ArticleProceedings of the National Academy of Sciences of the United States of America2020
Sociopolitical stress and acute cardiovascular disease hospitalizations around the 2016 presidential election.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Health outcomes after national acute sleep deprivation events among the American public.JCI insight · 2026Article
- The health costs of losing political representation: Evidence from U.S. Presidential Elections.PloS one · 2025Article
- Political Polarization and Wellbeing: Investigating Potential Intrapersonal Harm From Affective Polarization.International review of social psychology · 2025Article
- State-level economic uncertainty and cardiovascular disease deaths: evidence from the United States.European journal of epidemiology · 2023Article
- Sociopolitical stressors are associated with psychological distress in a cohort of Latina women during early pregnancy.Journal of community psychology · 2023Article
- Resentment Is Like Drinking Poison? The Heterogeneous Health Effects of Affective Polarization.Journal of health and social behavior · 2022Article
- Association of the 2020 US Presidential Election With Hospitalizations for Acute Cardiovascular Conditions.JAMA network open · 2022Article
- Highly public anti-Black violence is associated with poor mental health days for Black Americans.Proceedings of the National Academy of Sciences of the United States of America · 2021Article
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12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Previous research suggests that stressors may trigger the onset of acute cardiovascular disease (CVD) events within hours to days, but there has been limited research around sociopolitical events such as presidential elections. Among adults ≥18 y of age in Kaiser Permanente Southern California, hospitalization rates for acute CVD were compared in the time period immediately prior to and following the 2016 presidential election date. Hospitalization for CVD was defined as an inpatient or emergency department discharge diagnosis of acute myocardial infarction (AMI) or stroke using International Classification of Diseases, 10th revision codes. Rate ratios (RR) and 95% confidence intervals (CIs) were calculated comparing CVD rates in the 2 d following the 2016 election to rates in the same 2 d of the prior week. In a secondary analysis, AMI and stroke were analyzed separately. The rate of CVD events in the 2 d after the 2016 presidential election (573.14 per 100,000 person-years [PY]) compared to the rate in the window prior to the 2016 election (353.75 per 100,000 PY) was 1.62 times higher (95% CI 1.17, 2.25). Results were similar across sex, age, and race/ethnicity groups. The RRs were similar for AMI (RR 1.67, 95% CI 1.00, 2.76) and stroke (RR 1.59, 95% CI 1.03, 2.44) separately. Transiently heightened cardiovascular risk around the 2016 election may be attributable to sociopolitical stress. Further research is needed to understand the intersection between major sociopolitical events, perceived stress, and acute CVD events.
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