Abstract: Social and political correlates of geographic disparities in HIV and cardiovascular medication utilization
Publication · January 2024
This abstract grew out of ongoing Health Equity Tracker (HET) work at the Satcher Health Leadership Institute, in collaboration with Jacquelyn McRae, PharmD, MS (PhRMA) and Herman Chen (Magnolia Market Access). Using 2020 Medicare fee-for-service claims data, the team set out to identify social and political correlates of state-level disparities in medication utilization for older adults with cardiovascular disease and HIV — leveraging the HET's choropleth-map feature to surface patterns across social determinants, political determinants, and epidemiological data.
Kim and co-author Ben Hammond drafted the abstract language and reviewed the HET's data interpretation alongside McRae and Chen. The analysis found meaningful disparities tied to place: in states where more than 15% of residents fell below the federal poverty level (including DC, Mississippi, and West Virginia), Black adults were 14+ percentage points less likely than White adults to stay persistent on beta blockers after a heart attack. In states with lower voter turnout (below 65%), including Alabama, Arkansas, and Nevada, the Black–White gap in antiretroviral medication adherence exceeded 15 points. The abstract (PH195) was published in Value in Health, 27(6, Supplement), S187.
Chen, H., Cinco, K., Hammond, B., & McRae, J. (2024). Social and political correlates of geographic disparities in HIV and cardiovascular medication utilization. Value in Health, 27(6, Supplement), S187. https://doi.org/10.1016/j.jval.2024.03.1023
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