41,656 results match your criteria conclusions rural


The MoveStrong program for promoting balance and functional strength training and adequate protein intake in pre-frail older adults: A pilot randomized controlled trial.

PLoS One 2021 24;16(9):e0257742. Epub 2021 Sep 24.

Department of Kinesiology and Health, University of Waterloo, Waterloo, ON, Canada.

Background: Balance and functional strength training can improve muscle strength and physical functioning outcomes and decrease the risk of falls in older adults. To maximize the benefits of strength training, adequate protein intake is also important. However, the number of older individuals that consume enough protein or routinely engage in strength training remains low at less than 5% and even lower for activities that challenge balance. Read More

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September 2021

Association of Public Reporting of Medicare Dialysis Facility Quality Ratings With Access to Kidney Transplantation.

JAMA Netw Open 2021 Sep 1;4(9):e2126719. Epub 2021 Sep 1.

Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Importance: Improving the quality of dialysis care and access to kidney transplantation for patients with end-stage kidney disease is a national clinical and policy priority. The role of dialysis facility quality in increasing access to kidney transplantation is not known.

Objective: To determine whether patient, facility, and kidney transplant waitlisting characteristics are associated with variations in dialysis center quality. Read More

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September 2021

The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study.

J Med Internet Res 2021 Sep 24;23(9):e26721. Epub 2021 Sep 24.

School of Health Management, Southern Medical University, Guangzhou, China.

Background: Although previous studies have shown that a high level of health literacy can improve patients' ability to engage in health-related shared decision-making (SDM) and improve their quality of life, few studies have investigated the role of eHealth literacy in improving patient satisfaction with SDM (SSDM) and well-being.

Objective: This study aims to assess the relationship between patients' eHealth literacy and their socioeconomic determinants and to investigate the association between patients' eHealth literacy and their SSDM and well-being.

Methods: The data used in this study were obtained from a multicenter cross-sectional survey in China. Read More

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September 2021

Home Low Vision Ocular Rehabilitation Telehealth Expansion Due to COVID-19 Pandemic.

Authors:
Carolyn Ihrig

Telemed J E Health 2021 Sep 24. Epub 2021 Sep 24.

Veterans Affairs Western New York Healthcare System, Buffalo, New York, USA.

In March 2020, the pandemic added a major barrier resulting in the cancelation of all low vision ocular rehabilitation services. To prevent delay of beginning low vision ocular rehabilitation services, all low vision care was switched to telerehabilitation to home. Case managers began to cancel all in-person services and offer Veterans Affairs (VA) video connect services to their home. Read More

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September 2021

Project extension for community healthcare outcomes improves care and treatment for multidrug-resistant tuberculosis patients in Tanzania.

Int J Mycobacteriol 2021 Apr-Jun;10(2):182-187

Division of Infectious Diseases, The ECHO Institute, University of New Mexico Health Sciences Centre, New Mexico, United States.

Background: Project Extension for Community Healthcare Outcomes (Project ECHO) is a telementoring, case based virtual community of practice training and education model connecting experts to primary care clinicians (PCCs). Project ECHO has good evidence for favorable treatment outcomes on wide range of diseases. Since 2017, Tanzania hosts multidrug resistant tuberculosis (MDR TB) ECHO with hub at Kibong'oto Infectious Diseases Hospital. Read More

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September 2021

Cost analysis for patients with presumed pulmonary tuberculosis attended in the public health system of rio de janeiro, Brazil.

Int J Mycobacteriol 2021 Apr-Jun;10(2):136-141

Academic Tuberculosis Program Center, Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Background: In last years, few attention has given to the patient's prediagnostic costs when evaluating the introduction of new technologies for tuberculosis (TB) and in this context, this study evaluated patient's costs and cost-effectiveness incurred with TB diagnosis comparing BactecMGIT960 system (MGIT) to the Löwestein-Jensen (LJ) culture in a health center and in a university hospital, in Rio de Janeiro City, Brazil.

Methods: Patient's mean costs were evaluated during the diagnosis process and cost-effectiveness based on mean time in days for the adoption of appropriate clinical anti-TB treatment in two health units comparing culture by means LJ and MGIT.

Results: The mean cost of LJ and MGIT in the health center was U. Read More

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September 2021

Early safety and efficacy of linezolid-based combination therapy among patients with drug-resistant tuberculosis in North-western Nigeria.

