Ssm-Population Health最新文献

{"title":"Diverging death risks: Mortality as a corollary of economic, social, cultural and person capital","authors":"Yuwei Qi ,&nbsp;Sijmen A. Reijneveld ,&nbsp;Josué Almansa ,&nbsp;Sandra Brouwer ,&nbsp;J. Cok Vrooman","doi":"10.1016/j.ssmph.2024.101644","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101644","url":null,"abstract":"<div><h3>Introduction</h3><p>Diverging death risks are associated with a wide range of social factors, including not only education and income but also other economic and non-economic resources. The aim of this study was to assess the association of mortality risks with four types of resources: economic, social, cultural and person capital.</p></div><div><h3>Methods</h3><p>We used data of 2,952 participants from the Disparities in the Netherlands survey and annual mortality data from Statistics Netherlands for the period 2014 to 2021. <em>Economic capital</em> was measured through education, income, occupation, home equity, and liquid assets. <em>Social capital</em> was measured by the strength of social ties, the size of the core discussion network, and access to people in resourceful positions; <em>cultural capital</em> by lifestyle, digital skills, and mastery of English, and <em>person capital</em> by self-rated health, impediments to climbing stairs, self-confidence, self-image, people’s appearance, and body mass index. To accommodate the fact that each capital was derived from several indicators, we used Partial Least Squares (PLS) Cox Regression.</p></div><div><h3>Results</h3><p>In multiple regression, higher economic, cultural, and person capital were associated with lower mortality (hazard ratio, 0.77; 95% confidence interval [CI, 0.65 to 0.90], 0.77 [0.64–0.93] and 0.80; [0.70–0.92]), adjusted for all capital measures and sex.</p></div><div><h3>Conclusion</h3><p>The finding that more economic, cultural and person capital is associated with lower mortality provides empirical support for an approach that uses a broad spectrum of capital measures - hitherto rarely included simultaneously in epidemiological research - in order to understand diverging death risks. By integrating sociological concepts, cohort data, and epidemiological research methods, our study highlights the need for further research on the interplay between different forms of resources in shaping health inequalities. In designing public health interventions, we advocate the adoption of a multidimensional capital-based framework for tackling social disparities in mortality.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101644"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000442/pdfft?md5=adb5773764e40752bf7ac67eb437226f&pid=1-s2.0-S2352827324000442-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sea-level rise and mental health among coastal communities: A quantitative survey and conditional process analysis","authors":"Sajjad Kabir ,&nbsp;Elizabeth A. Newnham ,&nbsp;Ashraf Dewan ,&nbsp;Md. Monirul Islam ,&nbsp;Takeshi Hamamura","doi":"10.1016/j.ssmph.2024.101640","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101640","url":null,"abstract":"<div><p>This is the first large-scale empirical study examining the impact of sea-level rise induced by climate change on mental health outcomes among coastal communities. The study focuses on Bangladesh, a country severely affected by salinity ingress, flood risks, and agricultural damage due to sea-level changes. Participants (<em>n</em> = 1,200) randomly selected from three coastal regions each having high, moderate, or low vulnerability to sea-level rise were surveyed during the pre-monsoon season in 2021. The cross-sectional survey included validated measures of psychological distress, depression, anxiety, stress, environmental stressors, resource loss, and demographics. The results indicated significantly higher levels of psychological distress, depression, anxiety, and stress in residents of high-vulnerability areas compared to moderate or low-vulnerability regions. Resource loss served as a mediating variable between environmental stressors and mental health outcomes. Furthermore, demographic analyses showed that older adults and women reported higher levels of psychological distress. These findings align with the Sendai Framework for Disaster Risk Reduction, highlighting urgent need for targeted mental health interventions and sustainable models of care in coastal areas increasingly threatened by sea-level rise.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101640"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000405/pdfft?md5=200fec75b9637b9841c99f0b182e2018&pid=1-s2.0-S2352827324000405-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139999144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing health inequality among Inuit in Greenland from 1993 to 2018: Different patterns for household assets, urbanization and a sociocultural index as indicators of social position","authors":"Peter Bjerregaard ,&nbsp;Durita Lyngsø Svartá ,&nbsp;Charlotte Brandstrup Ottendahl ,&nbsp;Christina Viskum Lytken Larsen","doi":"10.1016/j.ssmph.2024.101635","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101635","url":null,"abstract":"<div><p>Income inequality affects population health and wellbeing negatively. In Greenland, health inequality has been shown to exist among social groups, regionally and according to urbanization, and between Inuit and migrants from Denmark. The purpose of the study was to compare the changes in health inequality from 1993 to 2018 