1088-P: Racial, Socioeconomic, and Geographical Disparities in Cardiovascular Disease (CVD) among Medicare Beneficiaries with Diabetes (DM)

Abstract

Despite a high prevalence of DM and CVD in older adults in the US, relatively little is known about how CVD prevalence varies by sociodemographic factors in older adults with DM. Using the 2017-20Medicare Current Beneficiaries Survey, we examined the prevalence of self-reported myocardial infarction (MI) , heart failure (HF) , and stroke by race/ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, and others) , poverty (income-to-poverty ratio: ≤100%, <100%─≤120%, <120%─≤135%, <135%─≤200%, and >200%) , educational level (<high school, high school graduate, and >high school) , and urbanicity of residence among Medicare beneficiaries with DM aged ≥65 years. We estimated weighted adjusted prevalence of CVDs using multivariable logistic regression, controlling for age and sex. Compared to non-Hispanic White persons, non-Hispanic Black persons had a higher prevalence of HF and Hispanic persons had a lower prevalence (Figure) ; rural residents had a higher prevalence of MI, HF, and stroke than urban residents; the lowest income group (≤100%) had a higher prevalence of MI, HF, and stroke than the highest income group (>200%) ; and those with <high school had a higher prevalence of MI and stroke than those with >high school education (P<0.for all) . CVDs disproportionately affected older adults with DM who live in rural areas and have lower socioeconomic status. Disclosure J.Park: None. X.Zhou: None. P.Zhang: None.