ArticleBMC cardiovascular disorders2017
Association of cumulative social risk with mortality and adverse cardiovascular disease outcomes.
Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- A Retrospective Analysis Examining the Impact of Educational Attainment and Social Determinants of Health on Rifampicin-Resistant Tuberculosis Treatment Outcomes.Open forum infectious diseases · 2026Article
- Cardiovascular health among young adults: Do childhood neighborhoods matter?SSM - population health · 2026Article
- Association between simultaneous exposure to socioeconomic disadvantages and cardiovascular health of Brazilian adolescents.American journal of preventive cardiology · 2025Article
- Future of Families: Cardiovascular Health Among Young Adults Cohort Study: Rationale, Key Questions, Study Design, and Participant Characteristics.Journal of the American Heart Association · 2025Article
- Cohort study examining social determinants of health and their association with mortality among hospitalised adults in New York and California.BMJ public health · 2025Article
- Atherosclerotic Cardiovascular Disease Primary and Secondary Prevention in Latino Subgroups.Journal of general internal medicine · 2024Article
- 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
- Racial, ethnic, and language differences in screening measures for statin therapy following a major guideline change.Preventive medicine · 2022Article
- Associations between cumulative social risk, psychosocial risk, and ideal cardiovascular health: Insights from the HeartSCORE study.American journal of preventive cardiology · 2022Article
- Confounding by Socioeconomic Status in Epidemiological Studies of Air Pollution and Health: Challenges and Opportunities.Environmental health perspectives · 2021Review
- Article
- Combined Effect of Marriage and Education on Mortality: A Cross-national Study of Older Japanese and Finnish Men and Women.Journal of epidemiology · 2020Article
- Multiple Vulnerabilities to Health Disparities and Incident Heart Failure Hospitalization in the REGARDS Study.Circulation. Cardiovascular quality and outcomes · 2020Observational
- Association between cumulative social risk, particulate matter environmental pollutant exposure, and cardiovascular disease risk.BMC cardiovascular disorders · 2020Article
- Association between leucocyte telomere length and cardiovascular disease in a large general population in the United States.Scientific reports · 2020Article
- Association of Social and Behavioral Risk Factors With Earlier Onset of Adult Hypertension and Diabetes.JAMA network open · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuantifying the cumulative effect of social risk factors on cardiovascular disease (CVD) risk can help to better understand the sources of disparities in health outcomes. METHOD AND
resultsData from the Heart Strategies Concentrating on Risk Evaluation (HeartSCORE) study were used to create an index of cumulative social risk (CSR) and quantify its association with incident CVD and all-cause mortality. CSR was defined by assigning a score of 1 for the presence of each of 4 social factors: i) racial minority status (Black race), ii) single living status, iii) low income, and iv) low educational level. Hazard ratios (HRs) were computed using Cox-regression models, adjusted for CVD risk factors. Over a median follow-up period of 8.3 years, 127 incident events were observed. The incidence of the primary outcome for subgroups of participants with 0, 1, and ≥2 CSR scores was 5.31 (95% CI, 3.40-7.22), 10.32 (7.16-13.49) and 17.80 (12.94-22.67) per 1000 person-years, respectively. Individuals with CSR score of 1 had an adjusted HR of 1.85 (1.15-2.97) for incident primary outcomes, compared to those with score of 0. The corresponding HR for individuals with CSR score of 2 or more was 2.58 (1.60-4.17).
conclusionAn accumulation of social risk factors independently increased the likelihood of CVD events and deaths in a cohort of White and Black individuals.
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