Social Vulnerability and Cardiovascular-related Mortality Among Older Adults In the United States.

Khan Minhas, Abdul Mannan; Kobo, Ofer; Mamas, Mamas A; Al-Kindi, Sadeer G; Abushamat, Layla A; Nambi, Vijay; Michos, Erin D; Ballantyne, Christie; Abramov, Dmitry

Abstract

The association of social vulnerability and cardiovascular disease- related mortality in older adults has not been well characterized. The Centers for Disease Control and Prevention database was evaluated to examine the relationship between county-level Social Vulnerability Index (SVI) and age adjusted cardiovascular disease-related mortality rates (AAMRs) in adults aged 65 and above in the United States between 2016 and 2020. 3139 counties in the United States were analyzed. The cardiovascular disease-related AAMRs increased in a stepwise manner from 1 (least vulnerable) to 4th SVI quartiles; (AAMR of 2423, CI 2417-2428; 2433, CI 2429-2437; 2516, CI 2513-2520; 2660, CI 2657-2664). Similar trends among AAMRs were noted based on sex, all race and ethnicity categories, and among urban and rural regions. Higher AAMR ratios between the highest and lowest SVI quartiles, implying greater relative associations of SVI on mortality rates, were seen among Hispanic individuals (1.52, CI 1.49-1.55), Non-Hispanic-Asian and Pacific Islander individuals (1.32, CI 1.29-1.52), Non-Hispanic- American Indian or Alaskan Native individuals (1.43, CI 1.37-1.50), and rural counties (1.21, 1.20-1.21). Social vulnerability as measures by the SVI was associated with cardiovascular disease -related mortality in older adults, with the association being particularly prominent in ethnic minority patients and rural counties. [Abstract copyright: Copyright © 2023. Published by Elsevier Inc.]

Citation

Khan Minhas, A. M., Kobo, O., Mamas, M. A., Al-Kindi, S. G., Abushamat, L. A., Nambi, V., …Abramov, D. (in press). Social Vulnerability and Cardiovascular-related Mortality Among Older Adults In the United States. American Journal of Medicine, 137(2), 122-127. https://doi.org/10.1016/j.amjmed.2023.10.012

• Journal Article Type: Article
• Acceptance Date: Oct 16, 2023
• Online Publication Date: Oct 23, 2023
• Deposit Date: Nov 14, 2023
• Journal: The American journal of medicine
• Print ISSN: 0002-9343
• Electronic ISSN: 1555-7162
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 137
• Issue: 2
• Pages: 122-127
• DOI: https://doi.org/10.1016/j.amjmed.2023.10.012
• Keywords: Racial Disparities, Cardiovascular Disease, Mortality, social vulnerability