Intersectionality and Social Drivers of Health in Cardiovascular Care
By: Madelyn Hurwitz, Jason Bonomo, Jared Spitz and Garima Sharma
References
- Martin SS, Aday AW, Almarzooq ZI, et al. 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association. Circulation. 2024 Feb 20;149(8):e347-e913. doi: 10.1161/CIR.0000000000001209
- LaVeist TA, Pérez-Stable EJ, Richard P, et al. The Economic Burden of Racial, Ethnic, and Educational Health Inequities in the US. JAMA. 2023 May 16;329(19):1682-1692. doi: 10.1001/jama.2023.5965
- Teshale AB, Htun HL, Owen A, et al. The Role of Social Determinants of Health in Cardiovascular Diseases: An Umbrella Review. J Am Heart Assoc. 2023 Jul 4;12(13):
e029765 . doi: 10.1161/JAHA.123.029765 - Powell-Wiley TM, Baumer Y, Baah FO, et al. Social Determinants of Cardiovascular Disease. Circ Res. 2022 Mar 4;130(5):782-799. doi: 10.1161/CIRCRESAHA.121.319811
- World Health Organization [Internet]. Geneva, Switzerland: World Health Organization; c2024.
Operational framework for monitoring social determinants of health equity ; 2024 Jan 18 [cited 2024 Sep 11]. Available from:https://www.who.int/publications/i/item/9789240088320 - Havranek EP, Mujahid MS, Barr DA, et al. Social Determinants of Risk and Outcomes for Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2015 Sep 1;132(9):873-98. doi: 10.1161/CIR.0000000000000228
- Allana S, Ski CF, Thompson DR, Clark AM. Bringing Intersectionality to Cardiovascular Health Research in Canada. CJC Open. 2021 Sep 15;3(12 Suppl):S4-S8. doi: 10.1016/j.cjco.2021.08.016
- Magnani JW, Mujahid MS, Aronow HD, et al. Health Literacy and Cardiovascular Disease: Fundamental Relevance to Primary and Secondary Prevention: A Scientific Statement From the American Heart Association. Circulation. 2018 Jul 10;138(2):e48-e74. doi: 10.1161/CIR.0000000000000579
- Churchwell K, Elkind MSV, Benjamin RM, et al.; American Heart Association. Call to Action: Structural Racism as a Fundamental Driver of Health Disparities: A Presidential Advisory From the American Heart Association. Circulation. 2020 Dec 15;142(24):e454-e468. doi: 10.1161/CIR.0000000000000936
- Yan LL, Liu K, Daviglus ML, et al. Education, 15-year risk factor progression, and coronary artery calcium in young adulthood and early middle age: the Coronary Artery Risk Development in Young Adults study. JAMA. 2006 Apr 19;295(15):1793-800. doi: 10.1001/jama.295.15.1793
- Khaing W, Vallibhakara SA, Attia J, McEvoy M, Thakkinstian A. Effects of education and income on cardiovascular outcomes: A systematic review and meta-analysis. Eur J Prev Cardiol. 2017 Jul;24(10):1032-1042. doi: 10.1177/2047487317705916
- Machado S, Sumarsono A, Vaduganathan M. Midlife Wealth Mobility and Long-term Cardiovascular Health. JAMA Cardiol. 2021 Oct 1;6(10):1152-1160. doi: 10.1001/jamacardio.2021.2056
- Sommers BD, Blendon RJ, Orav EJ, Epstein AM. Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance. JAMA Intern Med. 2016 Oct 1;176(10):1501-1509. doi: 10.1001/jamainternmed.2016.4419
- Johnson AE, Herbert BM, Stokes N, Brooks MM, Needham BL, Magnani JW. Educational Attainment, Race, and Ethnicity as Predictors for Ideal Cardiovascular Health: From the National Health and Nutrition Examination Survey. J Am Heart Assoc. 2022 Jan 18;11(2):
e023438 . doi: 10.1161/JAHA.121.023438 - Christakis NA, Fowler JH. The spread of obesity in a large social network over 32 years. N Engl J Med. 2007 Jul 26;357(4):370-9. doi: 10.1056/NEJMsa066082
- Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart. 2016 Jul 1;102(13):1009-16. doi: 10.1136/heartjnl-2015-308790
