ArticleCirculation2023
Social and Psychosocial Determinants of Racial and Ethnic Differences in Cardiovascular Health in the United States Population.
Article in Circulation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Beyond conventional metrics: a scoping review of cultural food security definitions and indicators for migrant populations.Frontiers in nutrition · 2026Pooled it
- Food Insecurity and Its Cardiovascular Implications in Underresourced Communities.Journal of the American Heart Association · 2025Trial
- Synergistic Effects of Social Determinants of Health and Periodontitis on Premature Cardiovascular Mortality: A Nationally Representative Cohort Study.Journal of public health dentistry · 2026Article
- Drivers of Atherosclerotic Cardiovascular Disease in South Asians: Current Insights and Future Directions.JACC. Asia · 2026Review
- Sex differences in the association between cumulative social risk and life's essential 8 cardiovascular health scores in U.S. adults.American journal of preventive cardiology · 2026Article
- External validation of American heart association predicting risk of cardiovascular disease EVENTs (PREVENT) equations in a Chinese population.Scientific reports · 2026Article
- Psychological Health, Polysocial Risk, and Cardiovascular Health Among Women of Reproductive Age.JACC. Advances · 2026Article
- Evaluating the Attenuation of Black-White Disparities in Cardiovascular Disease Incidence and Total Mortality by Life's Essential 8.Circulation. Population health and outcomes · 2026Article
- Decomposition of racial and ethnic disparities in sleep health among US adults, NHANES from 2005-2008 and 2015-2018.BMC public health · 2026Article
- Social determinants of health, life's essential 8 metrics, and cardiovascular morbidity and mortality: a nationwide cohort study.American journal of preventive cardiology · 2026Article
- Translational Lifestyle Medicine Approaches to Cardiovascular-Kidney-Metabolic Syndrome.Healthcare (Basel, Switzerland) · 2025Review
- Social determinants of health and age-related differences in all-cause mortality: evidence from National Health and Nutrition Examination Survey.Annals of medicine · 2025Article
- Racial and ethnic disparities in childhood cardiovascular health: evidence of the role of social disadvantage from NHANES 2013-2018.BMC medicine · 2025Article
- Older Than You Think-The Psychology of Comparison.JAMA cardiology · 2025Article
- Tailoring cardiovascular risk prediction to females.The Journal of endocrinology · 2025Review
- Article
- Associations between education and ideal cardiovascular health metrics across 36 low- and middle-income countries.BMC medicine · 2025Article
- Determinants of Racial and Ethnic Differences in Maternal Cardiovascular Health in Early Pregnancy.Circulation. Cardiovascular quality and outcomes · 2025Article
- Getting to the Heart of the Matter: Exploring the Intersection of Cardiovascular Disease, Sex and Race and How Exercise, and Gut Microbiota Influence these Relationships.Reviews in cardiovascular medicine · 2025Review
- Geospatial Analysis of Food Insecurity and Adverse Human Health Outcomes in the United States.GeoHealth · 2025Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundSocial and psychosocial factors are associated with cardiovascular health (CVH). Our objective was to examine the contributions of individual-level social and psychosocial factors to racial and ethnic differences in population CVH in the NHANES (National Health and Nutrition Examination Surveys) 2011 to 2018, to inform strategies to mitigate CVH inequities.
methodsIn NHANES participants ages ≥20 years, Kitagawa-Blinder-Oaxaca decomposition estimated the statistical contribution of individual-level factors (education, income, food security, marital status, health insurance, place of birth, depression) to racial and ethnic differences in population mean CVH score (range, 0-14, accounting for diet, smoking, physical activity, body mass index, blood pressure, cholesterol, blood glucose) among Hispanic, non-Hispanic Asian, or non-Hispanic Black adults compared with non-Hispanic White adults.
resultsAmong 16 172 participants (representing 255 million US adults), 24% were Hispanic, 12% non-Hispanic Asian, 23% non-Hispanic Black, and 41% non-Hispanic White. Among men, mean (SE) CVH score was 7.45 (2.3) in Hispanic, 8.71 (2.2) in non-Hispanic Asian, 7.48 (2.4) in non-Hispanic Black, and 7.58 (2.3) in non-Hispanic White adults. In Kitagawa-Blinder-Oaxaca decomposition, education explained the largest component of CVH differences among men (if distribution of education were similar to non-Hispanic White participants, CVH score would be 0.36 [0.04] points higher in Hispanic, 0.24 [0.04] points lower in non-Hispanic Asian, and 0.23 [0.03] points higher in non-Hispanic Black participants;
conclusionsEducation and place of birth confer the largest statistical contributions to the racial and ethnic differences in mean CVH score among US adults.
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Registered trials
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.