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International Journal of Pediatric Nursing

Volume  10, Issue 1, January – April 2024, Pages 25-29
 

Review Article

Relation to Social Determinants in Cardiovascular Disease Risk Profile: An Alarming View

C. Sriramalakshmi1, Rajathi S.2, M. Hemamalini3

1Lecturer, Hindu Mission Hospital,
Allied Health Science, 2Vice-Principal, 3Principal, Hindu
Mission College of Nursing, West Tambaram, Chennai 600045,
Tamil Nadu, India.

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DOI: http://dx.doi.org/10.21088/ijpen.2454.9126.10124.4

Abstract

Globally, Cardiovascular disease (CVD) is one of the major reasons for mortality. Cardiovascular health in children and adults is profoundly affected by the milieu of early life. Currently, CVD is taking a different turn based on social antecedents like poverty, the difference in socio-economic status, gender inequality, being a fluid person, and work life in harmony increases the risk of getting into CVD, that too in vulnerable populations like racial and ethnic minorities, women, the elderly, the chronically ill individual with disabilities, lesbian, gay, bisexual, transgender, queer and racism play a significant role in conditioning disease burden and modulating outcomes of
CVD. People with low socioeconomic status increase the hypothalamic pituitary adrenal axis (HPA axis) in the body, due to stress response, and at the end, increased cortisol and sympathetic nervous system activity lead to decreased angiogenic activity. People from low socioeconomic backgrounds, loneliness, and social isolation in many cases like racism, ethnic minorities, children, women, elderly, and chronically ill individuals with disabilities, are exposed to constant stress because of a lack of their fundamental needs. The wider introduction of universal screening for social factors that impact cardiac health will help to identify children and families at risk.
Hence,aggressive screening tests beginning at an early age will be beneficial for early detection and treatment. Healthcare professionals need to pay attention to promotinghealth education and awareness aids to decrease CVD-associated mortality.


Keywords : Cardiovascular disease; Social determinants of health (SDoH); Vulnerable population; HPA (Hypothalami Pituitary Adrenal) axis; Angiogenic activity.
Corresponding Author : Rajathi S.