Int J Mycobacteriol 2021 Apr-Jun;10(2):129-135

Department of Medicine, College of Health Sciences, Bayero University, Kano, Kano State, Nigeria.

Background: The emergence of drug-resistant tuberculosis (DRTB) has continued to pose a threat to public health in sub-Saharan Africa and globally. Despite the high burden of tuberculosis (TB) in Nigeria, there are paucity of data on the safety and efficacy of newer agents and repurposed drugs used in the treatment of DRTB.

Methods: This prospective cohort study was conducted at a regional DRTB treatment center in Kano, Northwestern Nigeria. Read More

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September 2021

Place of residence, physical activity, use of electronic devices and health consequences in girls with scoliosis.

Ann Agric Environ Med 2021 Sep 1;28(3):509-515. Epub 2021 Feb 1.

Department of Cardiology, Sector Preventive Medicine, Health Promotion, Faculty of Health, School of Medicine, University of Witten/Herdecke, Germany.

Introduction: Physical activity has been reduced in the 21st century and is a phenomenon which is now an important problem. The study focuses on the reasons for this lack of physical activity in adolescent girls diagnosed with scoliosis, and the possibility of preventing and effectively promoting a healthy lifestyle. The aim of the study is to investigate the relationship between place of residence (rural and urban) and physical activity in girls with scoliosis. Read More

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September 2021

Prevalence of spp. in symptomatic BaAka Pygmies inhabiting the rural Dzanga Sangha region of the Central African Republic.

Ann Agric Environ Med 2021 Sep 7;28(3):483-490. Epub 2021 Sep 7.

Department of Tropical Parasitology, Institute of Maritime and Tropical Medicine, Medical University, Gdańsk, Poland.

Introduction: Malaria remains a diagnostic and therapeutic challenge in many endemic regions of sub-Saharan Africa. It is one of the most important causes of morbidity and mortality, especially in children <5 years. is responsible for the majority of severe malaria cases in sub-Saharan Africa, but is not the exclusive one. Read More

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September 2021

Use of complementary and alternative medicine in patients with cancer and their relationship with health behaviours - Cross-sectional study.

Ann Agric Environ Med 2021 Sep 19;28(3):475-482. Epub 2021 Aug 19.

Department of Internal Diseases and Hypertension, Institute of Rural Health, Lublin, Poland.

Introduction And Objective: Although the use of complementary and alternative medicine (CAM) is common with Polish cancer patients, little is known about cancer patients' methods of using CAM and how it correlates with their health behaviour. The aim of the study was to determine the scope of application of complementary and alternative medicine methods among patients treated by oncology and to compare the health behaviours of patients who use alternative medicine with those who do not use these methods.

Material And Methods: The studies were conducted from August 2019 - January 2020 in an Oncology Centre in south-eastern Poland. Read More

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September 2021

Influence of regular climbing on depression, generalized anxiety and lower back pain.

Ann Agric Environ Med 2021 Sep 30;28(3):463-468. Epub 2020 Jun 30.

Department of Sports Medicine, Medical University, Lublin, Poland.

Introduction And Objective: Anxiety and depression disorders are increasingly affecting society. Anxiety disorders are the most prevalent psychiatric disorders, and depressive disorders are increasing in society worldwide. Lower back pain is one of the common health problems experienced by 50-80% of adults at some point in their lives. Read More

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September 2021

Analysis of selected serological parameters in patients with diagnosed Lyme borreliosis and in seropositive patients with no clinical symptoms.

Ann Agric Environ Med 2021 Sep 8;28(3):397-403. Epub 2020 Jul 8.

Department of Microbiological Diagnostics Clinical Hospital No. 1, Lublin, Poland.

Objectives: The aim of the study was to analyze some metalloproteinases, cytokines, and chemokines in LB patients and healthy seropositive subjects. The presence of IgM/IgG antibodies against specific antigens was analyzed in the presence or absence of clinical manifestations of LB.

Material And Methods: The study involved 38 patients diagnosed with LB and arthralgia and/or arthritis symptoms, and 57 foresters presenting no clinical symptoms of LB. Read More

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September 2021

Importance of legal regulations resulting from technical harmonization in the European Union for improvement of work safety of farmers in Poland.

Ann Agric Environ Med 2021 Sep 3;28(3):378-384. Epub 2021 Sep 3.

University of Economics and Innovation, Lublin, Poland.

