the existing literature that exists on the preises that how heart diseases and neighborhood are connected is going to be looked at. The secondary research is going to be used predominatnl to have an idea about the existing literature on the given subject is being analysed. The terms that are going to be used would be the risk of the heart disease, demographics, locality and neugbourhood are some of the key terms that are being (Foraker et al. 2014, p.51).
Literature Review and Analysis
To make sure that the correct assessment of the whole impact is being calculated, and thus to make it more well rounded, about 10 journal papers are going to be used during the course of the research (Eapen et al. 2015, p.480). One of the key thing that was provided by the researchers is that how the risk of heart disease is witnessed in the areas that are deprived at the socioeconomic level (Kind et al. 2014, p.765). The key consideration is that how the highest risk of the heart failure is witnessed in these localities due to the fact that how the economic factors worsened. The key thing that was noted during the course of the whole event was that how 12 % increase was witnessed in the cases that are related to the heart failure. That nbumber though does not take into account some other factors such as age and past history, but even when these factors are accounted for, the risk proportion was witnessed to be around 5 % (Eapen et al. 2015, p.480). The existing emperical support is quite overwhelming when it comes to the fact that how there is strong association between the socioeconomic status of the person, such as the education, income level and the occpuation and the risk of the heart failture (Kind et al. 2014, p.765). There are some other chronic diseases as well whose risk is greatly magnified due to the risk of the neighbourhood and locality in which they are living (Eapen et al. 2015, p.480).
Neighborhood Deprivation Index
The matrix that is going to be used for the determination of the extent of the risk of the heart disease is going to be neighborhood deprivation index. It is the cluster of about 11 social and economic factors that are likely to be able to predict the risk of the heart failure that goes beyond the socioeconomic status that one gets to see in the lower income population (Dolansky et al. 2016, p.233). The study included about study of about 27,000 whiites and blacks that were living in the low income neighbourohood (Lourenço et al. 2018, p.227). The participants of the study were middle aged and poor and the monthly income of these people was less than $ 15,000. Looking closely at the five years data, there were about 4,300 participants that were diangosed with the heart failure, and among those 43000 people, about 50 % of the people were at the increased risk due to the fact that they belonged to the neigbourhood that was deprived in the economic sense (Dolansky et al. 2016, p.233). Even after controlling of the clinical and economic status, there are still higher risk of the heart failure that are people living in those areas as well as the people who are deprived at the socioeconomic level (Lourenço et al. 2018, p.227). It is a very conclusive evidence that how the risk of the heart failure socioeconomically deprived (Clarke et al. 2014, p.1).
Implications for the Medical Science
There are many medical implications of sucha result. What this result and research goes to show that at times, in order to find the solution for the problem, one has to go outside the domain of the medication to make sure that the required result can be obtained (Clarke et al. 2014, p.1). The overall sociological and the environmental solutions and circumstances must be looked at in order to have a better picture of the direction which is neeeded to be taken to make sure ebtter controls are developed (Malambo et al. 2016, p.11).What must be done is that the crucial analysis must be carried out with regards to the clarity that is needed as far as the what can be done in terms of the improvement iat each of the respective level of the community (Clarke et al. 2014, p.1).
It means that in order to make sure that the general healht of the people can be improved, there is a need tot ake measures that allows healthcare providers to make sure that provision of the healthy food and decent housing solution can be carried out (Witte et al. 2018, p.20). What the need of the hour is the studies that should be actually pinpointing the fact that what are some of the best approaces that must be implemented in order to make sure that the overall chronic healthcare of the people is improved (Chiuve et al. 2015, p.528). What is needed to be done is that the investment must be carreid out in the community resources as well to make sure that the lifestyle of the people is improved (Chiuve et al. 2015, p.528). That includes making sure that there are some exercise facilities as well as healthy foodoutlets where people can go. Not only that, there is also need to make sure that the proper medication facilites are setup in the localities and the neighborhoods where healthcare is far from ideal (Malambo et al. 2016, p.11). That would also go a long way towards bringing about the change in the healthcare level of people (Carthon et al. 2015, p.4).
Heart Failure Incidence in the Poor Areas
Looking closely at the population, it would be important to make sure that some sort of idea is developed with regards to the incidence of the heart failure is that how the adults, who used to live in the areas that are deprived econoically are going to be under the risk of the heart failure (Rawshani et al. 2016, p.1146). As a matter of fact, there is 38 % increased risk of these people developing some sort of chronic illness when they are living in such neigbourhoords (Carthon et al. 2015, p.4). Comparing them with the areas where the conditions are slightly better, the same ratio goes gown by 11 % which means that there is only 27 % of the likelihood of these people developing some sort of chronic complications (Carlsson et al. 2015, p.552).
