{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T05:20:26Z","timestamp":1787721626823,"version":"build-2784847793"},"reference-count":64,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"13","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,7,7]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Breast cancer is the most commonly diagnosed malignancy worldwide. Breast cancer survivors face an increased risk of cardiovascular disease (CVD), a leading cause of death in this group. Social determinants of health (SDoHs), operationalized as economic, environmental, and psychosocial factors, play an important role in CVD disparities. However, few studies have examined how SDoHs are associated with CVD disparities in this population, and no systematic review has addressed their multilevel influences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">This systematic review summarizes the current evidence on the relationships between SDoHs at different levels and CVD disparities among breast cancer survivors. Using the 2024 American College of Cardiology\/American Heart Association framework, SDoHs were categorized at the individual, interpersonal, or community levels. Studies published in peer\u2010reviewed journals between January 1, 2010, and November 30, 2025, were identified through searching electronic databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, PsycINFO) and citations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">Of 6550 unique records, 37 articles that addressed the impact of SDoHs on CVD outcomes were selected. Most (n=31) were conducted in the United States and used retrospective designs (n=29). Most (n=30) focused on individual\u2010level SDoHs such as race, income, or education; 2 on interpersonal\u2010level SDoHs (ie, psychosocial stress); and 13 on community\u2010level SDoHs, including neighborhood socioeconomic status and residential area. Black race, lower neighborhood socioeconomic status, and rural residence were associated with a higher incidence of CVD and increased cardiovascular death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">This review highlights the urgent need to address SDoHs and emphasizes the importance of multilevel interventions to reduce CVD disparities among breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.046549","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:23:12Z","timestamp":1783074192000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Social Determinants of Health and Cardiovascular Disease\u2013Related Outcome Disparities Among Breast Cancer Survivors: A Systematic Review"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0658-4081","authenticated-orcid":false,"given":"Myunhee","family":"Lee","sequence":"first","affiliation":[{"name":"School of Public Health, San Diego State University","place":["San Diego, USA"]},{"name":"Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego","place":["La Jolla, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shira M.","family":"Goldenberg","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University","place":["San Diego, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"D\u00e1vila\u2010Conn","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University","place":["San Diego, USA"]},{"name":"Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego","place":["La Jolla, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Humberto","family":"Parada","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University","place":["San Diego, USA"]},{"name":"UC San Diego Health Moores Cancer Center","place":["La Jolla, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000556"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2012.45.2938"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djh253"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.118.035408"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.01.042"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/circresaha.121.319811"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.09.010"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2013.12.013"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000331"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.24329"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2023.11.003"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.05.034"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_1_16_2","volume-title":"A conceptual framework for action on the social determinants of health: social determinants of health discussion paper 2","author":"Solar OIA","year":"2010","unstructured":"Solar OIA. 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