Association between Polysocial Risk Score and CVH among Women of Reproductive Age in the SAFE HEART Study: An American Heart Association Research Goes Red Initiative: "Polysocial Risk and Cardiovascular Health in Women of Reproductive Age".
{"title":"Association between Polysocial Risk Score and CVH among Women of Reproductive Age in the SAFE HEART Study: An American Heart Association Research Goes Red Initiative: \"Polysocial Risk and Cardiovascular Health in Women of Reproductive Age\".","authors":"Faith E Metlock, Yaa Adoma Kwapong, Dhananjay Vaidya, Ketum Ateh Stanislas, Zulqarnain Javed, Pamela S Douglas, Khurram Nasir, Crystal Evans, Roxanne Mirabal-Beltran, Asma Rayani, Pamela Ouyang, Yvonne Commodore-Mensah, Garima Sharma","doi":"10.1016/j.cpcardiol.2024.102947","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>To assess the association between polysocial risk factors and cardiovascular health (CVH) among women of reproductive age.</p><p><strong>Methods: </strong>Our cross-sectional analysis included women of reproductive age (18-44 years) from community settings and the American Heart Association's Research Goes Red (RGR) registry. Polysocial risk scores (0-14) reflected social disadvantage across domains including socioeconomic stability (education, employment, income, insurance, financial strain), living situation (housing stability, housing quality, marital status, home ownership), food security, transportation, utilities, and interpersonal safety. Suboptimal CVH was defined as having ≥2 risk factors from Life's Essential 8 metrics: physical activity, diet, body mass index, sleep, smoking, blood pressure, blood sugar, and cholesterol. Associations between polysocial risk and suboptimal CVH were analyzed using linear regression models RESULTS: Suboptimal CVH increased with higher polysocial risk, from 77.0% in the lowest quartile to 95.2% in the highest. Participants in quartile 3 had the highest odds of suboptimal CVH (aOR 9.52, 95% CI 2.63-34.46), while quartile 4 showed decreased but significant odds (aOR 3.86, 95% CI 1.03-14.40) compared to quartile 1. Hypertension (aOR 10.23, 95% CI 3.61-29.01), diabetes (aOR 8.87, 95% CI 3.12-25.24), hyperlipidemia (aOR 7.48, 95% CI 2.72-20.55), and smoking (aOR 9.46, 95% CI 3.25-27.56) were strongly associated with higher polysocial risk in community-enrolled participants, whereas trends were less consistent in RGR-enrolled participants.</p><p><strong>Conclusions: </strong>Women with higher social risks face greater odds of suboptimal CVH. Screening for social determinants and tailored public health interventions are essential for mitigating CVH risks in this population.</p>","PeriodicalId":51006,"journal":{"name":"Current Problems in Cardiology","volume":" ","pages":"102947"},"PeriodicalIF":3.0000,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Problems in Cardiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.cpcardiol.2024.102947","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: To assess the association between polysocial risk factors and cardiovascular health (CVH) among women of reproductive age.
Methods: Our cross-sectional analysis included women of reproductive age (18-44 years) from community settings and the American Heart Association's Research Goes Red (RGR) registry. Polysocial risk scores (0-14) reflected social disadvantage across domains including socioeconomic stability (education, employment, income, insurance, financial strain), living situation (housing stability, housing quality, marital status, home ownership), food security, transportation, utilities, and interpersonal safety. Suboptimal CVH was defined as having ≥2 risk factors from Life's Essential 8 metrics: physical activity, diet, body mass index, sleep, smoking, blood pressure, blood sugar, and cholesterol. Associations between polysocial risk and suboptimal CVH were analyzed using linear regression models RESULTS: Suboptimal CVH increased with higher polysocial risk, from 77.0% in the lowest quartile to 95.2% in the highest. Participants in quartile 3 had the highest odds of suboptimal CVH (aOR 9.52, 95% CI 2.63-34.46), while quartile 4 showed decreased but significant odds (aOR 3.86, 95% CI 1.03-14.40) compared to quartile 1. Hypertension (aOR 10.23, 95% CI 3.61-29.01), diabetes (aOR 8.87, 95% CI 3.12-25.24), hyperlipidemia (aOR 7.48, 95% CI 2.72-20.55), and smoking (aOR 9.46, 95% CI 3.25-27.56) were strongly associated with higher polysocial risk in community-enrolled participants, whereas trends were less consistent in RGR-enrolled participants.
Conclusions: Women with higher social risks face greater odds of suboptimal CVH. Screening for social determinants and tailored public health interventions are essential for mitigating CVH risks in this population.
期刊介绍：
Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
