{"title":"SAFE HEART 研究中育龄妇女的多社会风险评分与心血管健康之间的关系：美国心脏协会 \"红色研究计划\"：\"育龄妇女的多社会风险与心血管健康\"。","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":"{\"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}","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
摘要
背景：评估育龄妇女的多重社会风险因素与心血管健康（CVH）之间的关系：评估育龄妇女的多重社会风险因素与心血管健康（CVH）之间的关系：我们的横断面分析包括来自社区环境和美国心脏协会 "红色研究"（RGR）登记处的育龄妇女（18-44 岁）。多社会风险评分（0-14 分）反映了各个领域的社会不利条件，包括社会经济稳定性（教育、就业、收入、保险、经济压力）、生活状况（住房稳定性、住房质量、婚姻状况、住房所有权）、食品安全、交通、公用事业和人际安全。在 "生活必备 8 项指标"（体育锻炼、饮食、体重指数、睡眠、吸烟、血压、血糖和胆固醇）中，有≥2 项风险因素的人被定义为 "次优 CVH"。使用线性回归模型分析了多重社会风险与次优 CVH 之间的关系 结果：次优 CVH 随多重社会风险的增加而增加，从最低四分位数的 77.0% 增加到最高四分位数的 95.2%。与四分位数 1 相比，四分位数 3 的参与者发生次优 CVH 的几率最高（aOR 9.52，95% CI 2.63-34.46），而四分位数 4 的几率有所下降，但仍很显著（aOR 3.86，95% CI 1.03-14.40）。在社区登记的参与者中，高血压（aOR 10.23，95% CI 3.61-29.01）、糖尿病（aOR 8.87，95% CI 3.12-25.24）、高脂血症（aOR 7.48，95% CI 2.72-20.55）和吸烟（aOR 9.46，95% CI 3.25-27.56）与较高的多重社会风险密切相关，而在 RGR 登记的参与者中，趋势不太一致：结论：社会风险较高的妇女面临次优 CVH 的几率更大。社会决定因素筛查和有针对性的公共卫生干预对于降低这一人群的 CVH 风险至关重要。
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".
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.
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