ArticleAmerican journal of epidemiology2016
The Association of Socioeconomic Status With Subclinical Myocardial Damage, Incident Cardiovascular Events, and Mortality in the ARIC Study.
Article in American journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- A Genome-Wide Association Study of Prediabetes Status Change.Frontiers in endocrinology · 2022Pooled it
- Association between socioeconomic variables and carotid plaque in middle-aged adults: data from the Akershus Cardiac Examination (ACE) 1950 Study.Open heart · 2026Article
- Demographic disparities in heart failure with preserved ejection fraction.Heart failure reviews · 2025Review
- Educational attainment in sociocentric networks associates with cardiac biomarkers in Korean elders.Scientific reports · 2025Article
- Association Between Family Income, Subclinical Myocardial Injury, and Cardiovascular Mortality in the General Population.Clinical cardiology · 2024Article
- Association of poverty-income ratio with cardiovascular disease and mortality in cancer survivors in the United States.PloS one · 2024Article
- The burden of premature coronary heart disease among adults with low socioeconomic status in Argentina: A modeling study.PloS one · 2024Article
- Social Determinants of Health, Cardiovascular Health, and Outcomes in Community-Dwelling Adults Without Cardiovascular Disease.JACC. Asia · 2024Article
- A comprehensive analysis of cardiovascular mortality trends in Peru from 2017 to 2022: Insights from 183,386 deaths of the national death registry.American heart journal plus : cardiology research and practice · 2023Article
- Improving 10-year cardiovascular risk prediction in apparently healthy people: flexible addition of risk modifiers on top of SCORE2.European journal of preventive cardiology · 2023Article
- Implications of Social Disadvantage Score in Cardiovascular Outcomes and Risk Assessment: Findings From the Multi-Ethnic Study of Atherosclerosis.Circulation. Cardiovascular quality and outcomes · 2023Article
- Association of Joint Genetic and Social Environmental Risks With Incident Myocardial Infarction: Results From the Health and Retirement Study.Journal of the American Heart Association · 2023Article
- Serum High-Sensitivity Cardiac Troponin T as an Independent Predictor for Incident Coronary Heart Disease in the Japanese General Population: The Circulatory Risk in Communities Study (CIRCS).Journal of atherosclerosis and thrombosis · 2023Article
- A Machine Learning Approach to Support Urgent Stroke Triage Using Administrative Data and Social Determinants of Health at Hospital Presentation: Retrospective Study.Journal of medical Internet research · 2023Article
- Classification of Deprivation Indices That Applied to Detect Health Inequality: A Scoping Review.International journal of environmental research and public health · 2022Article
- Social and environmental risks as contributors to the clinical course of heart failure.Heart failure reviews · 2022Review
- Social Determinants of Health and Cardiovascular Disease: Current State and Future Directions Towards Healthcare Equity.Current atherosclerosis reports · 2021Review
- Trends in Cardiovascular Disease Prevalence by Income Level in the United States.JAMA network open · 2020Article
- Association of Cardiovascular Disease With Premature Mortality in the United States.JAMA cardiology · 2019Article
- Longitudinal Associations Between Income Changes and Incident Cardiovascular Disease: The Atherosclerosis Risk in Communities Study.JAMA cardiology · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
The association between socioeconomic status (SES) and subclinical cardiovascular disease is not well understood. Using data from the Atherosclerosis Risk in Communities Study, we sought to evaluate the cross-sectional and prospective associations of SES, measured by annual income and educational level, with elevated high-sensitivity cardiac troponin T (hs-cTnT) concentrations (≥14 ng/L) using Poisson and multinomial logistic regressions, respectively. We used Cox proportional hazard models to compare the risks of coronary heart disease, heart failure, and mortality according to SES, stratified by baseline hs-cTnT concentration. Our study baseline was 1990-1992, with follow-up through 2011. We found an independent association between SES and hs-cTnT. When comparing participants in the lowest educational level group to those in the highest, the adjusted prevalence ratios for elevated hs-cTnT were 1.36 (95% confidence interval: 1.05, 1.75) overall, 1.83 (95% confidence interval: 1.23, 2.71) in blacks, and 1.05 (95% confidence interval: 0.73, 1.52) in whites (P for interaction = 0.08). Among participants with nonelevated hs-cTnT concentrations, when comparing those in the lowest income groups to those in the highest, the adjusted hazard ratios were strongest for heart failure and death. Having elevated baseline hs-cTnT doubled the risk of heart failure and death. Persons with low SES and elevated hs-cTnT concentrations have the greatest risk of cardiovascular events, which suggests that this group should be aggressively targeted for cardiovascular risk reduction.
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