Author + information
- Tarang Parekh,
- Rupak Desai,
- Sahithi Pemmasani and
- Alison Cuellar
While many research efforts aim to address individual-level cardiovascular diseases (CVD) risk factors, this undermines the opportunity to reduce CVD death and disability by addressing the social determinants of health (SDOH). We aim to take a broader view by addressing the impact of SDOH on CVD.
Data were extracted from the 2017 CDC Behavior Risk Factor Surveillance System (BRFSS) survey from 17 states. Multivariable weighted logistic regression models were used to examine the association of CVD (myocardial infarction, coronary artery disease, congestive heart disease or stroke) with SDOH adjusting for respondents’ demographics, socioeconomic position(SEP), and CVD risk factors; results reported as adjusted odds ratios (AOR).
Among participants, 51,562(8.8%) had CVD. Compared to non-CVD respondents, food insecurity (27.5% vs. 21.2%), housing insecurity (14.5% vs. 8.78%), and financial insecurity (18.2% vs. 8.32%) were significantly higher among those with CVD. Food (AOR1.51[1.28–1.77]) and housing insecurity (AOR 1.54 [1.28–1.85]) increased the odds of CVD by more than 50%. While financial insecurity showed 2 times higher odds of CVD (AOR 2.14 [1.73–2.66]) compared to non-CVD. Healthcare access hardship increased odds of CVD by 47% (AOR 1.47 [1.34–1.61]).
It is crucial to address the socio-economic factors such as food, housing, financial instability, and healthcare access that promote the development of risk factors for cardiovascular diseases.
Posters Hall_Hall A
Sunday, March 29, 2020, 12:30 p.m.-1:15 p.m.
Session Title: Prevention: Clinical 5
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1313-109
- 2020 American College of Cardiology Foundation