Clinical Report: Socioeconomic Factors and Their Impact on CKM Syndrome
Overview
This study examines the correlation between various neighborhood indices and median household income with the prevalence of cardiovascular-kidney-metabolic (CKM) conditions at the census tract level. The findings suggest that neighborhood indices may provide incremental value in understanding CKM conditions beyond median household income alone.
Background
Cardiovascular-kidney-metabolic (CKM) syndrome encompasses interrelated health conditions that significantly impact public health through increased morbidity and mortality. Understanding the influence of socioeconomic factors on CKM conditions is critical for developing effective public health strategies. Recent evidence highlights the importance of social determinants of health, particularly neighborhood characteristics, in shaping health outcomes.
Data Highlights
This study utilized publicly available census tract-level data to analyze the prevalence of CKM conditions in relation to various neighborhood indices and median household income.
Key Findings
Seven neighborhood indices were analyzed: ADI, COI, EJI, NDI, SDI, SREI, and SVI.
Median household income was compared against these indices to assess their correlation with CKM conditions.
Crude prevalence rates of CKM conditions were derived from the CDC's Population Level Analysis dataset.
Indices capturing socioeconomic deprivation explained significant geographic variability in CKM condition prevalence.
Direct comparisons between indices have not been extensively studied prior to this research.
Clinical Implications
Healthcare professionals should consider the broader socioeconomic context when assessing CKM conditions in patients. Utilizing neighborhood indices may enhance risk stratification and inform targeted interventions for at-risk populations.
Conclusion
The study underscores the importance of integrating neighborhood socioeconomic factors into the understanding and management of CKM syndrome, potentially guiding public health initiatives and clinical practices.
by Vaishnavi Krishnan, Xiaoning Huang, Cyanna McGowan, Nilay S. Shah, Farah Qureshi, Cynthia S. Minkovitz, Kiarri N. Kershaw, Alexa A. Freedman, Gregory E. Miller, Donald M. Lloyd-Jones, Sadiya S. Khan
Damon B. Dixon, MD, at Phoenix Children’s Cardiology, is the author to this EndoText chapter. Dr. Dixon brings nationally recognized expertise in pediatric cardiovascular risk assessment and non?invasive vascular imaging.