- Hines AL, Albert MA, Blair JP, et al. Neighborhood Factors, Individual Stressors, and Cardiovascular Health Among Black and White Adults in the US: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study. JAMA Netw Open. 2023 Sep 5;6(9):
e2336207 . doi: 10.1001/jamanetworkopen.2023.36207 - Richardson S, Shaffer JA, Falzon L, Krupka D, Davidson KW, Edmondson D. Meta-analysis of perceived stress and its association with incident coronary heart disease. Am J Cardiol. 2012 Dec 15;110(12):1711-6. doi: 10.1016/j.amjcard.2012.08.004
- Stewart RAH, Colquhoun DM, Marschner SL, et al. Persistent psychological distress and mortality in patients with stable coronary artery disease. Heart. 2017 Dec;103(23):1860-1866. doi: 10.1136/heartjnl-2016-311097
- Kwapong YA, Boakye E, Khan SS, et al. Association of Depression and Poor Mental Health With Cardiovascular Disease and Suboptimal Cardiovascular Health Among Young Adults in the United States. J Am Heart Assoc. 2023 Feb 7;12(3):
e028332 . doi: 10.1161/JAHA.122.028332 - Bailey ZD, Feldman JM, Bassett MT. How Structural Racism Works - Racist Policies as a Root Cause of U.S. Racial Health Inequities. N Engl J Med. 2021 Feb 25;384(8):768-773. doi: 10.1056/NEJMms2025396
- Havranek EP. The Influence of Social and Economic Factors on Heart Disease. JAMA Cardiol. 2019 Dec 1;4(12):1212-1213. doi: 10.1001/jamacardio.2019.3802
- Javed Z, Haisum Maqsood M, Yahya T, et al. Race, Racism, and Cardiovascular Health: Applying a Social Determinants of Health Framework to Racial/Ethnic Disparities in Cardiovascular Disease. Circ Cardiovasc Qual Outcomes. 2022 Jan;15(1):
e007917 . doi: 10.1161/CIRCOUTCOMES.121.007917 - Brewer LC, Redmond N, Slusser JP, et al. Stress and Achievement of Cardiovascular Health Metrics: The American Heart Association Life’s Simple 7 in Blacks of the Jackson Heart Study. J Am Heart Assoc. 2018 Jun 5;7(11):
e008855 . doi: 10.1161/JAHA.118.008855 - Ochodo C, Ndetei DM, Moturi WN, Otieno JO. External built residential environment characteristics that affect mental health of adults. J Urban Health. 2014 Oct;91(5):908-27. doi: 10.1007/s11524-013-9852-5
- Hudson DL, Puterman E, Bibbins-Domingo K, Matthews KA, Adler NE. Race, life course socioeconomic position, racial discrimination, depressive symptoms and self-rated health. Soc Sci Med. 2013 Nov:97:7-14. doi: 10.1016/j.socscimed.2013.07.031
- Klompmaker JO, Laden F, Browning MHEM, et al. Associations of parks, greenness, and blue space with cardiovascular and respiratory disease hospitalization in the US Medicare cohort. Environ Pollut. 2022 Nov 1:312:120046. doi: 10.1016/j.envpol.2022.120046
- Al-Shakarchi NJ, Evans H, Luchenski SA, Story A, Banerjee A. Cardiovascular disease in homeless versus housed individuals: a systematic review of observational and interventional studies. Heart. 2020 Oct;106(19):1483-1488. doi: 10.1136/heartjnl-2020-316706
- Kelli HM, Kim JH, Samman Tahhan A, et al. Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease. J Am Heart Assoc. 2019 Feb 19;8(4):
e010694 . doi: 10.1161/JAHA.118.010694 - Aneja S, Ross JS, Wang Y, et al. US cardiologist workforce from 1995 to 2007: modest growth, lasting geographic maldistribution especially in rural areas. Health Aff (Millwood). 2011 Dec;30(12):2301-9. doi: 10.1377/hlthaff.2011.0255
- Gordon-Larsen P, Nelson MC, Page P, Popkin BM. Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. 2006 Feb;117(2):417-24. doi: 10.1542/peds.2005-0058
- Brookings Institution [Internet]. Washington, DC; Brookings Institution; c2024. Jonathan Rothwell.
