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Wearable Use Less Likely Among Individuals at Risk for Cardiovascular Disease

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New findings suggest that individuals who need wearable health devices such as smartwatches and fitness bands are likely to use them the least.

This study shows that demographic factors such as age, education and income are associated with lower wearable health device usage among individuals with disease and at-risk individuals. Cardiovascular disease (CVD).

Researchers also report that more than 80% of wearable health device users at risk for cardiovascular disease are willing to share health information tracked by the device with their care team to improve care. Did.

“We were surprised to find that people with cardiovascular disease were significantly less likely to use wearable devices than people without cardiovascular disease. Higher values ​​suggest that people are less likely to use them,” said the lead author. Lovedeep S. Dhingra, MBBS, Postdoctoral Fellow, Cardiovascular Data Science Lab, Yale University School of Medicine press release“We will ensure that wearables reach those who need them most by promoting wearables as health devices that help improve equitable access, improve health and reduce health disparities. is needed.”

Cardiovascular disease management is increasingly using wearable technology with a path to artificial intelligence-driven innovation. To determine the fairness of those effects, researchers evaluated adoption of such techniques in a national sample.

Dingra and researchers analyzed the health information of 9,303 US adults who responded to the 2019-2020 Health Information National Trends Survey (HINTS). They were patients with CVD (ischemic heart disease or heart failure) and risk factors (hypertension, diabetes, smoking, and/or obesity) in the past 12 months.

Estimated wearable device usage was cross-referenced by age, gender, race, ethnicity, education level, income, and willingness to share data with health professionals.

Researchers observed that people at risk for CVD were less likely to use wearable devices. Data show that in the U.S., 3.6 million of her CVD patients and 34.4 million of her CVD-risk patients use wearables, which is 18% of her CVD patients and all those at CVD risk. equivalent to 26% of The data also shows that 29% of the total US adult population uses wearable devices.

It is estimated that half of CVD patients are over the age of 65, yet only 12% of CVD patients over the age of 65 used wearable devices. In contrast, 17% of his CVD patients aged 50 to 64 used wearable devices, and 33% of the group diagnosed with CVD aged 18 to 49 used wearable devices. reporting.

Furthermore, only 14% of elderly patients at risk of heart disease used wearable devices, compared to 22% of all patients at risk of heart disease who were 65 years or older.

The researchers also found that CVD patients with an annual household income of $50,000 or more were four times more likely to use wearables than those with an annual household income of less than $20,000. Those with a college degree or higher were observed to be 3.6 times more likely to use wearables than those with a lower education.

Dingula and colleagues noted small differences in willingness to share health data among various demographic subgroups, including age group, gender, race and ethnicity, level of education, and household income.

Bethany Barone Gibbs, Ph.D., Associate Professor of Epidemiology and Biostatistics, West Virginia University School of Public Health, said: “These inequalities in access and use, if addressed, present an opportunity to improve cardiovascular health, especially among high-risk groups and people in resource-poor communities.”

The oral abstract, “Use of wearable devices by patients with and at risk of cardiovascular disease in the United States: a nationally representative study,” AHA 2022.

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