Introduction And Objective: Accidents exert a negative effect on the quality and standard of living of rural inhabitants, especially when they make it impossible to continue work on a farm, or this work may be performed only to a limited extent. The creation of effective legal mechanisms which would guarantee the safety of operation of machinery is a crucial issue, it is of a preventive character and considerably limits the number of accidents. Approximately 16. Read More

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September 2021

The impact of family physicians in rural maternity care.

Birth 2021 Sep 23. Epub 2021 Sep 23.

Department of Environmental and Occupational Health, University of Colorado School of Public Health, Aurora, Colorado, USA.

Background: Reduced access to maternity care in rural areas of the United States presents a significant burden to pregnant persons and infants. The objective of this study was to estimate the impact of family physicians (FPs) on access to maternity care in rural United States hospitals, especially where other providers may not be available.

Methods: We administered a survey to 216 rural hospitals in 10 US states inquiring about the number of babies delivered from 2013 to 2017, the types of delivering physicians, and the maternity services offered. Read More

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September 2021

Associations of Residential Greenness with Depression and Anxiety in Rural Chinese Adults.

Innovation (N Y) 2020 Nov 2;1(3):100054. Epub 2020 Nov 2.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.

Background: Depression and anxiety are top contributors to non-fatal health loss globally. Several studies have indicated the association between residential greenness and mental health.

Method: The participants (n = 27,366) were recruited from four counties in Henan Province, China during 2015-2017. Read More

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November 2020

Patient, Provider, and Health Care System Characteristics Associated With Overuse in Bronchiolitis.

Pediatrics 2021 Sep 23. Epub 2021 Sep 23.

Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia.

Background And Objectives: The American Academy of Pediatrics recommends against the routine use of β-agonists, corticosteroids, antibiotics, chest radiographs, and viral testing in bronchiolitis, but use of these modalities continues. Our objective for this study was to determine the patient, provider, and health care system characteristics that are associated with receipt of low-value services.

Methods: Using the Virginia All-Payers Claims Database, we conducted a retrospective cross-sectional study of children aged 0 to 23 months with bronchiolitis (code J21, ) in 2018. Read More

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September 2021

Accuracy and cost-effectiveness of different screening strategies for identifying undiagnosed COPD among primary care patients (≥40 years) in China: a cross-sectional screening test accuracy study: findings from the Breathe Well group.

BMJ Open 2021 Sep 23;11(9):e051811. Epub 2021 Sep 23.

Institute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK.

Objectives: To examine the accuracy and cost-effectiveness of various chronic obstructive pulmonary disease (COPD) screening tests and combinations within a Chinese primary care population.

Design: Screening test accuracy study.

Setting: Urban and rural community health centres in four municipalities of China: Beijing (north), Chengdu (southwest), Guangzhou (south) and Shenyang (northeast). Read More

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September 2021

Clinical outcomes of combined anterior cruciate ligament and anterolateral ligament reconstruction: a systematic review and meta-analysis.

Knee Surg Relat Res 2021 Sep 23;33(1):33. Epub 2021 Sep 23.

USP, Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Objectives: To compare the clinical outcomes of isolated anterior cruciate ligament (ACL) reconstruction with combined reconstruction of the ACL and anterolateral ligament (ALL) of the knee.

Methods: A search was conducted on the PubMed, Medline, Google Scholar, EMBASE, and Cochrane library databases, in line with the PRISMA protocol. The indexation terms used were "anterior cruciate ligament" OR "acl" AND "anterolateral ligament" AND "reconstruction. Read More

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September 2021

User experiences and perceptions of health wearables: an exploratory study in Cambodia.

Glob Health Res Policy 2021 Sep 23;6(1):33. Epub 2021 Sep 23.

Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK.

Background: In many low- and middle-income countries (LMICs), health system capacities to address the burden of non-communicable diseases (NCDs) are often inadequate. In these countries, wearable health technologies such as smartbands and smartwatches could be used as part of public health programmes to improve the monitoring, prevention, and control of NCDs. Considering this potential, the purpose of this study was to explore user experiences and perceptions of a health wearable in Cambodia. Read More

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September 2021

Cognitive and socio-emotional correlates of psychological well-being and mental health in Guatemalan adults.

BMC Psychol 2021 Sep 23;9(1):148. Epub 2021 Sep 23.

Nutrition and Health Science Program, Laney Graduate School, Emory University, 1518 Clifton Rd NE, 30322, Atlanta, GA, USA.

