biostudies-literatureMarinacci LXNational Heart, Lung and Blood InstituteNHLBI NIH HHSHHS | NIH | National Heart, Lung, and Blood Institutee010516https://www.ebi.ac.uk/biostudies/studies/S-EPMC10872901biostudies-literatureUnknown16(12)<h4>Background</h4>Low-income working-age US adults disproportionately experienced health care disruptions at the onset of the coronavirus disease 2019 pandemic. Little is known about how health care access and cardiovascular risk factor management changed as the pandemic went on or if patterns differed by state Medicaid expansion status.<h4>Methods</h4>Cross-sectional data from the behavioral risk factor surveillance system were used to compare self-reported measures of health care access and cardiovascular risk factor management among US adults aged 18 to 64 years in 2021 (pandemic) to 2019 (prepandemic) using multivariable Poisson regression models. We assessed differential changes between low-income (<138% federal poverty level) and high-income (>400% federal poverty level) working-ageCirculation. Cardiovascular quality and outcomesHealth Care Access and Cardiovascular Risk Factor Management Among Working-Age US Adults During the Pandemic.PMC10872901R01 HL164561K23 HL148525R01HL164561K23HL148525Zheng ZMein SBartlett VMarinacci LXWadhera RKfalseHealth Care Access and Cardiovascular Risk Factor Management Among Working-Age US Adults During the Pandemic.<h4>Background</h4>Low-income working-age US adults disproportionately experienced health care disruptions at the onset of the coronavirus disease 2019 pandemic. Little is known about how health care access and cardiovascular risk factor management changed as the pandemic went on or if patterns differed by state Medicaid expansion status.<h4>Methods</h4>Cross-sectional data from the behavioral risk factor surveillance system were used to compare self-reported measures of health care access and cardiovascular risk factor management among US adults aged 18 to 64 years in 2021 (pandemic) to 2019 (prepandemic) using multivariable Poisson regression models. We assessed differential changes between low-income (<138% federal poverty level) and high-income (>400% federal poverty level) working-age2023-01-01T00:00:00Z2023 Dec2025-04-04T01:18:09.289Z2025-04-04T01:18:09.289ZS-EPMC108729013792957210.1161/CIRCOUTCOMES.123.01051610.1161/circoutcomes.123.010516