Reasons for the Increased Risk of Heart Failure in Economically Deprived Neighbourhoods
There are many reasons for this percieved lack of healht of these people (Witte et al. 2018, p.20). There are some lifestyle choices as well as the other considerations that have driven their health to the point that it has become very hard for them to make sure that they look after themselves in the right manner (Rawshani et al. 2016, p.1146). Looking closely at the lifestyle, it can be seen that these neighborhoods are not very exercise friendly to say the least and this contributes to the increased healthcare risk for these people (Bikdeli et al. 2014, p.756). There are broader healthcare interventions that should be implemented (van Dijk et al. 2016, p.287). The reason that the implementations are needed to be carried out in the prompt manner is due to the fact that at the moment the overall population that is affected by heart related diseases has touched 6 million adults (van Dijk et al. 2016, p.287)
. The problem is that the rate at which the cases are increasing, this number is expected to surpass by 8 million. There are racial considerations as well, as about 54 % were black people. The reseach though is not going to look at the racial implications of the heart related diseases (van Dijk et al. 2016, p.287). As a matter of fact, the earlier studies implied that as the black Americans are quite worse off in economical sense, it makes complete sense for them to have poor health and heart releated diseases which was not based on the emperical evidence (Bikdeli et al. 2014, p.756). The onus should be falling on the public policy professionals due to the fact that how they need to pay attention to the oevrall healthcare of the people who are living in differnet neighbourhoods. It can be seen that the place of residence does have a bearing on the risk of the heart failurre. What must be done is that the mobilization of the resources at the community level should be carried out. And when that Is done, effort must be done to ensure that the overlak state of the healthcare of the people in that area should be taken care of (Bikdeli et al. 2014, p.756).
Scope of Future Research
At the moment, the existing literature that is available at the moment has focused on the fact that how the problems are going to be faced by the middle aged people (Van Oeffelen et al. 2014, p.1443). The rationale behind this is the fact that most of the times; heart failures are associated with the people of certain age. The problem is that this concept is needed to be changed due to the fact that now days, even the people who have much lower age are being faced with the heart related diseases (Ahmedani et al. 2015, p.134). The evidence has showed that the risk of heart failures and chronic diseases has increased and the ratio of people from age 20-35 who are facing heart relegated issues have increased by 35 % in the last decade. So there is a need to make sure that further evaluation is being carried out with regards to the problems faced by the individuals at a certain age group and there is a need to make the research better rounded (Ahmedani et al. 2015, p.134).
Conclusion
People who are living in the neighborhood that is deprived are at the increased risk of the heart failure as compared to the people who live in the affluent areas. It has to be noted that even if the socioeconomic status of the person might be different from the community in which they are living in, there is strong evidence to support that even they are also at the increased. In the past, the way research has been carried out; the heart disease has always been linked with the overall lifestyle of the person (Van Oeffelen et al. 2014, p.1443). By lifestyle, it means the overall level of income, level of education as well as the occupation of the people (Van Oeffelen et al. 2014, p.1443). The deprived neighborhoods might be playing a role when it comes to the increase in the number of heart failure cases (Wändell et al. 2017, p.87).
Now, the risk of the heart failure is dependent on multitude of factors such as the genetics of the person, and other relatable factors as well. Looking at the way these people live, most of the times, the diet that they are having is far from ideal and is actually harmful for these people in the long run. Not only that, the other problem that these people have is the fact that most of the times, they are not really active in terms of the exercise and other such activities that is going to lower the risk of the heart failure (Wändell et al. 2017, p.87). Public policy professionals need to pay attention to the neighborhood, not just the individuals, because your place of residence does predict your risk of heart failure. Improved community-level resources may ultimately reduce the risk of heart failure in these communities (Wändell et al. 2017, p.87). Only by making sure that the long term effort is carried out in terms of the control through which it can be made sure these people can be looked after (Wändell et al. 2017, p.87).
References
Ahmedani, B.K., Solberg, L.I., Copeland, L.A., Fang-Hollingsworth, Y., Stewart, C., Hu, J., Nerenz, D.R., Williams, L.K., Cassidy-Bushrow, A.E., Waxmonsky, J. and Lu, C.Y., 2015. Psychiatric comorbidity and 30-day readmissions after hospitalization for heart failure, AMI, and pneumonia. Psychiatric Services, 66(2), pp.134-140.
Bikdeli, B., Wayda, B., Bao, H., Ross, J.S., Xu, X., Chaudhry, S.I., Spertus, J.A., Bernheim, S.M., Lindenauer, P.K. and Krumholz, H.M., 2014. Place of residence and outcomes of patients with heart failure: analysis from the telemonitoring to improve heart failure outcomes trial. Circulation: Cardiovascular Quality and Outcomes, 7(5), pp.749-756.
Carlsson, A.C., Wändell, P., Gasevic, D., Sundquist, J. and Sundquist, K., 2015. Neighborhood deprivation and warfarin, aspirin and statin prescription—a cohort study of men and women treated for atrial fibrillation in Swedish primary care. International journal of cardiology, 187, pp.547-552.
Carthon, J.M.B., Lasater, K.B., Sloane, D.M. and Kutney-Lee, A., 2015. The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. BMJ Qual Saf, pp.bmjqs-2014.
Chiuve, S.E., Sun, Q., Sandhu, R.K., Tedrow, U., Cook, N.R., Manson, J.E., Rexrode, K.M. and Albert, C.M., 2015. Adiposity throughout adulthood and risk of sudden cardiac death in women. JACC: Clinical Electrophysiology, 1(6), pp.520-528.