Background: Little is known about associations of psychological and mental well-being with cognitive and socioemotional factors in low and middle-income countries, particularly among vulnerable populations born in adverse environments that may restrict developmental potential. This study aimed to examine the cognitive and socioemotional correlates of psychological well-being and mental health in a cohort of Guatemalan adults born in contexts of poverty and malnutrition.

Methods: From Dec 2017 to Apr 2019, data were collected from 704 women and 564 men ages 40-57 years living in four rural villages in eastern Guatemala and Guatemala City. Read More

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September 2021

Duration and determinants of delayed tuberculosis diagnosis and treatment in high-burden countries: a mixed-methods systematic review and meta-analysis.

Respir Res 2021 Sep 23;22(1):251. Epub 2021 Sep 23.

Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore, Singapore.

Background: Thirty countries with the highest tuberculosis (TB) burden bear 87% of the world's TB cases. Delayed diagnosis and treatment are detrimental to TB prognosis and sustain TB transmission in the community, making TB elimination a great challenge, especially in these countries. Our objective was to elucidate the duration and determinants of delayed diagnosis and treatment of pulmonary TB in high TB-burden countries. Read More

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September 2021

Trends of dental caries in permanent teeth among 12-year-old Chinese children: evidence from five consecutive national surveys between 1995 and 2014.

BMC Oral Health 2021 Sep 23;21(1):467. Epub 2021 Sep 23.

Institute of Child and Adolescent Health, School of Public Health, Peking University, No. 38 Xueyuan Rd, Haidian District, Beijing, 100191, China.

Background: Dental caries have a serious impact on general health and well-being; however, there is a lack of relevant data on the development trends of dental caries in permanent teeth among 12-year-old children in China. We aim to assess long-term trends of dental caries in permanent teeth among 12-year-old children in China and identify the susceptible subgroups based on five consecutive national surveys from 1995 to 2014.

Methods: A total of 88 972 subjects were extracted from five consecutive national surveys (1995, 2000, 2005, 2010, 2014). Read More

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September 2021

Cumulative effect of risk and protective factors on unintentional injury for Chinese rural children: a nested case-control study.

BMC Public Health 2021 Sep 23;21(1):1730. Epub 2021 Sep 23.

School of Nursing, Harbin Medical University, No. 39 Xinyang Road, Gaoxin District, Daqing City, 163319, Hei Longjiang Province, China.

Background: Childhood unintentional injuries are the leading cause of death and disability for children. Despite the risk factors that lead to the occurrence of injuries have been identified, the relationship between cumulative effect of risk/protective factors and unintentional injuries is unclear. The aim of this study was to explore the cumulative effect of risk factors as well as protective factors and their interaction on unintentional injury to rural children. Read More

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September 2021

From pipeline to practice: Utilizing tracking mechanisms for longitudinal evaluation of physician recruitment across the health workforce continuum.

Eval Program Plann 2021 Sep 16;89:102014. Epub 2021 Sep 16.

Indiana University School of Medicine, 1110 West Michigan Street, Suite 200, Indianapolis, IN, 46202, United States. Electronic address:

Purpose: Area Health Education Centers work with community partners to prepare a diverse, primary care workforce particularly among rural and underserved communities. We set out to assess our impact on the physician workforce across a multitude of short-term, intermediate, and long-term benchmarks METHOD: We used a comprehensive evaluation scaffolding to assess benchmarks of success across the workforce pipeline including short-term (i.e. Read More

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September 2021

Maxillary sinusitis as a respiratory health indicator: a bioarchaeological investigation into medieval central Italy.

Int J Paleopathol 2021 Sep 20;35:40-48. Epub 2021 Sep 20.

Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126, Pisa, Italy. Electronic address:

Objective: This study aims to assess chronic maxillary sinusitis in an osteoarchaeological sample from the medieval rural site of Pieve di Pava (central Italy), to investigate triggers responsible for sinus inflammation, and to compare prevalence rates with coeval European rural sites.

Materials: The analysis focused on 145 10-12-century adults with at least one preserved maxillary sinus.

Methods: Sinusitis-related lesions were observed macroscopically and microscopically. Read More

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September 2021

A Mixed-Methods Study of Teaching Health Center Residents' Experiences of Mentorship, Career Planning, and Post-Residency Practice Environments.

Acad Med 2021 Sep 21. Epub 2021 Sep 21.

