Psychosocial factors may serve as additional eligibility criteria for cardiovascular risk screening in women and men in a multi-ethnic population: The HELIUS study

Cardiovascular disease (CVD) prevention strategies include identifying and managing high risk individuals. Identification primarily occurs through screening or case finding. Guidelines indicate that psychosocial factors increase CVD risk, but their use for screening is not yet recommended. We studie...

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Bibliographic Details
Published in:Preventive medicine 2023-07, Vol.172, p.107515-107515, Article 107515
Main Authors: Hummel, Bryn, Harskamp, Ralf E., Bolijn, Renee, Moll van Charante, Eric P., Galenkamp, Henrike, Mommersteeg, Paula M.C., van Valkengoed, Irene G.M.
Format: Article
Language:English
Subjects:
Cardiovascular Diseases
Cardiovascular risk management
Cardiovascular risk screening
Cross-Sectional Studies
Ethnic differences
Ethnicity
Female
Ghana
Heart Disease Risk Factors
Humans
Male
Netherlands - epidemiology
Psychosocial risk factors
Risk Factors
Sex differences
The HELIUS study
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Summary:Cardiovascular disease (CVD) prevention strategies include identifying and managing high risk individuals. Identification primarily occurs through screening or case finding. Guidelines indicate that psychosocial factors increase CVD risk, but their use for screening is not yet recommended. We studied whether psychosocial factors may serve as additional eligibility criteria in a multi-ethnic population without prior CVD. We performed a cross-sectional analysis using baseline data of 10,226 participants of Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish and Moroccan origin aged 40–70 years, living in Amsterdam, the Netherlands. Using logistic regressions and Akaike Information Criteria, we analyzed whether psychosocial factors (educational level, employment status, occupational level, financial stress, primary earner status, mental health, stress, depression, and social isolation) improved prediction of high CVD risk (SCORE-estimated fatal and non-fatal CVD risk ≥5%) beyond eligibility criteria from history taking (smoking, obesity, family history of CVD). Next, we compared the additional predictive value of psychosocial eligibility criteria in women and men across ethnic groups, using the area under the curve (AUC). Of our sample, 32.7% had a high CVD risk. Only socioeconomic eligibility criteria (employment status and educational level) improved high CVD risk prediction (p 
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2023.107515