Social, Economic, Technological, and Environmental Factors Affecting Cardiovascular Diseases: A Systematic Review and Thematic Analysis

Gisoo Alizadeh, Kamal Gholipour, Saber Azami-Aghdash, Reza Dehnavieh, Mohammad Asghari JafarAbadi, Mehrdad Azmin, Rahim Khodayari-Zarnaq

Abstract


Background: Today, cardiovascular disease (CVD) is the leading cause of mortality in both sexes. There are several risk factors for heart diseases; some controllable, others not. However, socioeconomic, technological, and environmental factors can impact CVD as well as exclusive risk factors. Accurate identification and assessment of these factors are often difficult. In the present systematic review, we aimed to explore factors affecting CVD. Methods: Multiple databases (MEDLINE, Scopus, ISI Web of Science, and Cochrane) and gray literature were searched. The included studies described at least one determinant of CVD. The framework method was applied to analyze the qualitative data. Results: A total of 64 studies from 26 countries were included. The contextual determinants of CVD were categorized into 45 determinants, 15 factors, and 4 main social, economic, technological, and environmental categories. The 15 potentially reversible factors were identified as sociodemographic, violence, smoking, occupation, positive childhood experience, social inequalities, psychological distress, eating habits, neighborhood, family income, rapid technology, environmental pollution, living environments, noise, and disaster. Conclusions: Devolution and more efficient health policies are required to achieve further sustained reduction in CVD mortality, increase life expectancy, and reduce its associated risk factors. Policymakers should fully address the value of social, economic, technological, and environmental factors. In fact, a prevention agenda should be developed and updated collaboratively in terms of the determinant factors.

Keywords


Cardiovascular disease; economic; environmental; health system; social; technology

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References


Gakidou E, Afshin A, Abajobir AA, Abate KH, Abbafati C,

Abbas KM, et al. Global, regional, and national comparative risk

assessment of 84 behavioural, environmental and occupational,

and metabolic risks or clusters of risks, 1990–2016: A systematic

analysis for the Global Burden of Disease Study 2016. Lancet

;390:1345‑422.

James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N,

et al. Global, regional, and national incidence, prevalence,

and years lived with disability for 354 diseases and injuries

for 195 countries and territories, 1990–2017: A systematic

analysis for the Global Burden of Disease Study 2017. Lancet

;392:1789‑858.

Roth GA, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N,

et al. Global, regional, and national age‑sex‑specific mortality for

causes of death in 195 countries and territories, 1980–2017:

A systematic analysis for the Global Burden of Disease Study

Lancet 2018;392:1736‑88.

Wang H, Abajobir AA, Abate KH, Abbafati C, Abbas KM,

Abd‑Allah F, et al. Global, regional, and national under‑5

mortality, adult mortality, age‑specific mortality, and life

expectancy, 1970–2016: A systematic analysis for the Global

Burden of Disease Study 2016. Lancet 2017;390:1084‑150.

Al‑Mawali A. Non‑communicable diseases: Shining a light

on cardiovascular disease, Oman’s biggest killer. Oman Med J

;30:227.

Organization WH. Global Status Report on Noncommunicable

Diseases 2014. World Health Organization; 2014.

Mathers CD, Loncar D. Projections of global mortality and

burden of disease from 2002 to 2030. PLoS Med 2006;3:e442.

Wilkins E, Wilson L, Wickramasinghe K, Bhatnagar P, Leal J,

Luengo-Fernandez R, et al European cardiovascular disease

statistics 2017.

Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR,

Deo R, et al. Heart disease and stroke statistics‑2017 update:

A report from the American Heart Association. Circulation

;135:e146‑603.

Nangia R, Singh H, Kaur K. Prevalence of cardiovascular

disease (CVD) risk factors. Med J Armed Forces India

;72:315‑9.

Mirdamadi A, Rafiei R, Kahazaipour G, Fouladi L. Selenium

level in patients with heart failure versus normal individuals. Int

J Prev Med 2019;10:210.

Marmot M, Bell R. Social determinants and non‑communicable

diseases: Time for integrated action. BMJ 2019;364:l251.

