Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 19, Issue 4, Pages -Publisher
MDPI
DOI: 10.3390/ijerph19042202
Keywords
the social vulnerability index; cardiometabolic disease; rural communities; rural health; Colorado; San Luis Valley
Funding
- Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) [K12HD092535]
- Tufts University Department of Public Health and Community Medicine
- National Institute of Environmental Health Sciences (NIEHS) [R00ES027853]
- National Institute of Minority Health and Health Disparities [P50MD017344]
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Cardiometabolic diseases pose a greater burden among socially vulnerable communities, and the social vulnerability index (SVI) may help determine the cardiometabolic health outcomes in these communities, especially in rural areas.
Cardiometabolic diseases are a group of interrelated diseases that pose greater burden among socially vulnerable communities. The social vulnerability index (SVI) identifies communities vulnerable to emergencies and may also help determine communities at risk of adverse chronic health outcomes. However, no studies have examined the relationship between the SVI and cardiometabolic health outcomes in Colorado or focused on rural settings. The aim of this ecological study was to determine whether the county-level SVI is associated with county-level cardiometabolic health indicators with a particular focus on rurality and racial/ethnic diversity. We obtained 2014 SVI scores from the Centers for Disease Control and Prevention (scored 0-1; higher = more vulnerable) and 2013-2015 cardiometabolic health estimates from the Colorado Department of Public Health and Environment. The distribution of social determinants of health was spatially evaluated. Bivariate relationships between the SVI and cardiometabolic indicators were estimated using simple linear regression models. The highest SVI scores were observed in rural areas, including the San Luis Valley (mean: 0.78, median: 0.91), Southeast (mean: 0.72, median: 0.73), and Northeast (mean: 0.66, median: 0.76) regions. Across Colorado, the SVI accounted for 41% of the variability in overweight and obesity prevalence (p < 0.001), 17% of the variability in diabetes prevalence (p = 0.001), and 58% of the age-adjusted myocardial infarction hospitalization rate (p < 0.001). SVI values may be useful in determining a community's burden of cardiometabolic diseases.
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