Key result
Depression was associated with higher odds of any cardiovascular screening (OR 1.93, 95% CI 1.65-2.25), while discrimination and life dissatisfaction were associated with lower odds of screening.
Why the study?
Associations between psychosocial factors and undergoing preventive cardiovascular screening are not fully known.
Are psychosocial factors associated with preventive cardiovascular screening among U.S. adults?
Cross-Sectional (n=23,428)
Are psychosocial factors associated with preventive cardiovascular screening among U.S. adults?
Psychosocial factors such as discrimination and life dissatisfaction are associated with decreased preventive cardiovascular screening, highlighting the need for equitable healthcare policies.
Answers are grounded in this paper and cite their sources.
Mental health factors may influence cardiovascular screening uptake; Level 4 survey data leave causal effects and practice changes open.
OBJECTIVE: Structural and COVID-related factors have been linked with the decline in preventive health screenings among adults. However, associations between psychosocial factors and undergoing preventive cardiovascular screening are not fully known. The current study examined associations between psychosocial factors and preventive cardiovascular screening among U.S. adults. METHODS: We used data from the 2023 National Health Interview Survey (N = 23,428). Data were collected from January to December from adults living in U.S. Preventive cardiovascular (CV) screening (i.e., blood pressure, cholesterol, or blood sugar level) was defined as no screening, and undergoing screening for any CV risk within the past year. Psychosocial factors were defined as discrimination, life satisfaction, and depression. Multivariable logistic regression models examined the associations between psychosocial factors and preventive cardiovascular screening, adjusted for sociodemographic characteristics. RESULTS: Adults with diagnosis of depression (OR: 1.93, 95 % CI: 1.65-2.25) had higher odds of undergoing screening for any CV risk. Adults who experienced discrimination had lower odds of undergoing screening for cholesterol (OR: 0.77, 95 % CI: 0.71-0.84) and blood sugar level specifically (OR: 0.78, 95 % CI: 0.72-0.85), while life dissatisfaction was associated with lower odds of screening for blood pressure (OR: 0.76, 95 % CI: 0.58-0.99) and blood sugar level specifically (OR: 0.80, 95 % CI: 0.65-0.97). CONCLUSIONS: Discrimination and life dissatisfaction were associated with decreased odds of undergoing specific preventive cardiovascular screening, and depression is associated with increased odds of undergoing any preventive cardiovascular screening. Equitable health care policies focused on addressing psychosocial factors are needed to increase preventive cardiovascular screening among U.S. adults.
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Agbonlahor et al. (2025) conducted a cross-sectional in Preventive cardiovascular screening (n=23,428). Psychosocial factors (depression, discrimination, life dissatisfaction) vs. Absence of these psychosocial factors was evaluated on Undergoing screening for any cardiovascular risk within the past year (OR 1.93, 95% CI 1.65-2.25). Depression was associated with higher odds of any cardiovascular screening (OR 1.93, 95% CI 1.65-2.25), while discrimination and life dissatisfaction were associated with lower odds of screening.
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