Evidence map›Paper›PMID 33023334›Full record

ArticleCirculation. Cardiovascular quality and outcomes2020

Individual Psychosocial Resilience, Neighborhood Context, and Cardiovascular Health in Black Adults: A Multilevel Investigation From the Morehouse-Emory Cardiovascular Center for Health Equity Study.

Jeong Hwan Kim, Shabatun J Islam, Matthew L Topel, Yi-An Ko, Mahasin S Mujahid, Viola Vaccarino, Chang Liu, Mario Sims, Mohamed Mubasher, Charles D Searles and 6 more

Abstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. Impact of Social Determinants of Health on Cardiovascular Disease.Journal of the American Heart Association · 2025
    Review
  4. Additive Benefits of Individual, Relational, and Community Factors on Physical- and Mental-Health Trajectories Among Black Americans.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. The role of behavioral science in addressing cardiovascular health disparities: A narrative review of efforts, challenges, and future directions.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Review
  9. Article
  10. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Jeong Hwan Kim *Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Shabatun J Islam *Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Matthew L TopelDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Yi-An KoDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health (Y.-A.K.), Emory University, Atlanta, GA.
Mahasin S MujahidDivision of Epidemiology, School of Public Health, University of California, Berkeley (M.S.M.).
Viola VaccarinoDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Chang LiuDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Mario SimsDepartment of Medicine, University of Mississippi Medical Center, Jackson (M.S.).
Mohamed MubasherDepartment of Community Health and Preventive Medicine (M.M., P.B.), Morehouse School of Medicine, Atlanta, GA.
Charles D SearlesDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Sandra B DunbarNell Hodgson Woodruff School of Nursing (S.B.D.), Emory University, Atlanta, GA.
Priscilla PemuDepartment of Medicine (P.P., H.A.T.), Morehouse School of Medicine, Atlanta, GA.
Herman A TaylorDepartment of Medicine (P.P., H.A.T.), Morehouse School of Medicine, Atlanta, GA.
Arshed A QuyyumiDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (J.H.K., S.J.I., M.L.T., V.V., C.L., C.D.S., A.A.Q.).
Peter BaltrusDepartment of Community Health and Preventive Medicine (M.M., P.B.), Morehouse School of Medicine, Atlanta, GA.
Tené T LewisDepartment of Epidemiology, Rollins School of Public Health (V.V., T.T.L.), Emory University, Atlanta, GA.

Funding

Research Trainng in Academic CardiologyT32HL007745 · NHLBI · EMORY UNIVERSITY · PI TAYLOR, WILLIAM ROBERT · 1994 to 2023
$10.6M
Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
Expectations of Discrimination and CVD Risk in Africian-American WomenR01HL130471 · NHLBI · EMORY UNIVERSITY · PI LEWIS, TENÉ T · 2016 to 2019
$3.7M
Social Stressors and Atherosclerosis in African-American Women with LupusR01AR070898 · NIAMS · EMORY UNIVERSITY · PI LEWIS, TENÉ T · 2016 to 2020
$3.3M
NHLBI NIH HHS R01 HL130471NHLBI NIH HHS T32 HL007745NHLBI NIH HHS T32 HL130025NIAMS NIH HHS R01 AR070898
6 · The paper itself

Abstract

backgroundDespite well-documented cardiovascular disparities between racial groups, within-race determinants of cardiovascular health among Black adults remain understudied. Factors promoting cardiovascular resilience among Black adults in particular warrant further investigation. Our objective was to examine whether individual psychosocial resilience and neighborhood-level cardiovascular resilience were associated with better cardiovascular health in Black adults, measured utilizing Life's Simple 7 (LS7) scores.

methodsWe assessed LS7 scores in 389 Black adults (mean age, 53±10 years; 39% men) living in Atlanta, Georgia. A composite score of individual psychosocial resilience was created by assessing environmental mastery, purpose in life, optimism, resilient coping, and depressive symptoms. Neighborhood-level cardiovascular resilience was separately determined by the census tract-level rates of cardiovascular mortality/morbidity events. Generalized linear mixed regression models were used to examine the association between individual psychosocial resilience, neighborhood cardiovascular resilience, and LS7 scores.

resultsHigher individual psychosocial resilience was significantly associated with higher LS7 (β=0.38 [0.16-0.59] per 1 SD) after adjustment for sociodemographic factors. Similarly, higher neighborhood-level cardiovascular resilience was significantly associated with higher LS7 (β=0.23 [0.02-0.45] per 1 SD). When jointly examined, high individual psychosocial resilience (>median) was independently associated with higher LS7 (β=0.73 [0.31-1.17]), whereas living in high-resilience neighborhoods (>median) was not. The largest difference in LS7 score was between those with high and low psychosocial resilience living in low-resilience neighborhoods (8.38 [7.90-8.86] versus 7.42 [7.04-7.79]).

conclusionsIndividual psychosocial resilience in Black adults is associated with better cardiovascular health.

Indexed as

Health EquityHealth Status DisparitiesHealthy LifestyleResidence CharacteristicsResilience, PsychologicalRisk Reduction BehaviorSocial Determinants of HealthAdultBlack or African AmericanCardiovascular DiseasesCross-Sectional StudiesFemaleGeorgiaHealthcare DisparitiesHumansMalecardiovascular diseasesepidemiologyGeorgiamorbidityracial disparitiesresiliencerisk factors

Identifiers

PMID33023334
PMCPMC8059442

What OpenQuestion holds

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Registered trials

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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.