The contribution of syndemic conditions to cardiovascular disease risk
| Autor: | Barry E. Hurwitz, Violeta J. Rodriguez, Stephen M. Weiss, Tae Kyoung Lee, Antonio Chahine, Manasi S. Parrish, Manisha Sawhney, Deborah L. Jones, Mahendra Kumar, Maria L. Alcaide |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Social Psychology Low education Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine Syndemic Risk Factors medicine Humans 030212 general & internal medicine Psychiatry Depression (differential diagnoses) 030505 public health business.industry Public Health Environmental and Occupational Health medicine.disease Obesity Plaque Atherosclerotic Cardiovascular Diseases Subclinical atherosclerosis Cocaine use Disease risk Female 0305 other medical science business |
| Zdroj: | AIDS Care |
| ISSN: | 1360-0451 |
| Popis: | The syndemic conditions of low education, childhood maltreatment, depression, HIV, alcohol and cocaine use, and obesity have been established as independent risk factors for cardiovascular risk, but research examining the association between syndemic conditions and cardiovascular risk in high-risk populations is lacking. A total of N = 503 participants underwent an ultrasound of the carotid artery to assess for atherosclerotic plaque. Participants, HIV-infected (n=202) and HIV-uninfected (n=301) with and without a history of cocaine use, were a mean age of 36.13 years (SD =9.51); 50% were male, and 62% were African-American. Each syndemic condition was associated with 8% greater odds of atherosclerotic plaque (OR = 1.08), 9% greater odds of systolic blood pressure (OR = 1.09), and 10% greater odds of diastolic blood pressure (OR = 1.10). Multilevel research, interventions, and public policy initiatives are needed to activate stakeholders at each level to maximize their impact at a community level among populations with high rates of syndemic conditions. |
| Databáze: | OpenAIRE |
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