according to three measures of social position, i.e. a socioeconomic measure (household assets), a measure of urbanization and a composite sociocultural index. We hypothesized that social inequality in health increased parallel to the increasing economic inequality in Greenland. The sample was based on four population health surveys conducted among the Inuit in Greenland in 1993, 2005–2010, 2014 and 2018. The total number of interviews was 9024 and the total number of individuals interviewed was 5829, as participants were invited to several surveys as part of a cohort. As statistical measure of social disparity we used the slope index of inequality (SII) adjusted for age and sex. Analyses were performed with daily smoking, suicidal thoughts and obesity as health outcomes. Daily smoking was most prevalent among participants with low social position whereas obesity was most prevalent among participants with high social position. With household assets as indicator of social position, the results showed high and increasing social inequality for both daily smoking and obesity. Social inequality for daily smoking increased over time also for urbanization and the sociocultural index. The hypothesis that social inequality increased over time was thus confirmed for daily smoking and obesity but not for suicidal thoughts. With the results from the present study there is solid evidence to guide prevention and health care towards social equality in health.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101635"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000351/pdfft?md5=bd0211c8de30eaefbb02ff0742067b46&pid=1-s2.0-S2352827324000351-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Associations between maternal perceptions of social support and adolescent weight status: A longitudinal analysis”","authors":"Emily M. Melnick ,&nbsp;Jenalee R. Doom","doi":"10.1016/j.ssmph.2024.101647","DOIUrl":"10.1016/j.ssmph.2024.101647","url":null,"abstract":"<div><p>Social support is a well-established predictor of improved physical health outcomes among adults. Establishing whether maternal social support may have an inter-generational positive impact on their child's physical health will provide important information for developing potential interventions and policies. Elevated body mass index (BMI) is one indicator of child health that is linked to increased risk for cardiovascular disease and other morbidities later in life. There is some evidence that maternal social support is associated with improved child and adolescent weight status; however, no studies have examined whether specific aspects of social support are more impactful than others or whether support availability is differentially impactful across developmental stages. The present study examined whether maternal perceptions of specific types of social support (i.e., financial support, non-monetary instrumental support, partner emotional support, and having a close supportive contact) were associated with lower adolescent BMI z-scores using longitudinal data collected over a 15-year period from the Future of Families and Child Wellbeing Study (n = 3146), which includes a high proportion of families experiencing socioeconomic disadvantage. Findings from linear regression models using specific types of social support measured across six waves of data collected over a 15-year period indicated that maternal perceptions of greater financial support were associated with lower adolescent BMI z-scores at 15 years (B = −0.05, 95% CI: −0.10, −0.004, <em>P</em> = 0.04), while the other types of support were not. Additional timing analyses demonstrated that perceived financial support during late childhood to adolescence was associated with lower adolescent BMI z-scores (B = −0.06, 95% CI: −0.11, −0.01, P = 0.01), whereas associations between support during infancy and early childhood were not detected. Study findings provide important insights for developing interventions and policies that improve maternal social supports to benefit child health.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101647"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000478/pdfft?md5=a874ab4c584fdbbea33d3e21c3f05900&pid=1-s2.0-S2352827324000478-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140072609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of physical activity on household out-of-pocket medical expenditure among adults aged 45 and over in urban China: The mediating role of spousal health behaviour","authors":"Xiaodong Zhang ,&nbsp;Yanan Zhang ,&nbsp;Bin Guo ,&nbsp;Gong Chen ,&nbsp;Rui Zhang ,&nbsp;Qi Jing ,&nbsp;Hafiz T.A. Khan ,&nbsp;Lei Zhang","doi":"10.1016/j.ssmph.2024.101643","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101643","url":null,"abstract":"<div><h3>Background</h3><p>Increasing medical expenditure is viewed as one of the critical challenges in the context of population ageing. Physical activity (PA), as a primary prevention strategy for promoting health, is considered as an effective way to curb the excessive growth in medical expenditure. This study aimed to analyze the association between PA and the household out-of-pocket medical expenditure (HOPME) among Chinese urban adults aged 45 and over, and to explore the mediating role of spousal health behaviour.</p></div><div><h3>Methods</h3><p>This study analyzed a nationally longitudinal survey: 2014–2018 China Family Panel Studies (CFPS). Fixed effects regression model was applied to estimate the association between PA and annual HOPME. Sobel model was utilized to test the mediating effect.