Ibrahim Ramzi, Sainbayar Enkhtsogt, Pham Hoang Nhat, Shahid Mahek, Saleh Ahlam A, Javed Zulqarnain, Khan Safi U, Al-Kindi Sadeer, Nasir Khurram
Department of Medicine, University of Arizona-Tucson, Tucson, Arizona.
Health Sciences Library, University of Arizona-Tucson, Tucson, Arizona.
JACC Adv. 2024 Mar 6;3(7):100858. doi: 10.1016/j.jacadv.2024.100858. eCollection 2024 Jul.
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).
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.
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.
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.
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.
社会脆弱性指数（SVI）用于评估社区对灾害的脆弱性，涵盖4个不同领域（社会经济、家庭构成与残疾、少数族裔地位与语言以及住房与交通）。SVI已与心血管疾病（CVD）的风险和结局相关联。
本范围综述探讨了SVI与CVD连续体之间的文献，旨在找出在理解SVI对CVD影响方面的差距，并阐明未来的研究机会。
我们系统检索了7个数据库，从建库至2023年5月19日，查找探讨SVI与CVD照护连续体之间关系的文章，包括预防、诊断与患病率、治疗以及健康结局。提取的数据包括SVI排名类型、人群、结局和研究质量。
12项研究评估了SVI对CVD连续体的影响。5项研究探讨了死亡率结局，3项研究探讨了CVD危险因素患病率，4项研究探讨了CVD患病率，1项研究探讨了CVD患者获得医疗保健的情况，1项研究探讨了心脏康复服务的使用情况，1项研究探讨了心力衰竭再入院率，所有这些研究均显示与SVI存在统计学显著关联。所有研究均纳入了SVI总体百分位数排名，而5项研究关注个别主题成分。我们发现在理解SVI对CVD照护连续体的影响方面存在差距，尤其是在CVD预防和早期检测方面。
本综述全面介绍了SVI在评估CVD照护连续体各个方面的应用，并突出了未来研究的潜在途径。
