University of Central Florida College of Medicine, Graduate Medical Education/HCA Florida North Florida Hospital, Internal Medicine Residency Program, Gainesville, FL, 32605, USA.
Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Curr Cardiol Rep. 2023 Oct;25(10):1269-1280. doi: 10.1007/s11886-023-01957-9. Epub 2023 Oct 6.
Cardiovascular disease (CVD) and breast cancer (BC) are significant causes of mortality globally, imposing a substantial health burden. This review article aims to examine the shared risk factors and social determinants that contribute to the high prevalence of both diseases, with a focus on social risk factors.
The common risk factors for CVD and BC, such as hypertension, diabetes, obesity, aging, and physical inactivity, are discussed, emphasizing their modifiability. Adhering to ideal cardiovascular health behaviors has shown a trend toward lower BC incidence. Increased risk of CVD-related mortality is significantly impacted by age and race in BC patients, especially those over 45 years old. Additionally, racial disparities in both diseases highlight the need for targeted interventions. Social determinants of health, including socioeconomic status, education, employment, and neighborhood context, significantly impact outcomes for both CVD and BC. Addressing social factors is vital in reducing the burden of both CVD and BC and improving overall health equity.
心血管疾病（CVD）和乳腺癌（BC）是全球范围内导致死亡的主要原因，对健康造成了巨大的负担。本文旨在探讨导致这两种疾病高发的共同风险因素和社会决定因素，重点关注社会风险因素。
讨论了 CVD 和 BC 的共同风险因素，如高血压、糖尿病、肥胖、衰老和缺乏身体活动，强调了它们的可改变性。坚持理想的心血管健康行为与 BC 发病率降低呈趋势相关。年龄和种族对 BC 患者的 CVD 相关死亡率有显著影响，尤其是 45 岁以上的患者。此外，两种疾病的种族差异突出表明需要进行有针对性的干预。健康的社会决定因素，包括社会经济地位、教育、就业和社区环境，对 CVD 和 BC 的结局有重大影响。解决社会因素对于降低 CVD 和 BC 的负担以及改善整体健康公平至关重要。
