Evidence map›Paper›PMID 31323455›Full record

Trial reportAmerican heart journal2019

Financial strain and ideal cardiovascular health in middle-aged and older women: Data from the Women's health study.

Tomás Cabeza de Baca, Melissa S Burroughs Peña, Natalie Slopen, David Williams, Julie Buring, Michelle A Albert

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American heart journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Chronic Stress and Cardiovascular Health: The MESA and MASALA Studies.American journal of preventive medicine · 2026
    Article
  3. Psychosocial stress and cardiovascular disease.American journal of preventive cardiology · 2025
    Review
  4. Review
  5. Stress and cardiovascular disease: an update.Nature reviews. Cardiology · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Do any kinds of perceived stressors lead to hypertension? A longitudinal cohort study.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tomás Cabeza de BacaUniversity of California San Francisco, Center for the Study of Adversity and Cardiovascular Disease (NURTURE Center), Division of Cardiology, Department of Medicine, San Francisco, CA. Electronic address: tdebaca@email.arizona.edu.
Melissa S Burroughs PeñaUniversity of California San Francisco, Center for the Study of Adversity and Cardiovascular Disease (NURTURE Center), Division of Cardiology, Department of Medicine, San Francisco, CA. Electronic address: melissaburroughspena@gmail.com.
Natalie SlopenUniversity of Maryland School of Public Health, Department of Epidemiology and Biostatistics, College Park, MD. Electronic address: nslopen@umd.edu.
David WilliamsHarvard T. H. Chan School of Public Health, Department of Social and Behavioral Sciences, Boston, MA. Electronic address: dwilliam@hsph.harvard.edu.
Julie BuringHarvard T. H. Chan School of Public Health, Department of Epidemiology, Boston, MA; Brigham and Women's Hospital, Division of Preventive Medicine, Department of Medicine, Boston, MA. Electronic address: jburing@rics.bwh.harvard.edu.
Michelle A AlbertUniversity of California San Francisco, Center for the Study of Adversity and Cardiovascular Disease (NURTURE Center), Division of Cardiology, Department of Medicine, San Francisco, CA. Electronic address: michelle.albert@ucsf.edu.

Funding

Women's Health Study: Continued Follow-upR01CA047988 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 1991 to 2014
$28.2M
Women's Health Study: Continued Follow-UpR01HL080467 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2005 to 2010
$4.5M
The Women's Health Study: Infrastructure Support for Continued Cohort Follow-upUM1CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2014 to 2018
$4.0M
Sci-Tech Core-Maryland Population Research CenterP2CHD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI Susan W Parker · 2018 to 2026
$3.9M
Cumulative Stress and CVD Risk in Middle-Aged and Older WomenR01AG038492 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALBERT, MICHELLE A · 2011 to 2015
$2.8M
TRIAL OF VITAMIN E, BETA-CAROTENE &ASPRIN IN WOMENR01HL043851 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1991 to 2000
$1.6M
The Women's Health Study: Addition of New Data to Maximize its Research ImpactRC1HL099355 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2009 to 2010
$992k
NCI NIH HHS R01 CA047988NCI NIH HHS UM1 CA182913NHLBI NIH HHS R01 HL043851NHLBI NIH HHS R01 HL080467NHLBI NIH HHS RC1 HL099355NIA NIH HHS R01 AG038492NICHD NIH HHS P2C HD041041
6 · The paper itself

Abstract

Financial strain is a prevalent form of psychosocial stress in the United States; however, information about the relationship between financial strain and cardiovascular health remains sparse, particularly in older women.

methodsThe cross-sectional association between financial strain and ideal cardiovascular health were examined in the Women's Health Study follow-up cohort (N = 22,048; mean age = 72± 6.0 years).Six self-reported measures of financial strain were summed together to create a financial strain index and categorized into 4 groups: No financial strain, 1 stressor, 2 stressors, and 3+ stressors. Ideal cardiovascular health was based on the American Heart Association strategic 2020 goals metric, including tobacco use, body mass index, physical activity, diet, blood pressure, total cholesterol and diabetes mellitus. Cardiovascular health was examined as continuous and a categorical outcome (ideal, intermediate, and poor). Statistical analyses adjusted for age, race/ethnicity, education and income.

resultsAt least one indicator of financial strain was reported by 16% of participants. Number of financial stressors was associated with lower ideal cardiovascular health, and this association persisted after adjustment for potential confounders (1 financial stressor (FS): B = -0.10, 95% Confidence Intervals (CI) = -0.13, -0.07; 2 FS: B = -0.20, 95% CI = -0.26, -0.15; 3+ FS: B = -0.44, 95% CI = -0.50, -0.38).

conclusionFinancial strain was associated with lower ideal cardiovascular health in middle aged and older female health professional women. The results of this study have implications for the potential cardiovascular health benefit of financial protections for older individuals.

Indexed as

Cost of IllnessIncomeAgedCardiovascular DiseasesCross-Sectional StudiesFemaleFollow-Up StudiesHumansMorbidityRetrospective StudiesRisk FactorsSocial Determinants of HealthSocioeconomic FactorsStress, PsychologicalSurveys and QuestionnairesUnited States

Identifiers

PMID31323455
PMCPMC6698388

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.