Cardio-oncology & otherCross-sectional study
Associations Between Social Determinants of Health and Cardiovascular Health of U.S. Adult Cancer Survivors
- Cross-sectional study
- survey-specific multivariable Poisson regression
Authors' conclusion
An unfavorable SDOH profile was independently associated with worse CVH among adult cancer survivors in the United States.
Study context
- Population
- US adult cancer survivors (excluding nonmelanotic skin cancer only), National Health Interview Survey 2013–2017representing 10,887,989 persons
- Participants
- 8,254 survivors
- Exposure
- Highest vs lowest social determinants of health (SDOH) quartile
- Outcome
- Worse CVH (7-item score based on AHA Life's Essential 8)
Main finding
Worse CVH
Relative risk
1.30
95% CI 1.25–1.35
P < 0.001
Highest SDOH quartile vs Lowest SDOH quartile
RR 1.30 (95% CI 1.25–1.35); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
Worse cardiovascular health (CVH) by age, sex and race (subgroup)
- Significantly stronger association in younger participants
- P for interaction = 0.026
- Significantly stronger association in women
- P for interaction = 0.001
- No significant interaction with race
- P for interaction = 0.051
Worse CVH, by SDOH domain
- Higher scores in all SDOH domains independently associated with worse CVH
- all P < 0.001
Each CVH component
- Higher SDOH scores independently associated with each CVH component (highest SDOH quartile)
- all P < 0.05
Original publication
Associations Between Social Determinants of Health and Cardiovascular Health of U.S. Adult Cancer Survivors. JACC CardioOncol. Published 24 October 2023. doi:10.1016/j.jaccao.2023.07.010
Summarised from the published abstract; every number is checked against it