</p></div><div><h3>Results</h3><p>(1) PA was negatively associated with the annual HOPME among urban resident aged 45 and over in China. Exercising 1–5 times per week and maintaining the duration of each exercise session at 31–60 min were effective in reducing annual HOPME. (2) Spousal PA played a significant mediating role in the relationship between respondent's PA and annual HOPME. (3) The negative association between the respondent's PA and HOPME were found among women and those aged between 45 and 65, so was the mediating effect of spouse's PA.</p></div><div><h3>Conclusion</h3><p>Individual PA not only directly reduces HOPME but also indirectly contributes to this reduction by enhancing the PA levels of their spouses. To capitalize on these benefits, more actions should be taken to increase the availability of PA facilities, enhance the public awareness of PA's benefits, and encourage residents to consistently engage in regular PA.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101643"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000430/pdfft?md5=0c8e718f27c17df1b52816fa85f7410c&pid=1-s2.0-S2352827324000430-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of indoor air pollution from cooking fuel usage and practices on self-reported health among older adults in India: Evidence from LASI","authors":"Manik Halder ,&nbsp;Nuruzzaman Kasemi ,&nbsp;Doli Roy ,&nbsp;Malasree Majumder","doi":"10.1016/j.ssmph.2024.101653","DOIUrl":"10.1016/j.ssmph.2024.101653","url":null,"abstract":"<div><p>This research aims to explore the impact of various components of Indoor air pollution (IAP) on the Self-Reported Health (SRH) of older adults in India. Using a sample of 27,090 from the Longitudinal Aging Study in India (LASI) Wave-1, a multiple binary logistic regression model was employed to identify specific risk factors associated with poor SRH among older adults. Adjusting for demographic, socioeconomic, and IAP-related components, it was revealed that IAP significantly contributes to poor SRH. The adjusted model indicated that individuals using solid cooking fuels face a higher risk of poor SRH compared to those using liquid fuels. Additionally, individuals not using electric chimneys and cooking near windows are associated with an elevated risk of poor SRH, highlighting the importance of adequate ventilation. Health risk factors, including lung disease, diabetes, cough, and depression, further contribute to poor SRH among older adults exposed to IAP. Overall, the study offers crucial insights for policymakers, healthcare professionals, and environmentalists to improve the well-being of the vulnerable older population in India.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101653"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000533/pdfft?md5=29e2c05436a46fff8b98e78aa1a230a5&pid=1-s2.0-S2352827324000533-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140072607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The embodiment of parental death in early life through accelerated epigenetic aging: Implications for understanding how parental death before 18 shapes age-related health risk among older adults","authors":"Mateo P. Farina ,&nbsp;Eric T. Klopack ,&nbsp;Debra Umberson ,&nbsp;Eileen M. Crimmins","doi":"10.1016/j.ssmph.2024.101648","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101648","url":null,"abstract":"<div><p>Parental death in early life has been linked to various adverse health outcomes in older adulthood. This study extends prior research to evaluate how parental death in early life is tied to accelerated epigenetic aging, a potentially important biological mechanism from which social and environmental exposures impact age-related health. We used data from the 2016 Venous Blood Study (VBS), a component of the Health and Retirement Study (HRS), to examine the association between parental death in early life and accelerated epigenetic aging as measured by three widely used epigenetic clocks (PCPhenoAge, PCGrimAge, and DunedinPACE). We also assessed whether some of the association is explained by differences in educational attainment, depressive symptoms, and smoking behavior. Methods included a series of linear regression models and formal mediation analysis. Findings indicated that parental death in early life is associated with accelerated epigenetic aging for PCPhenoAge and DunedinPACE. The inclusion of educational attainment, depressive symptoms, and smoking behavior attenuated this association, with formal mediation analysis providing additional support for these observations. Parental death in early life may be one of the most difficult experiences an individual may face. The elevated biological risk associated with parental death in early life may operate through immediate changes but also through more downstream risk factors. This study highlights how early life adversity can set in motion biological changes that have lifelong consequences.