Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position
Authors: J. David Spence
Journal: Annals of Internal Medicine (2018)

Letters1 May 2018Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic PositionJ. David Spence, MDJ. David Spence, MDRobarts Research Institute, Western University, London, Ontario, Canada (J.D.S.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0007 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Dalton and colleagues (1) found a greater underestimation of cardiovascular risk among persons in the most economically disadvantaged neighborhoods. As would be expected, the prevalence of smoking was highest in this population (28.4%) and lowest in the most affluent neighborhoods (9%). This gradient was the most striking among the risk factors and may largely account for the higher prevalence of coronary artery disease and peripheral vascular disease among the most disadvantaged persons.Although the model adjusted for smoking, it did not account for passive smoking (which is understandable considering that this element is difficult to assess). Because ...References1. Dalton JE, Perzynski AT, Zidar DA, Rothberg MB, Coulton CJ, Milinovich AT, et al. Accuracy of cardiovascular risk prediction varies by neighborhood socioeconomic position: a retrospective cohort study. Ann Intern Med. 2017;167:456-64. [PMID: 28847012]. doi:10.7326/M16-2543 LinkGoogle Scholar2. Bonita R, Duncan J, Truelsen T, Jackson RT, Beaglehole R. Passive smoking as well as active smoking increases the risk of acute stroke. Tob Control. 1999;8:156-60. [PMID: 10478399] CrossrefMedlineGoogle Scholar3. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2015 update: a report from the American Heart Association. Circulation. 2015;131:e29-322. [PMID: 25520374] doi:10.1161/CIR.0000000000000152 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Robarts Research Institute, Western University, London, Ontario, Canada (J.D.S.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0007. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAccuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position Jarrod E. Dalton , Adam T. Perzynski , David A. Zidar , Michael B. Rothberg , Claudia J. Coulton , Alex T. Milinovich , Douglas Einstadter , James K. Karichu , and Neal V. Dawson Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position Adam T. Perzynski , Michael B. Rothberg , Neal V. Dawson , Claudia J. Coulton , and Jarrod E. Dalton Metrics 1 May 2018Volume 168, Issue 9Page: 680-681KeywordsConflicts of interestDietDisclosureHealth statisticsHeartMedical risk factorsPeripheral vascular diseaseRisk managementStable coronary artery diseaseStroke ePublished: 1 May 2018 Issue Published: 1 May 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...