Allen L, Williams J, Townsend N, Mikkelsen B, Roberts N,

Foster C, et al. Socioeconomic status and non‑communicable

disease behavioural risk factors in low‑income and

lower‑middle‑income countries: A systematic review. Lancet

Glob Health 2017;5:e277‑89.

Holt‑Lunstad J, Smith TB, Baker M, Harris T, Stephenson D.

Loneliness and social isolation as risk factors for mortality:

A meta‑analytic review. Perspect Psychol Sci 2015;10:227‑37.

Holt‑Lunstad J, Smith TB, Layton JB. Social relationships

and mortality risk: A meta‑analytic review. PLoS Med

;7:e1000316.

Holt‑Lunstad J, Robles TF, Sbarra DA. Advancing social

connection as a public health priority in the United States. Am

Psychol 2017;72:517‑30.

Heller O, Somerville C, Suggs LS, Lachat S, Piper J,

Aya Pastrana N, et al. The process of prioritization of

non‑communicable diseases in the global health policy arena.

Health Policy Plan 2019;34:370‑83.

Adgoy E. Social determinants of non‑communicable disease.

MOJ Public Health 2019;8:149‑52.

Dugani S, Gaziano TA. 25 by 25: Achieving global reduction in

cardiovascular mortality. Curr Cardiol Rep 2016;18:10.

Coorey GM, Neubeck L, Mulley J, Redfern J. Effectiveness,

acceptability and usefulness of mobile applications for

cardiovascular disease self‑management: Systematic review with

meta‑synthesis of quantitative and qualitative data. Eur J Prev

Cardiol 2018;25:505‑21.

Stewart J, Manmathan G, Wilkinson P. Primary prevention of

cardiovascular disease: A review of contemporary guidance and

literature. JRSM Cardiovasc Dis 2017;6:2048004016687211. doi:

1177/2048004016687211.

Schultz WM, Kelli HM, Lisko JC, Varghese T, Shen J,

Sandesara P, et al. Socioeconomic status and cardiovascular

outcomes: Challenges and interventions. Circulation

;137:2166‑78.

Alizadeh G, Gholipour‎ K, Khosravi MF, Khodayari‑Zarnaq R.

Preventive community‑based strategies of cardiovascular

diseases in Iran: A multi‑method study. Social Work Public

Health 2020:177‑86. doi: 10.1080/19371918.2020.1764432.

JB I. Joanna Briggs Institute Reviewers’ Manual: 2014 edition/

Supplement. Australia: The Joanna Briggs Institute, The

University of Adelaide; 2014.

Danhauer SC, Oliveira B, Myll J, Berra K, Haskell W. Successful

dietary changes in a cardiovascular risk reduction intervention

are differentially predicted by biopsychosocial characteristics.

Prev Med 2004;39:783‑90.

Estruch R, Ros E, Salas‑Salvadó J, Covas M‑I, Corella D,

Arós F, et al. Primary prevention of cardiovascular disease with

a Mediterranean diet. N Engl J Med 2013;368:1279‑90.

Portrait F, Teeuwiszen E, Deeg D. Early life undernutrition

and chronic diseases at older ages: The effects of the Dutch

famine on cardiovascular diseases and diabetes. Soc Sci Med

;73:711‑8.

Rahman M, Zaman M. Smoking and smokeless tobacco

consumption: Possible risk factors for coronary heart disease among young patients attending a tertiary care cardiac hospital in

Bangladesh. Public Health 2008;122:1331‑8.

Egbujie BA, Igumbor EU, Puoane T. A cross‑sectional

study of socioeconomic status and cardiovascular

disease risk among participants in the Prospective Urban

Rural Epidemiological (PURE) Study. South Afr Med J

;106:900‑6.

Papoutsou S, Briassoulis G, Wolters M, Peplies J, Iacoviello L,

Eiben G, et al. No breakfast at home: Association with

cardiovascular disease risk factors in childhood. World Rev Nutr

Diet 2016;114:45‑6.

Janković S, Stojisavljević D, Janković J, Erić M, Marinković J.

