Neighborhood Social Determinants of Health and Referral to Cardiac Rehabilitation: An Analysis of the Get With The Guidelines–Coronary Artery Disease Registry
Main finding · Referral to CRResult — go to the resultAdjusted odds ratio 0.78 95% CI 0.64–0.96Authors' conclusion
CR referral was lowest among patients living in the most deprived neighborhoods. Efforts are needed to equitably improve low CR referral rates among individuals living in the most deprived neighborhoods.
Study context
- Population
- Patients discharged alive following an ST-segment-elevation myocardial infarction from 2020 to 2022patients hospitalized for acute myocardial infarction
- Participants
- 79,694 patients
- Exposure
- Association between neighborhood social determinants of health (using ZIP codes) and cardiac rehabilitation (CR) referral at discharge
- Outcome
- Referral to CR
- Follow-up
- At discharge
Methodological detailsgeneralized estimating equations, controlling for patient- and hospital-level characteristics
- Generalized estimating equations
- Controlling for patient- and hospital-level characteristics
Main finding
As reported in the abstract
Adjusted odds ratio
0.78
95% CI 0.64–0.96
Most deprived Social Deprivation Index quintilevs least deprived quintile
aOR 0.78 (95% CI 0.64–0.96)
Observational data: associations, not effects.
Further findings
Referral to CR by neighborhood social determinants of health domains · at discharge
| aOR (95% CI) | ||
|---|---|---|
| High proportions of residents lacking a high school degreeLower odds of being referred to CR | 0.46 (0.31–0.68) | |
| Unemployed residentsLower odds of being referred to CR | 0.73 (0.58–0.91) | |
| Foreign-born residentsLower odds of being referred to CR | 0.63 (0.46–0.86) | |
| Residents with limited English proficiencyLower odds of being referred to CR | 0.51 (0.34–0.78) | |
| Households without a vehicleLower odds of being referred to CR | 0.74 (0.58–0.95) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Patient characteristics and overall CR referral
- Median age
- 62 years
- Women
- 28%
- non-Hispanic White
- 72%
- Referred to CR at discharge
- 82.6%
Original publication
Neighborhood Social Determinants of Health and Referral to Cardiac Rehabilitation: An Analysis of the Get With The Guidelines–Coronary Artery Disease Registry. Circ Popul Health Outcomes. Published 7 July 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →