Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis
Background: Social vulnerability index (SVI) plays a pivotal role in the outcomes of cardiovascular diseases and prevalence of alcohol use. We evaluated the impact of the SVI on alcoholic cardiomyopathy (ACM) mortality. Methods: Mortality data from 1999 to 2020 and the SVI were obtained from CDC dat...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487523000570 |
| _version_ | 1827591007311495168 |
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| author | Mahek Shahid Ramzi Ibrahim Anna Arakelyan Kamal Hassan Enkhtsogt Sainbayar Hoang Nhat Pham Mamas A. Mamas |
| author_facet | Mahek Shahid Ramzi Ibrahim Anna Arakelyan Kamal Hassan Enkhtsogt Sainbayar Hoang Nhat Pham Mamas A. Mamas |
| author_sort | Mahek Shahid |
| collection | DOAJ |
| description | Background: Social vulnerability index (SVI) plays a pivotal role in the outcomes of cardiovascular diseases and prevalence of alcohol use. We evaluated the impact of the SVI on alcoholic cardiomyopathy (ACM) mortality. Methods: Mortality data from 1999 to 2020 and the SVI were obtained from CDC databases. Demographics such as age, sex, race/ethnicity, and geographic residence were obtained from death certificates. The SVI was divided into quartiles, with the fourth quartile (Q4) representing the highest vulnerability. Age-adjusted mortality rates across SVI quartiles were compared, and excess deaths due to higher SVI were calculated. Risk ratios were calculated using univariable Poisson regression. Results: A total of 2779 deaths were seen in Q4 compared to 1672 deaths in Q1. Higher SVI accounted for 1107 excess-deaths in the US and 0.05 excess deaths per 100,000 person-years (RR: 1.38). Similar trends were seen for both male (RR: 1.43) and female (RR: 1.67) populations. Higher SVI accounted for 0.06 excess deaths per 100,000 person-years in Hispanic populations (RR: 2.50) and 0.06 excess deaths per 100,000 person-years in non-Hispanic populations (RR: 1.46). Conclusion: Counties with elevated SVI experienced higher ACM mortality rates. Recognizing the impact of SVI on ACM mortality can guide targeted interventions and public health strategies, emphasizing health equity and minimizing disparities. |
| first_indexed | 2024-03-09T01:25:42Z |
| format | Article |
| id | doaj.art-c50975e3ded9459eb5249b04340459e3 |
| institution | Directory Open Access Journal |
| issn | 2772-4875 |
| language | English |
| last_indexed | 2024-03-09T01:25:42Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj.art-c50975e3ded9459eb5249b04340459e32023-12-10T06:19:17ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752023-12-0119200224Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysisMahek Shahid0Ramzi Ibrahim1Anna Arakelyan2Kamal Hassan3Enkhtsogt Sainbayar4Hoang Nhat Pham5Mamas A. Mamas6Department of Medicine, University of Arizona Tucson, Tucson, AZ, USADepartment of Medicine, University of Arizona Tucson, Tucson, AZ, USA; Corresponding author. Department of Medicine, University of Arizona Tucson, UA College of Medicine, 6th Floor, Room 6336, 1501 N. Campbell Ave., Tucson, AZ, 85724, USA.Department of Anesthesiology, University of Arizona Tucson, Tucson, AZ, USANew York Presbyterian/Weill Cornell Medical Center, New York, NY, USADepartment of Medicine, University of Arizona Tucson, Tucson, AZ, USADepartment of Medicine, University of Arizona Tucson, Tucson, AZ, USACardiovascular Research Group, Keele University, UKBackground: Social vulnerability index (SVI) plays a pivotal role in the outcomes of cardiovascular diseases and prevalence of alcohol use. We evaluated the impact of the SVI on alcoholic cardiomyopathy (ACM) mortality. Methods: Mortality data from 1999 to 2020 and the SVI were obtained from CDC databases. Demographics such as age, sex, race/ethnicity, and geographic residence were obtained from death certificates. The SVI was divided into quartiles, with the fourth quartile (Q4) representing the highest vulnerability. Age-adjusted mortality rates across SVI quartiles were compared, and excess deaths due to higher SVI were calculated. Risk ratios were calculated using univariable Poisson regression. Results: A total of 2779 deaths were seen in Q4 compared to 1672 deaths in Q1. Higher SVI accounted for 1107 excess-deaths in the US and 0.05 excess deaths per 100,000 person-years (RR: 1.38). Similar trends were seen for both male (RR: 1.43) and female (RR: 1.67) populations. Higher SVI accounted for 0.06 excess deaths per 100,000 person-years in Hispanic populations (RR: 2.50) and 0.06 excess deaths per 100,000 person-years in non-Hispanic populations (RR: 1.46). Conclusion: Counties with elevated SVI experienced higher ACM mortality rates. Recognizing the impact of SVI on ACM mortality can guide targeted interventions and public health strategies, emphasizing health equity and minimizing disparities.http://www.sciencedirect.com/science/article/pii/S2772487523000570AlcoholSocial vulnerabilityDisparitiesEpidemiology |
| spellingShingle | Mahek Shahid Ramzi Ibrahim Anna Arakelyan Kamal Hassan Enkhtsogt Sainbayar Hoang Nhat Pham Mamas A. Mamas Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis International Journal of Cardiology. Cardiovascular Risk and Prevention Alcohol Social vulnerability Disparities Epidemiology |
| title | Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis |
| title_full | Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis |
| title_fullStr | Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis |
| title_full_unstemmed | Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis |
| title_short | Alcoholic cardiomyopathy mortality and social vulnerability index: A nationwide cross-sectional analysis |
| title_sort | alcoholic cardiomyopathy mortality and social vulnerability index a nationwide cross sectional analysis |
| topic | Alcohol Social vulnerability Disparities Epidemiology |
| url | http://www.sciencedirect.com/science/article/pii/S2772487523000570 |
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