Association of socioeconomic status measured by education, and

cardiovascular health: A population‑based cross‑sectional study.

BMJ Open 2014;4:e005222.

Jiang J, Wufuer M, Simayi A, Nijiati M, Fan M, Zhu P, et al.

Cross‑sectional study of sociodemographic patterning of risk

factors for cardiovascular disease in three isolated‑based

subgroups of the Uyghur population in Xinjiang, China. BMJ

Open 2013;3:e002279.

Damiani G, Federico B, Bianchi CB, Ronconi A, Basso D,

Fiorenza S, et al. Socio‑economic status and prevention of

cardiovascular disease in Italy: Evidence from a national health

survey. Eur J Public Health 2011;21:591‑6.

Hartung D, Stadeler M, Grieshaber R, Keller S, Jahreis G.

Work and diet‑related risk factors of cardiovascular diseases:

Comparison of two occupational groups. J Occup Med Toxicol

;5:4.

Lee RE, Cubbin C. Neighborhood context and youth

cardiovascular health behaviors. Am J Public Health

;92:428‑36.

Panagiotakos DB, Pitsavos CE, Chrysohoou CA, Skoumas J,

Toutouza M, Belegrinos D, et al. The association between

educational status and risk factors related to cardiovascular

disease in healthy individuals: The ATTICA study. Ann

Epidemiol 2004;14:188‑94.

Kang MG, Koh SB, Cha BS, Park JK, Baik SK, Chang SJ. Job

stress and cardiovascular risk factors in male workers. Prev Med

;40:583‑8.

Hujova Z, Rostakova K. Several anthropometric predictors of

cardiovascular disease in central Slovakian adults: Socioeconomic

and educational differences. Bratisl Lek Listy 2013;114:31‑5.

Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns:

A Mediterranean diet score and its relation to clinical and

biological markers of cardiovascular disease risk. Nutr Metab

Cardiovasc Dis 2006;16:559‑68.

De A, Podder G, Adhikari A, Haldar A, Banerjee J, De M.

Comparative study of risk factors of cardiac diseases among

urban and rural population. J Hum Genet 2013;13:15‑9.

Chand MG, Rao RS. Appraisal of cardio vascular disease risk

factors in a costal environment fishermen’s urban slum of

Visakhapatnam. IJHE 2007;21:53‑8.

Mobley LR, Root ED, Finkelstein EA, Khavjou O, Farris RP,

Will JC. Environment, obesity, and cardiovascular disease risk in

low‑income women. Am J Prev Med 2006;30:327‑32. e1.

Oppert J, Thomas F, Charles M, Benetos A, Basdevant A,

Simon C. Leisure‑time and occupational physical activity in

relation to cardiovascular risk factors and eating habits in French

adults. Public Health Nutr 2006;9:746‑54.

Kivimäki M, Virtanen M, Vartia M, Elovainio M, Vahtera J,

Keltikangas‑Järvinen L. Workplace bullying and the risk of

cardiovascular disease and depression. Occup Environ Med

;60:779‑83.

McKenzie LM, Crooks J, Peel JL, Blair BD, Brindley S,

Allshouse WB, et al. Relationships between indicators of

cardiovascular disease and intensity of oil and natural gas

activity in Northeastern Colorado. Environ. Res.2019;170:56‑64.

Pereira G, Foster S, Martin K, Christian H, Boruff BJ,

Knuiman M, et al. The association between neighborhood

greenness and cardiovascular disease: An observational study.

BMC Public Health 2012;12:466.

Hansell AL, Blangiardo M, Fortunato L, Floud S, de Hoogh K,

Fecht D, et al. Aircraft noise and cardiovascular disease

near Heathrow airport in London: Small area study. BMJ

;347:f5432.

Eriksson C, Nilsson ME, Willers SM, Gidhagen L, Bellander T,

Pershagen G. Traffic noise and cardiovascular health in Sweden:

The roadside study. Noise Health 2012;14:140‑7.

Joshi MD, Ayah R, Njau EK, Wanjiru R, Kayima JK,

Njeru EK, et al. Prevalence of hypertension and associated

cardiovascular risk factors in an urban slum in Nairobi, Kenya:

A population‑based survey. BMC Public Health 2014;14:1177.

Maheswaran R, Haining RP, Brindley P, Law J, Pearson T,

Fryers PR, et al. Outdoor air pollution, mortality, and hospital

admissions from coronary heart disease in Sheffield, UK:

A small‑area level ecological study. Eur Heart J 2005;26:2543‑9.

Kim D, Kawachi I, Vander Hoorn S, Ezzati M. Is inequality at

the heart of it? Cross‑country associations of income inequality

with cardiovascular diseases and risk factors. Soc Sci Med

;66:1719‑32.

Valtorta NK, Kanaan M, Gilbody S, Hanratty B. Loneliness,

social isolation and risk of cardiovascular disease in the

English Longitudinal Study of Ageing. Eur J Prev Cardiol

;25:1387‑96.

Machado LB, Silva BL, Garcia AP, Oliveira RA, Barreto SM,

Maria de Jesus MF, et al. Ideal cardiovascular health score at the

ELSA‑Brasil baseline and its association with sociodemographic

characteristics. Int J Cardiol 2018;254:333‑7.

Veronesi G, Ferrario MM, Kuulasmaa K, Bobak M,

Chambless LE, Salomaa V, et al. Educational class inequalities

in the incidence of coronary heart disease in Europe. Heart

;102:958‑65.

Slopen N, Chen Y, Guida JL, Albert MA, Williams DR. Positive

childhood experiences and ideal cardiovascular health in midlife:

Associations and mediators. Prev Med 2017;97:72‑9.

Savelieva K, Pulkki‑Råback L, Jokela M, Kubzansky LD,

Elovainio M, Mikkilä V, et al. Intergenerational transmission of

socioeconomic position and ideal cardiovascular health: 32‑year

follow‑up study. Health Psychol 2017;36:270‑9.

Laitinen TT, Puolakka E, Ruohonen S, Magnussen CG,

Smith KJ, Viikari JS, et al. Association of socioeconomic status

in childhood with left ventricular structure and diastolic function

in adulthood: The Cardiovascular Risk in Young Finns Study.

JAMA Pediatr 2017;171:781‑7.

Slopen N, Glynn RJ, Buring JE, Lewis TT, Williams DR,

Albert MA. Job strain, job insecurity, and incident cardiovascular

disease in the Women’s Health Study: Results from a 10‑year

prospective study. PLoS One 2012;7:e40512.

Veronesi G, Tunstall‑Pedoe H, Ferrario MM, Kee F,

Kuulasmaa K, Chambless LE, et al. Combined effect of

educational status and cardiovascular risk factors on the incidence

of coronary heart disease and stroke in European cohorts:

Implications for prevention. Eur J Prev Cardiol 2017;24:437‑45.

Vedin O, Hagström E, Budaj A, Denchev S, Harrington RA,

Koenig W, et al. Tooth loss is independently associated with

poor outcomes in stable coronary heart disease. Eur J Prev Cardiol 2016;23:839‑46.

Castañeda SF, Buelna C, Giacinto RE, Gallo LC,

Sotres‑Alvarez D, Gonzalez P, et al. Cardiovascular disease risk

factors and psychological distress among Hispanics/Latinos: The

Hispanic Community Health Study/Study of Latinos (HCHS/

SOL). Prev Med 2016;87:144‑50.

Pujades‑Rodriguez M, Timmis A, Stogiannis D, Rapsomaniki E,

Denaxas S, Shah A, et al. Socioeconomic deprivation and the

incidence of 12 cardiovascular diseases in 1.9 million women

and men: Implications for risk prediction and prevention. PLoS

One 2014;9:e104671.

Meyer U, Schindler C, Bloesch T, Schmocker E, Zahner L,

Puder JJ, et al. Combined impact of negative lifestyle factors on

cardiovascular risk in children: A randomized prospective study.

J Adolesc Health 2014;55:790‑5.

