000			03309nam a22003857a 4500
008			240117s20242024 xxu||||| |||| 00| 0 eng d
022			_a2772-963X
024			_aPMC11312363 [pmc]
024			_aS2772-963X(24)00112-1 [pii]
040			_aOvid MEDLINE(R)
099			_a39130022
245			_aMultidimensional Poverty and Risk of Atherosclerotic Cardiovascular Disease: A U.S. National Study.
251			_aJACC Advances. 3(7):100928, 2024 Jul.
252			_aJACC Adv. 3(7):100928, 2024 Jul.
253			_aJACC. Advances
260			_c2024
260			_fFY2025
260			_p2024 Jul
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_z2024/08/12 05:57
520			_aBackground: Poverty is associated with atherosclerotic cardiovascular disease (ASCVD). While poverty can be evaluated using income, a unidimensional poverty metric inadequately captures socioeconomic adversity.
520			_aConclusions: There is an association between the multidimensional poverty and ASCVD. Multidimensional poverty index demonstrates slightly better discriminatory power than income alone. Future validation studies are warranted to redefine poverty's role in health outcomes. Copyright © 2024 The Authors.
520			_aMethods: Survey data from the National Health Interview Survey was analyzed. Four poverty dimensions were used: income, education, self-reported health, and health insurance status. A weighted deprivation score (c i ) was calculated for each person. The multidimensional poverty index was computed for various cutoffs, k, for total population, and by ASCVD status. The association between multidimensional poverty and ASCVD was examined using Poisson regression. Area under receiver operator characteristics curve analysis was performed to compare the multidimensional poverty measure with the income poverty measure as a classification tool for ASCVD.
520			_aObjectives: The aim of the study was to examine the association between a multidimensional poverty measure and ASCVD.
520			_aResults: Among the 328,164 participants, 55.0% were females, the mean age was 46.3 years, 63.1% were non-Hispanic Whites, and 14.1% were non-Hispanic Blacks. Participants with ASCVD (7.95%) experienced greater deprivation at each multidimensional poverty cutoff, k, compared to those without ASCVD. In adjusted models, higher burden of multidimensional poverty was associated with up to 2.4-fold increased prevalence of ASCVD (c i = 0.25, adjusted prevalence ratio [aPR] = 1.66, P < 0.001; c i = 0.50, aPR = 1.99; c i = 0.75, aPR = 2.29; P < 0.001; c i = 1.00, aPR = 2.38, P < 0.001). Multidimensional poverty exhibited modestly higher discriminant validity, compared to income poverty (area under receiver operator characteristics = 0.62 vs 0.58).
546			_aEnglish
651			_aMedStar Union Memorial Hospital
656			_aInternal Medicine Residency
657			_aJournal Article
700			_aAcquah, Isaac _bMUMH _cInternal Medicine Residency _dMBChB
790			_aButt SA , Retamales MT , Javed Z , Hagan K , Arshad HB , Khan S , Acquah I , Nikoloski Z , Mossialos E , Cainzos-Achirica M , Nasir K
856			_uhttps://dx.doi.org/10.1016/j.jacadv.2024.100928 _zhttps://dx.doi.org/10.1016/j.jacadv.2024.100928
942			_cART _dArticle
999			_c14635 _d14635