Evidence map›Paper›PMID 34380328›Full record

ArticleCirculation. Cardiovascular quality and outcomes2021

Association Between Early Trauma and Ideal Cardiovascular Health Among Black Americans: Results From the Morehouse-Emory Cardiovascular (MECA) Center for Health Equity.

Shabatun J Islam, Jeong Hwan Kim, Emma Joseph, Matthew Topel, Peter Baltrus, Chang Liu, Yi-An Ko, Zakaria Almuwaqqat, Mahasin S Mujahid, Mario Sims and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
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

15 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

20 authors at 4 institutions in 1 country.

Shabatun J IslamDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.
Jeong Hwan KimDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0001-7186-1033
Emma JosephDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.
Matthew TopelDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.
Peter BaltrusDepartment of Community Health and Preventive Medicine (P.B., M.M.), Morehouse School of Medicine, Atlanta, GA.
Chang LiuDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-8918-7224
Yi-An KoDepartment of Biostatistics and Bioinformatics (C.L., Y.-A.K.), Emory University, Atlanta, GA.ORCID 0000-0002-6543-9765
Zakaria AlmuwaqqatDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0001-6606-1031
Mahasin S MujahidDivision of Epidemiology, School of Public Health, University of California, Berkeley (M.S.M.).ORCID 0000-0001-9795-9338
Mario SimsDepartment of Medicine, University of Mississippi Medical Center, Jackson (M.S.).
Mohamed MubasherDepartment of Community Health and Preventive Medicine (P.B., M.M.), Morehouse School of Medicine, Atlanta, GA.
Kiran EjazDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.
Charles SearlesDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.
Sandra B DunbarRollins School of Public Health, and Nell Hodgson Woodruff School of Nursing (S.B.D.), Emory University, Atlanta, GA.ORCID 0000-0001-8752-2343
Priscilla PemuDepartment of Medicine (P.P., H.T.), Morehouse School of Medicine, Atlanta, GA.
Herman TaylorDepartment of Medicine (P.P., H.T.), Morehouse School of Medicine, Atlanta, GA.
J Douglas BremnerDepartment of Psychiatry and Behavioral Sciences (J.D.B.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-1633-6433
Viola VaccarinoDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-9054-0654
Arshed A QuyyumiDepartment of Medicine, Division of Cardiology (S.J.I., J.H.K., E.J., M.T., C.L., Z.A., K.E., C.S., V.V., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-8166-679X
Tené T LewisDepartment of Epidemiology (V.V., T.T.L.), Emory University, Atlanta, GA.ORCID 0000-0003-3905-8931
Emory University · USMorehouse School of Medicine · USCenter for Environmental Health · USUniversity of Mississippi Medical Center · US

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
Dopamine function, inflammation and connectivity in PTSDR01MH120262 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2020 to 2023
$2.9M
Biological Correlates of Traumatic StressK24MH076955 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2006 to 2013
$946k
Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use Disorders UG3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2020 to 2021
$844k
Sex-Specific Patterns of Myocardial Ischemia During Mental and Conventional StressF32HL151163 · NHLBI · EMORY UNIVERSITY · PI ALMUWAQQAT, ZAKARIA · 2020 to 2020
$65k
NHLBI NIH HHS F32 HL151163NHLBI NIH HHS T32 HL007745NHLBI NIH HHS T32 HL130025NIDA NIH HHS UG3 DA048502NIMH NIH HHS K24 MH076955NIMH NIH HHS R01 MH120262RRD VA I01 RX003418
6 · The paper itself

Abstract

backgroundEarly trauma (general, emotional, physical, and sexual abuse before age 18 years) has been associated with both cardiovascular disease risk and lifestyle-related risk factors for cardiovascular disease, including smoking, obesity, and physical inactivity. Despite higher prevalence, the association between early trauma and cardiovascular health (CVH) has been understudied in Black Americans, especially those from low-income backgrounds, who may be doubly vulnerable. Therefore, we investigated the association between early trauma and CVH, particularly among low-income Black Americans.

methodsWe recruited 457 Black adults (age 53±10, 38% male) without known cardiovascular disease from the Atlanta, GA, metropolitan area using personalized, community-based recruitment methods. The Early Trauma Inventory was administered to assess overall early traumatic life experiences which include physical, sexual, emotional abuse, and general trauma. Our primary outcome was the American Heart Association Life's Simple 7, which is a set of 7 CVH metrics, including 4 lifestyle-related factors (smoking, body mass index, physical activity, and diet) and three physiologically measured health factors (blood pressure, total blood cholesterol, and blood glucose). We used linear regression models adjusting for age, sex, socioeconomic status, and depression to test the association between early trauma and CVH and tested the early trauma by household income (<$50 000) interaction.

resultsHigher levels of early trauma were associated with lower Life's Simple 7 scores (β, -0.05 [95% CI, -0.09 to -0.01],

conclusionsEarly trauma, including general trauma, emotional abuse, and sexual abuse, may be associated with worse CVH among low-, but not higher-income Black adults.

Indexed as

Cardiovascular DiseasesHealth EquityAdolescentAdultAmerican Heart AssociationBlack or African AmericanBlood GlucoseBlood PressureBody Mass IndexExerciseFemaleHumansMaleMiddle AgedRisk FactorsUnited StatesBlood Glucoseadverse childhood experiencescardiovascular diseaseemotional abusehealth equityobesityrisk factorssmoking

Identifiers

PMID34380328
PMCPMC8455434
OpenAlexW3192545238

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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.