Appleton AA, Buka SL, Loucks EB, Rimm EB, Martin LT,

Kubzansky LD. A prospective study of positive early‑life

psychosocial factors and favorable cardiovascular risk in

adulthood. Circulation 2013;127:905‑12.

Ramsay SE, Morris RW, Whincup PH, Papacosta AO,

Thomas MC, Wannamethee SG. Prediction of coronary heart

disease risk by Framingham and SCORE risk assessments varies

by socioeconomic position: Results from a study in British men.

Eur J Cardiovasc Prev Rehabil 2011;18:186‑93.

Loucks EB, Lynch JW, Pilote L, Fuhrer R, Almeida ND,

Richard H, et al. Life‑course socioeconomic position and

incidence of coronary heart disease: The Framingham Offspring

Study. Am J Epidemiol 2009;169:829‑36.

Netterstrøm B, Kristensen TS, Sjøl A. Psychological job

demands increase the risk of ischaemic heart disease: A 14‑year

cohort study of employed Danish men. Eur J Cardiovasc Prev

Rehabil 2006;13:414‑20.

Taheri M, Tavakol M, Akbari ME, Mohammadbeigi A,

Abbasi M. Socio‑economic status inequity in self rated health

in patients with breast cancer. Open access Maced J Med Sci

;7:152‑6.

Tunstall‑Pedoe H, Woodward M. By neglecting deprivation,

cardiovascular risk scoring will exacerbate social gradients in

disease. Heart 2006;92:307‑10.

Yoo H, Franke WD. Stress and cardiovascular disease risk in

female law enforcement officers. Int Arch Occup Environ Health

;84:279‑86.

Wattanakit K, Williams JE, Schreiner PJ, Hirsch AT, Folsom AR.

Association of anger proneness, depression and low social

support with peripheral arterial disease: The Atherosclerosis Risk

in Communities Study. Vasc Med 2005;10:199‑206.

Martínez‑González MA, García‑López M, Bes‑Rastrollo M,

Toledo E, Martínez‑Lapiscina EH, Delgado‑Rodriguez M, et al.

Mediterranean diet and the incidence of cardiovascular disease:

A Spanish cohort. Nutr Metab Cardiovasc Dis 2011;21:237‑44.

Panagiotakos D, Pitsavos C, Chrysohoou C, Palliou K, Lentzas I,

Skoumas I, et al. Dietary patterns and 5‑year incidence of

cardiovascular disease: A multivariate analysis of the ATTICA

study. Nutr Metab Cardiovasc Dis 2009;19:253‑63.

Critselis E, Panagiotakos DB, Georgousopoulou EN,

Katsaounou P, Chrysohoou C, Pitsavos C, et al. Exposure to

second hand smoke and 10‑year (2002–2012) incidence of

cardiovascular disease in never smokers: The ATTICA cohort

study. Int J Cardiol 2019;295:29‑35.

Anderson JL, May HT, Horne BD, Bair TL, Hall NL,

Carlquist JF, et al. Relation of vitamin D deficiency to

cardiovascular risk factors, disease status, and incident events in

a general healthcare population. Am J Cardiol 2010;106:963‑8.

Liu S, Buring JE, Sesso HD, Rimm EB, Willett WC,

Manson JE. A prospective study of dietary fiber intake and risk

of cardiovascular disease among women. J Am Coll Cardiol

;39:49‑56.

Miller KA, Siscovick DS, Sheppard L, Shepherd K, Sullivan JH,

Anderson GL, et al. Long‑term exposure to air pollution and

incidence of cardiovascular events in women. N Engl J Med

;356:447‑58.

Zhang L‑w, Chen X, Xue X‑d, Sun M, Han B, Li C‑p, et al.

Long‑term exposure to high particulate matter pollution and

cardiovascular mortality: A 12‑year cohort study in four cities in

northern China. Environ Int 2014;62:41‑7.

Hoffmann B, Moebus S, Stang A, Beck E‑M, Dragano N,

Möhlenkamp S, et al. Residence close to high traffic

and prevalence of coronary heart disease. Eur Heart J

;27:2696‑702.