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"26 ","pages":"Article 101648"},"PeriodicalIF":4.7,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400048X/pdfft?md5=b662067e2673f11e81d1676647ec9f86&pid=1-s2.0-S235282732400048X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140347533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does higher education matter for health in the UK?","authors":"Bomin Liu ,&nbsp;Sisi Ji ,&nbsp;Zheyi Zhu","doi":"10.1016/j.ssmph.2024.101642","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101642","url":null,"abstract":"<div><p>Using six sweeps of data from the 1958 British National Child Development Study (NCDS), we employ a quasi-parametric approach of propensity score matching to estimate the impacts of higher education attainment on a wide range of health-related outcomes for cohorts at ages 33, 42, and 50. The non-pecuniary benefits of higher education on health are substantial. Cohorts with higher levels of education are more likely to report better health, maintain a healthy weight, refrain from smoking, exhibit a lower frequency of alcohol consumption, and are less likely to be obese. The effects on self-reported health, body mass index (BMI), drinking alcohol increase with age, but continuously decrease with smoking frequency. When considering gender heterogeneity, higher education has a more significant effect on BMI and the likelihood of obesity for males, while it has a greater impact on self-reported health, drinking alcohol, and smoking frequencies for females. Furthermore, we find no significant evidence that higher education reduces the likelihood of depression. The results of the Rosenbaum bounds sensitivity analysis suggest that, although our overall results demonstrate robustness, there may still be unobserved hidden bias in the relationship between higher education and self-reported health.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101642"},"PeriodicalIF":4.7,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000429/pdfft?md5=d943bbc74f401bb67d56709a95e7ef5e&pid=1-s2.0-S2352827324000429-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139986114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Party membership and self-assessed health: Evidence from the Communist Party of China","authors":"Pengfei Zhang ,&nbsp;Jinghua Gao","doi":"10.1016/j.ssmph.2024.101631","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101631","url":null,"abstract":"<div><h3>Background</h3><p>In some countries, party membership is often associated with returns. We studied the relationship between party membership and self-assessed health.</p></div><div><h3>Methods</h3><p>Data were obtained from the 2017 Chinese General Social Survey (N = 11,641). Self-assessed health was defined as the personal evaluation of physical and psychological well-being. Logistic regression was used to explore relevant associations.</p></div><div><h3>Results</h3><p>Members of the Communist Party of China (CPC) were more likely than non-CPC respondents to register self-assessments of relatively healthy physical (beta = 0.319, SE = 0.098, P &lt; 0.01, CI: 0.127–0.512) and psychological (beta = 0.257, SE = 0.072, P &lt; 0.01, CI: 0.115–0.399) conditions.</p></div><div><h3>Conclusions</h3><p>Previous studies have overlooked the health-related rewards of CPC membership. Reforms to China's public health system can be smoothly implemented probably because of the health benefits accrued to party members.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101631"},"PeriodicalIF":4.7,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000314/pdfft?md5=11a25f3e38c51400bd4d6ef02d3e3511&pid=1-s2.0-S2352827324000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental cardiometabolic multimorbidity and subsequent cardiovascular incidence in middle-aged adults: A prospective cohort study","authors":"Chao Song ,&nbsp;Feiyun Ouyang ,&nbsp;Tianqi Ma ,&nbsp;Li Gong ,&nbsp;Xunjie Cheng ,&nbsp;Yongping Bai","doi":"10.1016/j.ssmph.2024.101634","DOIUrl":"10.1016/j.ssmph.2024.101634","url":null,"abstract":"<div><h3>Background</h3><p>The prevalence of cardiometabolic multimorbidity, defined as the coexistence of two or three cardiometabolic diseases (CMDs), including coronary heart disease (CHD), diabetes, and stroke, has increased rapidly in recent years, but the additive association between parental cardiometabolic multimorbidity and cardiovascular incidence in middle-aged adults remains unclear.</p></div><div><h3>Methods</h3><p>All the data analysed in this study were derived from the UK Biobank, and a total of 71,923 participants aged 40–55 years old without CVD were included in the main analyses. A weighted score was developed and grouped participants into four parental CMDs patterns: non-CMD, low burden, middle burden, and high burden. Cox proportional hazard models were used to estimate the associations between parental CMDs pattern and CVD incidence before 65 years old. Improvement in CVD risk prediction by adding parental CMDs pattern to a basic model was evaluated.</p></div><div><h3>Results</h3><p>Among the 71,923 participants, 3070 CVD events were observed during a median 12.04 years of follow-up. Compared to non-CMD groups, adults in high burden group had a 94% (73–117%) increased risk of CVD. The restricted cubic spline analysis revealed an exposure-response association between parental CMDs burden and risk of CVD (<em>P</em>_nonlinear = 0.24). Additionally, models involving parental CMDs pattern showed slightly improvements in CVD risk prediction, especially for CHD.</p></div><div><h3>Conclusion</h3><p>An increased burden of parental CMDs was associated with an increased risk of CVD incidence in middle-aged adults. Parental CMDs pattern may provide valuable information in primary prevention of CVD in middle-aged adults.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101634"},"PeriodicalIF":4.7,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400034X/pdfft?md5=c173748d7e52b8ed0731452882609f98&pid=1-s2.0-S235282732400034X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}