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. 2024 Mar 6;3(7):100858.
doi: 10.1016/j.jacadv.2024.100858. eCollection 2024 Jul.

Social Vulnerability Index and Cardiovascular Disease Care Continuum: A Scoping Review

Ramzi Ibrahim  1 , Enkhtsogt Sainbayar  1 , Hoang Nhat Pham  1 , Mahek Shahid  1 , Ahlam A Saleh  2 , Zulqarnain Javed  3   4   5 , Safi U Khan  3   4   5 , Sadeer Al-Kindi  3   4   5 , Khurram Nasir  3   4   5
Affiliations

Social Vulnerability Index and Cardiovascular Disease Care Continuum: A Scoping Review

Ramzi Ibrahim et al. JACC Adv. .

Abstract

Background: Social vulnerability index (SVI) estimates the vulnerability of communities to disasters, encompassing 4 separate domains (socioeconomic, household composition and disability, minority status and language, and housing and transportation). The SVI has been linked with risk and outcomes of cardiovascular disease (CVD).

Objectives: This scoping review explored the literature between the SVI and CVD continuum, with a goal to identify gaps in understanding the impact of the SVI on CVD and to elucidate future research opportunities.

Methods: We systematically searched 7 databases from inception to May 19, 2023, for articles that explored the relationship between the SVI and CVD care continuum, including prevention, diagnosis and prevalence, treatment, and health outcomes. Extracted data included SVI ranking type, populations, outcomes, and quality of studies.

Results: Twelve studies evaluated the impact of SVI on the CVD continuum. Five studies explored mortality outcomes, 3 studies explored CVD risk factor prevalence, 4 studies explored CVD prevalence, 1 study explored access to health care in those with CVD, 1 study explored the use of cardiac rehabilitation services, and 1 study explored heart failure readmission rates, all of which revealed statistically significant associations with SVI. All studies included the SVI aggregate percentile ranking, while 5 studies focused on individual thematic components. We identified gaps in understanding the SVI's impact on CVD care continuum, particularly regarding CVD prevention and early detection.

Conclusions: This review provides a comprehensive understanding of the SVI's application in assessing various aspects of the CVD care continuum and highlights potential avenues for future research.

Keywords: cardiovascular disease; disparities; social determinants; social vulnerability index.

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Conflict of interest statement

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
PRISMA Flow Diagram Systematic approach to study retrieval for the scoping review. CVD = cardiovascular disease; PRISMA = Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
Figure 2
Figure 2
Evaluation of SVI in the CVD Care Continuum Number of studies that evaluated the corresponding component of the CVD care continuum. CVD = cardiovascular disease; SVI = social vulnerability index.
Central Illustration
Central Illustration
Social Vulnerability Index and Cardiovascular Disease Care Continuum: A Scoping Review
Figure 3
Figure 3
Gaps in Understanding Regarding the Impact of SVI on CVD Care Continuum Areas of potential investigation regarding the impact of the SVI on the CVD care continuum. CVD = cardiovascular disease; SVI = social vulnerability index.
See this image and copyright information in PMC

References

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