Bouillon K, Haddy N, Delaloge S, Garbay J‑R, Garsi J‑P, Brindel P,

et al. Long‑term cardiovascular mortality after radiotherapy for

breast cancer. J Am Coll Cardiol 2011;57:445‑52.

Peters MN, Moscona JC, Katz MJ, Deandrade KB, Quevedo HC,

Tiwari S, et al. Natural disasters and myocardial infarction: the

six years after Hurricane Katrina. InMayo Clinic Proceedings

;89:pp. 472-477). Elsevier.

Rich‑Edwards JW, Mason S, Rexrode K, Spiegelman D,

Hibert E, Kawachi I, et al. Physical and sexual abuse in

childhood as predictors of early‑onset cardiovascular events in

women. Circulation 2012;126:920‑7.

Stene LE, Jacobsen GW, Dyb G, Tverdal A, Schei B.

Intimate partner violence and cardiovascular risk in

women: A population‑based cohort study. J Womens Health

;22:250‑8.

Kreatsoulas C, Anand SS. The impact of social determinants on

cardiovascular disease. Can J Cardiol 2010;26:8C‑13C.

Ferrie JE, Kivimäki M, Shipley MJ, Smith GD, Virtanen M. Job

insecurity and incident coronary heart disease: The Whitehall II

prospective cohort study. Atherosclerosis 2013;227:178‑81.

Havranek EP, Mujahid MS, Barr DA, Blair IV, Cohen MS,

Cruz‑Flores S, et al. Social determinants of risk and outcomes

for cardiovascular disease: A scientific statement from the

American Heart Association. Circulation 2015;132:873‑98.

Gharipour M, Sadeghi M, Nouri F, Nezafati P, Qader SS,

Taheri M, et al. Socioeconomic determinants and metabolic

syndrome: Results from the Isfahan Healthy Heart Program. Acta

Biomed 2017;87:291-8.

Steptoe A, Kivimäki M. Stress and cardiovascular disease. Nat

Rev Cardiol 2012;9:360.

Ferrario MM, Landsbergis P, Tsutsumi A, Li J, Hynek P,

Krause N, et al. Work environment: An opportunity for

ground‑breaking collaborations in cardiovascular disease

prevention. SAGE Publications Sage UK: London, England;

Kivimäki M, Kawachi I. Work stress as a risk factor for

cardiovascular disease. Curr Cardiol Rep 2015;17:74.

Xu S, Huang Y, Xiao J, Zhu W, Wang L, Tang H, et al. The

association between job strain and coronary heart disease:

A meta‑analysis of prospective cohort studies. Ann Med

;47:512‑8.

Becher H, Palm F, Aigner A, Safer A, Urbanek C, Buggle F,

et al. Socioeconomic conditions in childhood, adolescence, and

adulthood and the risk of ischemic stroke. Stroke 2016;47:173‑9.

De Boo HA, Harding JE. The developmental origins of

adult disease (Barker) hypothesis. Aust N Z J Obstet

Gynaecol 2006;46:4‑14.

Clark AM, DesMeules M, Luo W, Duncan AS, Wielgosz A.

Socioeconomic status and cardiovascular disease: Risks and

implications for care. Nat Rev Cardiol 2009;6:712‑22.

Su S, Jimenez MP, Roberts CTF, Loucks EB. The role of

adverse childhood experiences in cardiovascular disease risk:

A review with emphasis on plausible mechanisms. Curr Cardiol

Rep 2015;17:88.

Flores‑Torres MH, Comerford E, Signorello L, Grodstein F,

Lopez‑Ridaura R, de Castro F, et al. Impact of adverse childhood

experiences on cardiovascular disease risk factors in adulthood

among Mexican women. Child Abuse Negl 2020;99:104175.

Waldstein SR, Moody DLB, McNeely JM, Allen AJ, Sprung MR,

Shah MT, et al. Cross‑sectional relations of race and poverty

status to cardiovascular risk factors in the Healthy Aging in

Neighborhoods of Diversity across the Lifespan (HANDLS)

study. BMC Public Health 2016;16:258.

