What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Cancer survivors. Intervention: Social determinants of health (SDOH). Primary outcome: Cardiovascular health (CVH) score (p=< 0.05).

October 24, 2023JACC CardioOncologyOpen Access

Associations Between Social Determinants of Health and Cardiovascular Health of U.S. Adult Cancer Survivors

Q: What are the key findings of this study?

An unfavorable social determinants of health profile was independently associated with worse cardiovascular health among adult cancer survivors (P<0.05 for highest SDOH quartile).

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Key result

Unfavorable social determinants of health linked to worse cardiovascular health among adult cancer survivors.

P<0.05

Why the study?

Relationships between the social determinants of health and cardiovascular health of cancer survivors are underexplored.

Does an unfavorable social determinants of health (SDOH) profile associate with worse cardiovascular health in U.S. adult cancer survivors?

Study Design

Type

Cross-Sectional

Multicenter

Yes

Structured PICO

Does an unfavorable social determinants of health (SDOH) profile associate with worse cardiovascular health in U.S. adult cancer survivors?

Population

U.S. adult cancer survivors from the National Health Interview Survey (2013-2017), excluding those with only nonmelanotic skin cancer or missing data for any domain of SDOH or CVH.

Intervention

Exposure to unfavorable Social Determinants of Health (SDOH) profile (highest quartile of a 6-domain, 38-item score).

Comparator

Lower SDOH quartiles.

Outcome

Cardiovascular health (CVH) quantified by a 7-item CVH score based on the American Heart Association's Life's Essential 8 (excluding detailed dietary data).composite

Main Result

p-value: p=< 0.05

An unfavorable social determinants of health profile is independently associated with worse cardiovascular health among adult cancer survivors in the United States.

Limitations

Unavailable detailed dietary data required using a 7-item CVH score instead of the full Life's Essential 8

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Supports SDOH assessment in survivorship CV risk evaluation; leaves open intervention effects.

Cite This Study

Satti et al. (2023) conducted a cross-sectional in Cancer survivors. Social determinants of health (SDOH) was evaluated on Cardiovascular health (CVH) score (p=< 0.05). An unfavorable social determinants of health profile was independently associated with worse cardiovascular health among adult cancer survivors (P<0.05 for highest SDOH quartile).

synapsesocial.com/papers/6a0812594aa57ff4e0e8a0b7 https://doi.org/10.1016/j.jaccao.2023.07.010

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Associations Between Social Determinants of Health and Cardiovascular Health of U.S. Adult Cancer Survivors

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Associations Between Social Determinants of Health and Cardiovascular Health of U.S. Adult Cancer Survivors

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Also Consider

Also Consider