RNSystematic ReviewThe Journal of cardiovascular nursing2024

Cardiovascular Health Disparities in Adults of Color Aged 18 to 50: A Systematic Review.

Quiana Howard, Sharon Adeyinka, Shemaine Martin and 1 others

PMID 39620645

WHAT IT FOUND

Young and middle-aged adults of color in the United States have lower cardiovascular health scores than White adults.

Non-Hispanic Black adults had the lowest scores. Psychological stress was associated with reduced odds of optimal cardiovascular health in two studies.

Key findings

01Non-Hispanic Black, Non-Hispanic Asian, Hispanic/Latino, and Native American adults had significantly lower cardiovascular health scores compared to Non-Hispanic White adults.

02Psychological stress was associated with reduced odds of optimal or average cardiovascular health scores in young and middle-aged adults.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review included only studies using Life’s Simple 7 or Life’s Essentials 8, excluding research on individual risk factors. Only English-language studies conducted in the United States were included. Definitions of race, ethnicity, sex, and age varied across the included studies, making direct comparisons difficult. Most included studies were cross-sectional, limiting the ability to determine causality between stress and cardiovascular health.

Declared interests

The authors declared no potential conflicts of interest.

The easy way to misread this

Do not interpret the association between stress and cardiovascular health as proof that stress causes these disparities. The underlying studies were mostly cross-sectional, so they show a link but not a cause-and-effect relationship.

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