Housing Costs, Zoning, and Access to High-Scoring Schools ; 2012 Apr [cited 2024 Sep 11]. Available from:https://www.brookings.edu/wp-content/uploads/2016/06/0419_school_inequality_rothwell.pdf - Kershaw KN, Osypuk TL, Do DP, De Chavez PJ, Diez Roux AV. Neighborhood-level racial/ethnic residential segregation and incident cardiovascular disease: the multi-ethnic study of atherosclerosis. Circulation. 2015 Jan 13;131(2):141-8. doi: 10.1161/CIRCULATIONAHA.114.011345
- Deo SV, Motairek I, Nasir K, et al. Association Between Historical Neighborhood Redlining and Cardiovascular Outcomes Among US Veterans With Atherosclerotic Cardiovascular Diseases. JAMA Netw Open. 2023 Jul 3;6(7):
e2322727 . doi: 10.1001/jamanetworkopen.2023.22727 - Do DP, Frank R, Zheng C, Iceland J. Hispanic Segregation and Poor Health: It’s Not Just Black and White. Am J Epidemiol. 2017 Oct 15;186(8):990-999. doi: 10.1093/aje/kwx172
- Panza GA, Puhl RM, Taylor BA, Zaleski AL, Livingston J, Pescatello LS. Links between discrimination and cardiovascular health among socially stigmatized groups: A systematic review. PLoS One. 2019 Jun 10;14(6):
e0217623 . doi: 10.1371/journal.pone.0217623 - Hailu EM, Needham BL, Lewis TT, et al. Discrimination, social support, and telomere length: the Multi-Ethnic Study of Atherosclerosis (MESA). Ann Epidemiol. 2020 Feb:42:58-63.e2. doi: 10.1016/j.annepidem.2019.12.009
- Intergroup Resources [Internet]. Washington, DC; Intergroup Resources; c2024. Lawrence K, Keleher T.
Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities ; 2024 [cited 2024 Sep 11]. Available from:https://www.intergroupresources.com/rc/Definitions%20of%20Racism.pdf - Burroughs Peña MS, Mbassa RS, Slopen NB, Williams DR, Buring JE, Albert MA. Cumulative Psychosocial Stress and Ideal Cardiovascular Health in Older Women. Circulation. 2019 Apr 23;139(17):2012-2021. doi: 10.1161/CIRCULATIONAHA.118.033915
- Breathett K, Sims M, Gross M, et al. Cardiovascular Health in American Indians and Alaska Natives: A Scientific Statement From the American Heart Association. Circulation. 2020 Jun 23;141(25):e948-e959. doi: 10.1161/CIR.0000000000000773
- Gone JP, Hartmann WE, Pomerville A, Wendt DC, Klem SH, Burrage RL. The impact of historical trauma on health outcomes for indigenous populations in the USA and Canada: A systematic review. Am Psychol. 2019 Jan;74(1):20-35. doi: 10.1037/amp0000338
- Kim I, Field TS, Wan D, Humphries K, Sedlak T. Sex and Gender Bias as a Mechanistic Determinant of Cardiovascular Disease Outcomes. Can J Cardiol. 2022 Dec;38(12):1865-1880. doi: 10.1016/j.cjca.2022.09.009
- Mehta A, Spitz J, Sharma S, et al. Addressing Social Determinants of Health in Maternal Cardiovascular Health. Can J Cardiol. 2024 Jun;40(6):1031-1042. doi: 10.1016/j.cjca.2024.02.010
- Bonomo JA, Luo K, Ramallo JA. LGBTQ+ cardiovascular health equity: a brief review. Front Cardiovasc Med. 2024 Mar 6:11:1350603. doi: 10.3389/fcvm.2024.1350603
- Caceres BA, Streed CG
Jr. , Corliss HL, et al. Assessing and Addressing Cardiovascular Health in LGBTQ Adults: A Scientific Statement From the American Heart Association. Circulation. 2020 Nov 10;142(19):e321-e332. doi: 10.1161/CIR.0000000000000914 - Caceres BA, Veldhuis CB, Hughes TL. Racial/Ethnic Differences in Cardiometabolic Risk in a Community Sample of Sexual Minority Women. Health Equity. 2019 Jul 1;3(1):350-359. doi: 10.1089/heq.2019.0024
