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Article . 2024
License: CC BY NC
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Social Risk Profile and Cardiovascular‐Kidney‐Metabolic Syndrome in US Adults

Authors: Jingkuo Li; Lubi Lei; Wei Wang; Wenbo Ding; Yanwu Yu; Boxuan Pu; Yue Peng; +3 Authors

Social Risk Profile and Cardiovascular‐Kidney‐Metabolic Syndrome in US Adults

Abstract

Background Poor cardiovascular‐kidney‐metabolic (CKM) health is associated with premature mortality and excess morbidity in the United States. Adverse social conditions have a prominent impact on cardiometabolic diseases during the life course. We aim to examine the association between social risk profile (SRP) and CKM multimorbidity among US adults. Methods and Results We used data from the National Health and Nutrition Examination Survey from 1999 to 2018. The definition of CKM syndrome is the coexistence of subclinical or clinical cardiovascular disease, chronic kidney disease, and metabolic disorders. We classified participants by 4 CKM stages according to the different clinical severity of different forms of CKM syndrome. We calculated the summed number of positive SRP measures, including employed, high‐income level, food secure, high education attainment, private insurance, owning a house, and married, as SRP scores and classified them into 4 levels by quartiles: low (0–2), lower‐middle (3–4), upper‐middle (5–6), and high (7–8). A total of 18 373 US adults, aged 20 to 79 years, were included in our analyses. There were 2567 (9.4%) participants with low SRP score level. Most individual SRP measures and a combined SRP score were associated with CKM stages. Compared with high SRP score level, low SRP level was associated with higher odds of having CKM stage 1 (odds ratio [OR], 1.34 [95% CI, 1.06–1.70]), CKM stage 2 (OR, 2.03 [95% CI, 1.59–2.58]), CKM stage 3 (OR, 5.28 [95% CI, 3.29–8.47]), and CKM stage 4 (OR, 5.97 [95% CI, 4.20–8.49]). Conclusions Cumulative social disadvantage, denoted by higher SRP burden, was associated with higher odds of CKM multimorbidity, independent of demographic and lifestyle factors.

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Keywords

Male, Adult, multimorbidity, Social Determinants of Health, socioeconomic factors, Risk Assessment, cross‐sectional study, Young Adult, Risk Factors, Diseases of the circulatory (Cardiovascular) system, Humans, Renal Insufficiency, Chronic, Original Research, Aged, Metabolic Syndrome, Cardio-Renal Syndrome, Multimorbidity, Middle Aged, Nutrition Surveys, United States, Cross-Sectional Studies, Socioeconomic Factors, Cardiovascular Diseases, cardiovascular‐kidney‐metabolic health, RC666-701, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
52
Top 1%
Top 10%
Top 1%
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