Local Government Association. Marmot Review Report—Fair Society,

Healthy Lives. 2010. https://www.local.gov.uk/marmot-review-reportfair-society-healthy-lives. [Last accessed on2020 Oct 23].

Hawkins NM, Jhund PS, McMurray JJ, Capewell S. Heart

failure and socioeconomic status: Accumulating evidence of

inequality. Eur J Heart Fail 2012;14:138‑46.

Araujo González R, Ochoa Montes LA, López Tutusaus T.

Determinantes sociodemográficos y muerte súbita cardiovascular.

RCSP 2015;41:427‑40.

Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C,

Catapano AL, et al. 2016 European Guidelines on cardiovascular

disease prevention in clinical practice: The Sixth Joint Task

Force of the European Society of Cardiology and Other

Societies on Cardiovascular Disease Prevention in Clinical

Practice (constituted by representatives of 10 societies and

by invited experts) Developed with the special contribution

of the European Association for Cardiovascular Prevention &

Rehabilitation (EACPR). Eur Heart J 2016;37:2315‑81.

Lane DA, Chong AY, Lip GY. Psychological interventions

for depression in heart failure. Cochrane Database Syst Rev

:CD003329. doi: 10.1002/14651858.CD003329.pub2.

Halaris A. Inflammation‑associated co‑morbidity between

depression and cardiovascular disease. Inflammation‑Associated

Depression: Evidence, Mechanisms and Implications: Springer;

p. 45‑70.

Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ.

A meta‑analytic review of research on hostility and physical

health. Psychol Bull 1996;119:322‑48.

Xia N, Li H. Loneliness, social isolation, and cardiovascular

health. Antioxid Redox Signal 2018;28:837‑51.

Alsheikh‑Ali AA, Omar MI, Raal FJ, Rashed W, Hamoui O,

Kane A, et al. Cardiovascular risk factor burden in Africa

and the middle east: The Africa middle east cardiovascular

epidemiological (ACE) study. PLoS One 2014;9:e102830.

ONDICHO ZM. Socio-demographic, lifestyle and psycho-social

factors associated with overweight and obesity among health

care workers in Kisumu East sub-county, Kenya (Doctoral

dissertation, Maseno University).

Pou SA, Tumas N, Sánchez Soria D, Ortiz P, Díaz MdP.

Large‑scale societal factors and noncommunicable diseases:

Urbanization, poverty and mortality spatial patterns in Argentina.

Applied Geography 2017;86:32‑40.

Armstrong AdC, Ladeia AMT, Marques J, Armstrong DMFdO,

Silva AMLd, Morais Junior JCd, et al. Urbanization is

associated with increased trends in cardiovascular mortality

among indigenous populations: The PAI study. Arq Bras Cardiol.

;110:240‑5.

Masic I, Alajbegovic J. The significance of the psychosocial

factors influence in pathogenesis of cardiovascular disease. Int J

Prev Med 2013;4:1323.

Sørensen M, Pershagen G. Transportation noise linked to

cardiovascular disease independent from air pollution. Eur Heart

J 2019;40:604‑6.

Gerber Y, Myers V, Goldbourt U, Benyamini Y, Drory Y,

Infarction ISGoFAM. Neighborhood socioeconomic status

and leisure‑time physical activity after myocardial infarction:

A longitudinal study. Am J Prev Med 2011;41:266‑73.

Wahlqvist ML. Chronic disease prevention: A life-cycle

approach which takesaccount of the environmental impact and

opportunities of food, nutritionand public health policies—The

rationale for an eco-nutritionaldisease nomenclature. Asia Pac J

Clin Nutr 2002;11:S759‑62.

Dorner T, Kiefer I, Kunze M, Rieder A. Genderaspekte

sozioökonomischer und psychosozialer Faktoren bei

kardiovaskulären Erkrankungen. WMW 2004;154:426‑32.

Gupta S, Epari V, Bhatia S. Potential gains of screening family

members of suspected coronary artery disease: A pilot study. Int

J Prev Med 2019;10:148.