Evidence mapPaperPMID 38533798Full record

ArticleJournal of the American Heart Association2024

Association of Environmental Injustice and Cardiovascular Diseases and Risk Factors in the United States.

Sumanth Khadke, Ashish Kumar, Sadeer Al-Kindi, Sanjay Rajagopalan, Yixin Kong, Khurram Nasir, Javaria Ahmad, Gary Adamkiewicz, Scott Delaney, Anju Nohria and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Sumanth KhadkeDivision of Cardiovascular Medicine, Department of Medicine Lahey Hospital & Medical Center Burlington MA USA.ORCID 0000-0002-7262-6905
Ashish KumarDepartment of Medicine, Cleveland Clinic Akron General Akron OH USA.ORCID 0000-0003-4249-0055
Sadeer Al-KindiDivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center Houston TX USA.ORCID 0000-0002-1122-7695
Sanjay RajagopalanHarrington Heart and Vascular Institute, University Hospitals and Case Western Reserve School of Medicine Cleveland OH USA.ORCID 0000-0001-6669-8163
Yixin KongDivision of Cardiovascular Medicine, Department of Medicine Lahey Hospital & Medical Center Burlington MA USA.ORCID 0009-0008-9462-6704
Khurram NasirDivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center Houston TX USA.ORCID 0000-0001-5376-2269
Javaria AhmadDivision of Cardiovascular Medicine, Department of Medicine Lahey Hospital & Medical Center Burlington MA USA.
Gary AdamkiewiczDepartment of Environmental Health Harvard T.H. Chan, School of Public Health Boston MA USA.
Scott DelaneyDepartment of Environmental Health Harvard T.H. Chan, School of Public Health Boston MA USA.ORCID 0000-0002-0813-018X
Anju NohriaCardiovascular Division Brigham and Women's Hospital Boston MA USA.ORCID 0000-0002-7113-1118
Sourbha S DaniDivision of Cardiovascular Medicine, Department of Medicine Lahey Hospital & Medical Center Burlington MA USA.ORCID 0000-0002-3434-6136
Sarju GanatraDivision of Cardiovascular Medicine, Department of Medicine Lahey Hospital & Medical Center Burlington MA USA.ORCID 0000-0003-0296-6864

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the impacts of social and environmental exposure on cardiovascular risks are often reported individually, the combined effect is poorly understood. METHODS AND

resultsUsing the 2022 Environmental Justice Index, socio-environmental justice index and environmental burden module ranks of census tracts were divided into quartiles (quartile 1, the least vulnerable census tracts; quartile 4, the most vulnerable census tracts). Age-adjusted rate ratios (RRs) of coronary artery disease, strokes, and various health measures reported in the Prevention Population-Level Analysis and Community Estimates data were compared between quartiles using multivariable Poisson regression. The quartile 4 Environmental Justice Index was associated with a higher rate of coronary artery disease (RR, 1.684 [95% CI, 1.660-1.708]) and stroke (RR, 2.112 [95% CI, 2.078-2.147]) compared with the quartile 1 Environmental Justice Index. Similarly, coronary artery disease 1.057 [95% CI,1.043-1.0716] and stroke (RR, 1.118 [95% CI, 1.102-1.135]) were significantly higher in the quartile 4 than in the quartile 1 environmental burden module. Similar results were observed for chronic kidney disease, hypertension, diabetes, obesity, high cholesterol, lack of health insurance, sleep <7 hours per night, no leisure time physical activity, and impaired mental and physical health >14 days.

conclusionsThe prevalence of CVD and its risk factors is highly associated with increased social and environmental adversities, and environmental exposure plays an important role independent of social factors.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseHypertensionStrokeHumansRisk FactorsUnited Statescardiometabolic outcomesenvironmental burdenenvironmental justice indexsocial determinants of healthsocial vulnerability

Identifiers

PMID38533798
PMCPMC11179791

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.