Clarke, H., Soneji, N., Ko, D.T., Yun, L. and Wijeysundera, D.N., 2014. Rates and risk factors for prolonged opioid use after major surgery: population based cohort study. Bmj, 348, p.g1251.
Dolansky, M.A., Schaefer, J.T., Hawkins, M.A., Gunstad, J., Basuray, A., Redle, J.D., Fang, J.C., Josephson, R.A., Moore, S.M. and Hughes, J.W., 2016. The association between cognitive function and objective adherence to dietary sodium guidelines in patients with heart failure. Patient preference and adherence, 10, p.233.
Eapen, Z.J., McCoy, L.A., Fonarow, G.C., Yancy, C.W., Miranda, M.L., Peterson, E.D., Califf, R.M. and Hernandez, A.F., 2015. Utility of Socioeconomic Status in Predicting 30-Day Outcomes After Heart Failure HospitalizationCLINICAL PERSPECTIVE. Circulation: Heart Failure, 8(3), pp.473-480.
Foraker, R.E., Rose, K.M., Chang, P.P., Suchindran, C.M., McNeill, A.M. and Rosamond, W.D., 2014. Hospital length of stay for incident heart failure: Atherosclerosis Risk in Communities (ARIC) cohort: 1987–2005. Journal for Healthcare Quality, 36(1), pp.45-51.
Gassett, A.J., Sheppard, L., McClelland, R.L., Olives, C., Kronmal, R., Blaha, M.J., Budoff, M. and Kaufman, J.D., 2015. Risk factors for long‐term coronary artery calcium progression in the multi‐ethnic study of atherosclerosis. Journal of the American Heart Association, 4(8), p.e001726.
Hagström, E., Norlund, F., Stebbins, A., Armstrong, P.W., Chiswell, K., Granger, C.B., López‐Sendón, J., Pella, D., Soffer, J., Sy, R. and Wallentin, L., 2018. Psychosocial stress and major cardiovascular events in patients with stable coronary heart disease. Journal of internal medicine, 283(1), pp.83-92.
Havranek, E.P., Mujahid, M.S., Barr, D.A., Blair, I.V., Cohen, M.S., Cruz-Flores, S., Davey-Smith, G., Dennison-Himmelfarb, C.R., Lauer, M.S., Lockwood, D.W. and Rosal, M., 2015. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association. Circulation, 132(9), pp.873-898.
Kind, A.J., Jencks, S., Brock, J., Yu, M., Bartels, C., Ehlenbach, W., Greenberg, C. and Smith, M., 2014. Neighborhood socioeconomic disadvantage and 30-day rehospitalization: a retrospective cohort study. Annals of internal medicine, 161(11), pp.765-774.
Lourenço, A.P., Leite‐Moreira, A.F., Balligand, J.L., Bauersachs, J., Dawson, D., de Boer, R.A., de Windt, L.J., Falcão‐Pires, I., Fontes‐Carvalho, R., Franz, S. and Giacca, M., 2018. An integrative translational approach to study heart failure with preserved ejection fraction: a position paper from the Working Group on Myocardial Function of the European Society of Cardiology. European journal of heart failure, 20(2), pp.216-227.
Malambo, P., Kengne, A.P., De Villiers, A., Lambert, E.V. and Puoane, T., 2016. Built environment, selected risk factors and major cardiovascular disease outcomes: a systematic review. PloS one, 11(11), p.e0166846.
Rawshani, A., Svensson, A.M., Zethelius, B., Eliasson, B., Rosengren, A. and Gudbjörnsdottir, S., 2016. Association between socioeconomic status and mortality, cardiovascular disease, and cancer in patients with type 2 diabetes. JAMA internal medicine, 176(8), pp.1146-1154.
van Dijk, C.E., Garcia-Aymerich, J., Carsin, A.E., Smit, L.A., Borlée, F., Heederik, D.J., Donker, G.A., Yzermans, C.J. and Zock, J.P., 2016. Risk of exacerbations in COPD and asthma patients living in the neighbourhood of livestock farms: observational study using longitudinal data. International journal of hygiene and environmental health, 219(3), pp.278-287.
Van Oeffelen, A.A.M., Agyemang, C., Stronks, K., Bots, M.L. and Vaartjes, I., 2014. Prognosis after a first hospitalisation for acute myocardial infarction and congestive heart failure by country of birth. Heart, 100(18), pp.1436-1443.
Wändell, P., Carlsson, A.C., Holzmann, M.J., Ärnlöv, J., Sundquist, J. and Sundquist, K., 2017. The association between relevant co-morbidities and prevalent as well as incident heart failure in patients with atrial fibrillation. Journal of cardiology.
Witte, K.K., Patel, P.A., Walker, A.M., Schechter, C.B., Drozd, M., Sengupta, A., Byrom, R., Kearney, L.C., Sapsford, R.J., Kearney, M.T. and Cubbon, R.M., 2018. Socioeconomic deprivation and mode-specific outcomes in patients with chronic heart failure. Heart, pp.heartjnl-2017.
