ArticleAmerican journal of preventive cardiology2021
Development and validation of a polysocial risk score for atherosclerotic cardiovascular disease.
Article in American journal of preventive cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed.
- Educational Attainment Level and Risk of Mortality and Cardiopulmonary Outcomes in High-Risk Patients With Cardiovascular Disease: The INVESTED Trial.Journal of the American Heart Association · 2025Trial
- Educational Attainment and the Effect of Intensive Blood Pressure Reduction: A Post Hoc Analysis of the SPRINT Study.Journal of the American Heart Association · 2025Trial
- Sex-based disparities in cardiovascular disease: Can polysocial screening mitigate the risk?American journal of preventive cardiology · 2026Article
- Multilevel Intersectional Social Drivers of Health and Nulliparous Term, Singleton, Vertex Cesarean Delivery.O&G open · 2026Article
- Discordance Between Perceived Risk and Cardiovascular Health in Women of Reproductive Age.JACC. Advances · 2026Article
- Psychological Health, Polysocial Risk, and Cardiovascular Health Among Women of Reproductive Age.JACC. Advances · 2026Article
- Co-designing an Outpatient Clinical Decision Support Prototype for Managing Social Risks in Patients Living with Dementia.Applied clinical informatics · 2026Article
- Exploring social determinants of disability among older filipinos: insights from a polysocial score approach.Global health research and policy · 2025Article
- Combined social determinants of health contributed to adverse health outcomes among depression: evidence from two national cohorts.Epidemiology and psychiatric sciences · 2025Article
- Joint association of polysocial risk score and lifestyle with incident essential hypertension: a prospective cohort study in the UK biobank.BMC cardiovascular disorders · 2025Article
- South Asians and cardiometabolic health: A framework for comprehensive care for the individual, community, and population - An American society for preventive cardiology clinical practice statement.American journal of preventive cardiology · 2025Article
- Association of polysocial risk score, cardiovascular health status, and the risk of premature mortality: Findings from the UK Biobank.The journal of nutrition, health & aging · 2025Article
- Intersectionality of individual and neighborhood-level adverse social determinants of health in early pregnancy.Pregnancy (Hoboken, N.J.) · 2025Article
- Composite cardiovascular risk factor control in US adults with diabetes and relation to social determinants of health: TheAmerican journal of preventive cardiology · 2025Article
- The association between total social exposure and incident multimorbidity: A population-based cohort study.SSM - population health · 2025Article
- Association between polysocial risk score and CVH among women of reproductive age in the SAFE HEART study: An American Heart Association Research Goes Red Initiative.Current problems in cardiology · 2025Article
- Article
- A Global Perspective on Socioeconomic Determinants of Cardiovascular Health.The Canadian journal of cardiology · 2025Review
- Development and Evaluation of a Comprehensive Prediction Model for Incident Coronary Heart Disease Using Genetic, Social, and Lifestyle-Psychological Factors: A Prospective Analysis of the UK Biobank.Annals of internal medicine · 2025Article
- Standardizing social determinants of health data: a proposal for a comprehensive screening tool to address health equity a systematic review.Health affairs scholar · 2024Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo date, the extent to which social determinants of health (SDOH) may help identify individuals with atherosclerotic cardiovascular disease (ASCVD) - beyond traditional risk factors - has not been quantified using a cumulative social disadvantage approach. The objective of this study was to develop, and validate, a polysocial risk score (PsRS) for prevalent ASCVD in a nationally representative sample of adults in the United States (US).
methodsWe used data from the 2013-2017 National Health Interview Survey. A total of 38 SDOH were identified from the database. Stepwise and criterion-based selection approaches were applied to derive PsRS, after adjusting for traditional risk factors. Logistic regression models were fitted to assign risk scores to individual SDOH, based on relative effect size magnitudes. PsRS was calculated by summing risk scores for individual SDOH, for each participant; and validated using a separate validation cohort.
resultsFinal sample comprised 164,696 adults. PsRS included 7 SDOH: unemployment, inability to pay medical bills, low income, psychological distress, delayed care due to lack of transport, food insecurity, and less than high school education. PsRS ranged from 0-20 and exhibited excellent calibration and discrimination. Individuals with the highest PsRS (5
conclusionsCumulatively, SDOH may help identify individuals with ASCVD, beyond traditional cardiovascular risk factors. In this study, we provide a unique validated PsRS for ASCVD in a national sample of US adults. Future study should target development of similar scores in diverse populations, and incorporate longitudinal study designs.
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