Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position

J. David Spence

doi:10.7326/L18-0007

Letters |1 May 2018

Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position

J. David Spence, MD

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TO THE EDITOR:

Dalton and colleagues (1) found a greater underestimation of cardiovascular risk among persons in the most economically disadvantaged neighborhoods. As would be expected, the prevalence of smoking was highest in this population (28.4%) and lowest in the most affluent neighborhoods (9%). This gradient was the most striking among the risk factors and may largely account for the higher prevalence of coronary artery disease and peripheral vascular disease among the most disadvantaged persons.

Although the model adjusted for smoking, it did not account for passive smoking (which is understandable considering that this element is difficult to...

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2018 American College of Physicians

Letters |1 May 2018

Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position

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Letters |1 May 2018

Accuracy of Cardiovascular Risk Prediction Varies by Neighborhood Socioeconomic Position

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