BACKGROUND: The Medicare program provides universal access to hospital care for the elderly; however, @entity12463 may still persist in this population. The association of individual education and area income with survival and recurrence post @entity583 ( @entity583 ) was assessed in a national sample. METHODS: Individual level education from the National Longitudinal Mortality Study was linked to Medicare and National Death Index records over the period of 1991-2001 to test the association of individual education and zip code tabulation area median income with survival and recurrence @entity583 . Survival was partitioned into 3 periods: in-hospital, discharge to 1  year, and 1  year to 5  years and recurrence was partitioned into two periods: 28  day to 1  year, and 1  year to 5  years. RESULTS: First MIs were found in 8,043 @entity1 and 7,929 @entity1 . In @entity1 and @entity1 66-79 years of age, less than a high school education compared with a college degree or more was associated with 1-5 year mortality in both @entity1 ( @entity4961 .61, 95% confidence interval 1.03-2.50) and @entity1 ( @entity4961 .37, 1.06-1.76). Education was also associated with 1-5 year recurrence in @entity1 ( @entity4961 .68, 1.18-2.41, < High School compared with college degree or more), but not @entity1 . Across the spectrum of survival and recurrence periods median zip code level income was inconsistently associated with outcomes. Associations were limited to discharge-1  year survival (RR lowest versus highest quintile 1.31, 95% confidence interval 1.03-1.67) and 28  day-1  year recurrence (RR lowest versus highest quintile 1.72, 95% confidence interval 1.14-2.57) in older @entity1 . CONCLUSIONS: Despite the Medicare entitlement program, disparities related to individual socioeconomic status remain. Additional research is needed to elucidate the barriers and mechanisms to eliminating health disparities among the elderly.

Individual education, area income, and mortality and recurrence of XXXX in a Medicare cohort: the National Longitudinal Mortality Study.

@entity1 :: ('9606', 'Species') :: ['women', 'men'] @entity583 :: ('MESH:D009203', 'Disease') :: ['post-MI', 'MI', 'Myocardial Infarction'] @entity4961 :: ('9971', 'Gene') :: ['HRR 1'] @entity12463 :: ('MESH:D031261', 'Disease') :: ['mortality disparities']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
