![]() To our knowledge, no study has used national Behavioral Risk Factor Surveillance System (BRFSS) or North Carolina BRFSS data to assess aspirin use in the at-risk groups mentioned in the USPSTF recommendation. The US Department of Health and Human Services’ Million Hearts campaign promotes appropriate aspirin therapy for those who would benefit from its use as one component of the ABCS (aspirin use, blood pressure control, cholesterol management, and smoking cessation) of heart disease and stroke prevention (5).ĭespite the USPSTF recommendation, physicians are underprescribing aspirin to patients (7), and high-risk patients are underusing aspirin for the primary prevention of MI (8–12). ![]() In 2009, the US Preventive Services Task Force (USPSTF) recommended aspirin for primary prevention of MI in men aged 45 to 79 years, when the potential benefit (reduction in MI) outweighs the potential harm of gastrointestinal hemorrhage (6). Black non-Hispanic men in North Carolina are about 30% more likely to die and approximately 5% more likely to be hospitalized for MI than white non-Hispanic men.Įvidence supports aspirin use for primary prevention of cardiovascular disease (CVD) events, including MI (4,5). In North Carolina, about 5.6% of men have had a heart attack and about 45 per 100,000 die from acute MI each year (2,3). Myocardial infarction (MI) is responsible for 5.4% of all deaths among US men (1). Interventions aimed at boosting aspirin use are needed among at-risk men in North Carolina. Most men aged 45 to 79 in North Carolina have at least one risk factor for myocardial infarction, but less than half use aspirin. 03) aspirin use among respondents with at least one myocardial infarction risk factor. No significant linear dose (number of risk factors)–response (taking aspirin) relationship was found ( P for trend =. ![]() 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 ). Most respondents, 74.2% (95% confidence interval, 71.2%–77.0%), had at least one risk factor for myocardial infarction. Analyses were performed in Stata version 13.0 (StataCorp LP) survey commands were used to account for complex sampling design. Stratification by risk of myocardial infarction was based on history of diabetes, high cholesterol, high blood pressure, and smoking. 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. 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. 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.
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