Survey Reveals Nearly Half of Americans Unaware of Daily Aspirin Risks

For years, health authorities and medical organizations suggested that older Americans take one aspirin daily, a blood thinner, to prevent cardiovascular diseases or strokes. However, in 2019, the American Heart Association and the American College of Cardiology introduced new guidelines on low-dose aspirin that overturned previous advice, highlighting the increased risks of gastrointestinal bleeding associated with daily use.

About 39 percent of the respondents expressed uncertainty, while 13 percent acknowledged that “the risks are now considered to be greater than the benefits” according to the new guidelines.

The survey also provided insights into why some individuals might believe the benefits of low-dose aspirin surpass the risks. Approximately 45 percent of respondents reported that they or someone in their family had experienced a heart attack or stroke, in contrast to 49 percent who did not have a family history of such events.

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Individuals with a personal history of heart attacks or strokes have been advised to take a low-dose daily aspirin, typically around 81 milligrams. The survey indicated that approximately 18 percent of those without a history of these conditions reported taking aspirin daily, with 43 percent stating that the benefits outweigh the risks.

Health professionals have noted that aspirin can irritate the stomach lining, which may lead to internal bleeding, ulcers, and various gastrointestinal issues. As a blood thinner, aspirin poses additional dangers for individuals with a high bleeding risk.

According to the preventive services group, older adults without heart disease should not use daily low-dose aspirin to prevent a first heart attack or stroke, as the bleeding risks for those in their 60s and above who have not previously suffered a heart attack or stroke outweigh any potential benefits from aspirin.