J.H. Strasser is senior research scientist, Fitzhugh Mullan Institute for Health Workforce Equity, Department of Health Policy and Management, George Washington University Milken Institute School of Public Health, Washington, DC. M.M. Jewers is co-founder and vice president, Open Avenues Foundation, and chief operating officer, Project Alianza, Boston, Massachusetts. H. Kepley is deputy director, National Center for Health Workforce Analysis, Bureau of Health Workforce, Health Resources and Services Administration, Rockville, Maryland. C. Chen is an associate professor of health policy and management, Fitzhugh Mullan Institute for Health Workforce Equity, Department of Health Policy and Management, George Washington University Milken Institute School of Public Health, Washington, DC. C. Erikson is deputy director, Health Workforce Research Center on Health Professions Education and Training, Fitzhugh Mullan Institute for Health Workforce Equity, Department of Health Policy and Management, George Washington University Milken Institute School of Public Health, Washington, DC. M. Regenstein is professor, Department of Health Policy and Management, George Washington University Milken Institute School of Public Health, Washington, DC.

Purpose: The Teaching Health Center (THC) Graduate Medical Education program enables primary care physicians to train in community-based, underserved settings by shifting the payment structure and training environment for graduate medical education. To understand how THCs have successfully trained primary care physicians who practice in community-based settings, the authors conducted a mixed methods exploratory study to examine THC residency graduates' experiences of mentorship and career planning during their residencies, perceptions of preparation for post-residency practice, and how these experiences were related to post-residency practice environments.

Method: Surveys were conducted for all 804 graduating THC residents nationally, 2014-2017 (533, 66% response rate). Read More

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September 2021

Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks.

JAMA Netw Open 2021 Sep 1;4(9):e2126612. Epub 2021 Sep 1.

Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.

Importance: It has been proposed that the implementation of telestroke services (a web-based approach to using video telecommunication to treat patients with stroke before hospital admission) changes where patients with stroke symptoms receive care, but this proposal has not been rigorously assessed.

Objective: To assess whether the implementation of telestroke services is associated with changes in where and how patients initially present with stroke symptoms, in their decision to be transferred to another hospital, and which hospitals they are transferred to.

Design, Setting, And Participants: This cross-sectional study compared changes in stroke systems of care between a sample of 593 US hospitals that adopted telestroke during the period from 2009 to 2016 but were not comprehensive stroke centers, major teaching hospitals, or thrombectomy-capable hospitals vs 593 matched control hospitals without telestroke based on rural location, critical access hospital status, bed size, primary stroke center status, presence of hospital alternatives in the community, hospital stroke volume, census region, and ownership. Read More

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September 2021

Towards Equitable Surgical Management of Inflammatory Bowel Disease: A Systematic Review of Disparities in Surgery for Inflammatory Bowel Disease.

Inflamm Bowel Dis 2021 Sep 23. Epub 2021 Sep 23.

Division of Colon and Rectal Surgery, Medical University of South Carolina, Charleston, SC, USA.

Background: Existing evidence for disparities in inflammatory bowel disease is fragmented and heterogenous. Underlying mechanisms for differences in outcomes based on race and socioeconomic status remain undefined. We performed a systematic review of the literature to examine disparities in surgery for inflammatory bowel disease in the United States. Read More

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September 2021

Early medical abortion services provided in Australian primary care.

Med J Aust 2021 Sep 22. Epub 2021 Sep 22.

Monash University, Melbourne, VIC.

Objectives: To examine primary care provision of early medical abortion services in Australia.

Design: Cross-sectional study; analysis of Pharmaceutical Benefits Scheme (PBS) dispensing data.

Setting, Participants: Women of child-bearing age (15-54 years), Australia, 2015-2019. Read More

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September 2021

Development and validation of a polysocial risk score for atherosclerotic cardiovascular disease.

Am J Prev Cardiol 2021 Dec 30;8:100251. Epub 2021 Aug 30.

Division of Health Equity & Disparities Research, Center for Outcomes Research, Houston Methodist, Houston (TX), USA.

Objective: To date, the extent to which social determinants of health (SDOH) may help identify individuals with atherosclerotic cardiovascular disease (ASCVD) - beyond traditional risk factors - has not been quantified using a cumulative social disadvantage approach. The objective of this study was to develop, and validate, a polysocial risk score (PsRS) for prevalent ASCVD in a nationally representative sample of adults in the United States (US).

Methods: We used data from the 2013-2017 National Health Interview Survey. Read More

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December 2021