- Albert MA, Glynn RJ, Buring J, Ridker PM. Impact of traditional and novel risk factors on the relationship between socioeconomic status and incident cardiovascular events. Circulation. 2006 Dec 12;114(24):2619-26. doi: 10.1161/CIRCULATIONAHA.106.660043
- Gowda C, Hadley C, Aiello AE. The association between food insecurity and inflammation in the US adult population. Am J Public Health. 2012 Aug;102(8):1579-86. doi: 10.2105/AJPH.2011.300551
- Purser JL, Kuchibhatla MN, Miranda ML, Blazer DG, Cohen HJ, Fillenbaum GG. Geographical segregation and IL-6: a marker of chronic inflammation in older adults. Biomark Med. 2008;2(4):335-348. doi: 10.2217/17520363.2.4.335
- Yeager R, Riggs DW, DeJarnett N, et al. Association Between Residential Greenness and Cardiovascular Disease Risk. J Am Heart Assoc. 2018 Dec 18;7(24):
e009117 . doi: 10.1161/JAHA.118.009117 - Castro-Diehl C, Diez Roux AV, Seeman T, Shea S, Shrager S, Tadros S. Associations of socioeconomic and psychosocial factors with urinary measures of cortisol and catecholamines in the Multi-Ethnic Study of Atherosclerosis (MESA). Psychoneuroendocrinology. 2014 Mar:41:132-41. doi: 10.1016/j.psyneuen.2013.12.013
- Juster RP, de Torre MB, Kerr P, Kheloui S, Rossi M, Bourdon O. Sex Differences and Gender Diversity in Stress Responses and Allostatic Load Among Workers and LGBT People. Curr Psychiatry Rep. 2019 Oct 19;21(11):110. doi: 10.1007/s11920-019-1104-2
- Tawakol A, Osborne MT, Wang Y, et al. Stress-Associated Neurobiological Pathway Linking Socioeconomic Disparities to Cardiovascular Disease. J Am Coll Cardiol. 2019 Jul 2;73(25):3243-3255. doi: 10.1016/j.jacc.2019.04.042
- Miller GE, Chen E, Shimbo D. Mechanistic Understanding of Socioeconomic Disparities in Cardiovascular Disease. J Am Coll Cardiol. 2019 Jul 2;73(25):3256-3258. doi: 10.1016/j.jacc.2019.04.043
- Mueller M, Purnell TS, Mensah GA, Cooper LA. Reducing racial and ethnic disparities in hypertension prevention and control: what will it take to translate research into practice and policy? Am J Hypertens. 2015 Jun;28(6):699-716. doi: 10.1093/ajh/hpu233
- Anderson AC, O’Rourke E, Chin MH, Ponce NA, Bernheim SM, Burstin H. Promoting Health Equity And Eliminating Disparities Through Performance Measurement And Payment. Health Aff (Millwood). 2018 Mar;37(3):371-377. doi: 10.1377/hlthaff.2017.1301
- Allen JK, Dennison-Himmelfarb CR, Szanton SL, et al. Community Outreach and Cardiovascular Health (COACH) Trial: a randomized, controlled trial of nurse practitioner/community health worker cardiovascular disease risk reduction in urban community health centers. Circ Cardiovasc Qual Outcomes. 2011 Nov 1;4(6):595-602. doi: 10.1161/CIRCOUTCOMES.111.961573
- Plescia M, Herrick H, Chavis L. Improving health behaviors in an African American community: the Charlotte Racial and Ethnic Approaches to Community Health project. Am J Public Health. 2008 Sep;98(9):1678-84. doi: 10.2105/AJPH.2007.125062
- KFF [Internet]. San Francisco, CA: Kaiser Family Foundation; c2024. Artiga S, Hinton E.
Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity ; 2018 May 10 [cited 2024 Sep 11]. Available from:https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/ - Lee ET, Welty TK, Fabsitz R, et al. The Strong Heart Study. A study of cardiovascular disease in American Indians: design and methods. Am J Epidemiol. 1990 Dec;132(6):1141-55. doi: 10.1093/oxfordjournals.aje.a115757
- Strong Heart Study [Internet]. Oklahoma City, OK: University of Oklahoma Health Sciences Center; c2017.
Strong Heart Study; Center for American Indian Health Research ; 2024 [cited 2024 Sep 11]. Available from:https://strongheartstudy.org/ - Muller CJ, Noonan CJ, MacLehose RF, et al. Trends in Cardiovascular Disease Morbidity and Mortality in American Indians Over 25 years: The Strong Heart Study. J Am Heart Assoc. 2019 Nov 5;8(21):
e012289 . doi: 10.1161/JAHA.119.012289 - Reese JA, Roman MJ, Deen JF, et al. Dyslipidemia in American Indian Adolescents and Young Adults: Strong Heart Family Study. J Am Heart Assoc. 2024 Mar 19;13(6):
e031741 . doi: 10.1161/JAHA.123.031741 - Anderson DM, Bear AB, Zacher T, et al. Implementing a Community-Led Arsenic Mitigation Intervention for Private Well Users in American Indian Communities: A Qualitative Evaluation of the Strong Heart Water Study Program. Int J Environ Res Public Health. 2023 Feb 2;20(3):2681. doi: 10.3390/ijerph20032681
- Khan SS, Coresh J, Pencina MJ, et al. Novel Prediction Equations for Absolute Risk Assessment of Total Cardiovascular Disease Incorporating Cardiovascular-Kidney-Metabolic Health: A Scientific Statement From the American Heart Association. Circulation. 2023 Dec 12;148(24):1982-2004. doi: 10.1161/CIR.0000000000001191
- Ortega RF, Yancy CW, Mehran R, Batchelor W. Overcoming Lack of Diversity in Cardiovascular Clinical Trials: A New Challenge and Strategies for Success. Circulation. 2019 Nov 19;140(21):1690-1692. doi: 10.1161/CIRCULATIONAHA.119.041728
- Yancy CW, McNally E. Reporting Genetic Markers and the Social Determinants of Health in Clinical Cardiovascular Research-It Is Time to Recalibrate the Use of Race. JAMA Cardiol. 2021 Apr 1;6(4):400. doi: 10.1001/jamacardio.2020.6576
- Ludwig J, Sanbonmatsu L, Gennetian L, et al. Neighborhoods, obesity, and diabetes--a randomized social experiment. N Engl J Med. 2011 Oct 20;365(16):1509-19. doi: 10.1056/NEJMsa1103216
- Office of the Surgeon General (OSG).
