Socioeconomic Status and Cardiovascular Outcomes: Challenges and Interventions

Circulation
William M SchultzLaurence S Sperling

Abstract

Socioeconomic status (SES) has a measurable and significant effect on cardiovascular health. Biological, behavioral, and psychosocial risk factors prevalent in disadvantaged individuals accentuate the link between SES and cardiovascular disease (CVD). Four measures have been consistently associated with CVD in high-income countries: income level, educational attainment, employment status, and neighborhood socioeconomic factors. In addition, disparities based on sex have been shown in several studies. Interventions targeting patients with low SES have predominantly focused on modification of traditional CVD risk factors. Promising approaches are emerging that can be implemented on an individual, community, or population basis to reduce disparities in outcomes. Structured physical activity has demonstrated effectiveness in low-SES populations, and geomapping may be used to identify targets for large-scale programs. Task shifting, the redistribution of healthcare management from physician to nonphysician providers in an effort to improve access to health care, may have a role in select areas. Integration of SES into the traditional CVD risk prediction models may allow improved management of individuals with high risk, but cultural...Continue Reading

References

Jul 17, 1996·JAMA : the Journal of the American Medical Association·S N BlairL W Gibbons
Jul 1, 1997·American Journal of Epidemiology·A V Diez-RouxM Szklo
Aug 5, 2000·European Heart Journal·J P MackenbachF Groenhof
Jul 14, 2001·The New England Journal of Medicine·A V Diez RouxR L Watson
Dec 4, 2003·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Debbie M Ng, Robert W Jeffery
Jan 8, 2004·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Ana V Diez Roux
Mar 5, 2004·JAMA : the Journal of the American Medical Association·David A AlterUNKNOWN SESAMI Study Group
Mar 31, 2005·American Journal of Public Health·LaVonna Blair LewisUNKNOWN REACH Coalition of the African Americans Building a Legacy of Health Project
Oct 19, 2007·Medical Care Research and Review : MCRR·Andrew M DavisElbert S Huang
Nov 15, 2007·Journal of Epidemiology and Community Health·Jeppe N RasmussenMette Madsen
Apr 9, 2008·Demography·Robert J Sampson, Patrick Sharkey
Apr 15, 2008·Journal of Public Health Management and Practice : JPHMP·Tracey GiangR Duane Perry
Jun 25, 2008·BMJ : British Medical Journal·Julia Hippisley-CoxPeter Brindle
Jul 16, 2008·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Yariv GerberUNKNOWN Israel Study Group on First Acute Myocardial Infarction
Sep 9, 2010·Circulation·Abhinav GoyalUNKNOWN Reduction of Atherothrombosis for Continued Health (REACH) Registry Investigators
Sep 17, 2010·Annals of Family Medicine·Peter FranksKevin Fiscella
Jan 8, 2011·Journal of the American College of Cardiology·Rajendra H MehtaE Magnus Ohman
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Jul 14, 2011·Journal of General Internal Medicine·Gillian E HanleyRobert J Reid
Jan 17, 2012·Journal of Epidemiology·Bo HuUNKNOWN INTER-HEART Investigators
Mar 17, 2012·BMJ : British Medical Journal·Sophie Bostock, Andrew Steptoe
Jun 12, 2012·Journal of Epidemiology and Community Health·Irina StirbuJohan P Mackenbach
Jul 7, 2012·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·G D DinsaM Suhrcke
Aug 11, 2012·International Journal of Cardiology·Paulo A LotufoIsabela M Benseñor
Nov 10, 2012·Journal of Hypertension·Adebowale AdeyemoRichard S Cooper
Feb 13, 2013·Archives of Internal Medicine·Matthew E DupreEric D Peterson
Aug 10, 2013·Health Policy·Michael K GusmanoPierre Verger

❮ Previous
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Citations

Jan 10, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Jane JacobsMelanie Nichols
Feb 12, 2019·Circulation·Erica S Spatz, Jeph Herrin
Mar 12, 2019·Journal of the American Heart Association·Susanne NielsenMartin Karlsson
Apr 23, 2019·Hypertension·Rachel E ClimieJean-Philippe Empana
Aug 1, 2019·Journal of the American Heart Association·D Edmund AnsteyDaichi Shimbo
Jul 3, 2019·Cancer Causes & Control : CCC·Elizabeth D KantorJennifer R Rider
Sep 7, 2019·Public Health Nursing·Kawkab ShishaniCelestina Barbosa-Leiker
Jan 25, 2020·Journal of the American Heart Association·Alexander ThomasDaniel Jacoby
Jan 31, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Carlo Mario LombardiMarco Metra
Dec 13, 2019·Occupational and Environmental Medicine·Sari StenholmJussi Vahtera
Mar 13, 2020·European Heart Journal·Véronique L Roger
May 20, 2020·Journal of the American Heart Association·Evah Wangui OdoiKristina W Kintziger
Jun 10, 2020·Journal of the American Heart Association·Mohammad Javad KoohsariKoichiro Oka
Aug 15, 2020·Circulation. Cardiovascular Imaging·Michael T OsborneAhmed Tawakol
May 28, 2020·JAMA Cardiology·Rita HamadKirsten Bibbins-Domingo
Sep 10, 2020·JAMA : the Journal of the American Medical Association·Griffin P Rodgers, Gary H Gibbons
Aug 22, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·Lene von KappelgaardKnud Juel
Apr 30, 2019·Circulation Research·UNKNOWN Writing Group for the Division of Cardiovascular Sciences’ Strategic Vision Implementation PlanLawrence Fine
Jun 14, 2019·Current Hypertension Reports·Shannon K DoyleKristin L Rising
Aug 3, 2019·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·João V Vitola, Miguel Morita Fernandes-Silva
Sep 10, 2019·European Heart Journal·Francesco CosentinoUNKNOWN ESC Scientific Document Group
Apr 3, 2020·Healthcare·Ava NiakoueiLawrence Fulton
Mar 5, 2019·Current Cardiology Reports·Andrew M FreemanDean Ornish
Feb 6, 2020·European Journal of Preventive Cardiology·Sae Young JaeJari A Laukkanen
Sep 4, 2019·Journal of the American Heart Association·Heval M KelliArshed A Quyyumi
Jul 11, 2020·Current Cardiology Reports·Steven Simon, P Michael Ho

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