National Prevention Strategy . Washington, DC: US Department of Health and Human Services; 2011 [cited 2024 Sep 11]. Available from:http://www.ncbi.nlm.nih.gov/books/NBK592705/ - Gotanda H, Kominski GF, Elashoff D, Tsugawa Y. Association Between the ACA Medicaid Expansions and Changes in Cardiovascular Risk Factors Among Low-Income Individuals. J Gen Intern Med. 2021 Jul;36(7):2004-2012. doi: 10.1007/s11606-020-06417-6
- Wadhera RK, Bhatt DL, Wang TY, et al. Association of State Medicaid Expansion With Quality of Care and Outcomes for Low-Income Patients Hospitalized With Acute Myocardial Infarction. JAMA Cardiol. 2019 Feb 1;4(2):120-127. doi: 10.1001/jamacardio.2018.4577
- Spitz JA, Yang E, Blumenthal RS, Sharma G. Public Health Messaging to Older Adults About Hypertension. Clin Geriatr Med. 2024 May;S0749069024000296. doi: 10.1016/j.cger.2024.04.006
- White-Williams C, Rossi LP, Bittner VA, et al. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2020 Jun 2;141(22):e841-e863. doi: 10.1161/CIR.0000000000000767
- NAM [Internet]. Washington, DC: National Academy of Medicine; c2024. Billioux A, Verlander K, Anthony S, Alley D.
Standardized Screening for Health-Related Social Needs in Clinical Settings: The Accountable Health Communities Screening Tool ; 2017 May 30 [cited 2024 Sep 11]. Available from:https://nam.edu/wp-content/uploads/2017/05/Standardized-Screening-for-Health-Related-Social-Needs-in-Clinical-Settings.pdf - Chen M, Tan X, Padman R. Social determinants of health in electronic health records and their impact on analysis and risk prediction: A systematic review. J Am Med Inform Assoc. 2020 Nov 1;27(11):1764-1773. doi: 10.1093/jamia/ocaa143
- Dave G, Wolfe MK, Corbie-Smith G. Role of hospitals in addressing social determinants of health: A groundwater approach. Prev Med Rep. 2021 Jan 8:21:101315. doi: 10.1016/j.pmedr.2021.101315
- Inova [Internet]. Fairfax, VA: Inova; c2024.
Community Report: Connections for Care ; 2023 [cited 2024 Sep 11]. Available from:https://www.inova.org/sites/default/files/about-inova/community/Inova-2023-Community-Report.pdf - Takeshita J, Wang S, Loren AW, et al. Association of Racial/Ethnic and Gender Concordance Between Patients and Physicians With Patient Experience Ratings. JAMA Netw Open. 2020 Nov 2;3(11):
e2024583 . doi: 10.1001/jamanetworkopen.2020.24583 - Marrast LM, Zallman L, Woolhandler S, Bor DH, McCormick D. Minority physicians’ role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities. JAMA Intern Med. 2014 Feb 1;174(2):289-91. doi: 10.1001/jamainternmed.2013.12756
- Johnson AE, Talabi MB, Bonifacino E, et al. Racial Diversity Among American Cardiologists: Implications for the Past, Present, and Future. Circulation. 2021 Jun 15;143(24):2395-2405. doi: 10.1161/CIRCULATIONAHA.121.053566
- Butler SM. What is the Outlook for Addressing Social Determinants of Health? JAMA Health Forum. 2021 Sep 3;2(9):
e213639 . doi: 10.1001/jamahealthforum.2021.3639
DOI: https://doi.org/10.14797/mdcvj.1436 | Journal eISSN: 1947-6108
Language: English
Page range: 98 - 110
Submitted on: Jun 19, 2024
Accepted on: Aug 22, 2024
Published on: Nov 5, 2024
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services
Keywords:
© 2024 Madelyn Hurwitz, Jason Bonomo, Jared Spitz, Garima Sharma, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.