{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:03:46Z","timestamp":1789715026465,"version":"4.0.1"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,5,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Awareness and control of cardiometabolic disease risk factors remain suboptimal in the United States. Mobile health units may improve detection, particularly in socially disadvantaged urban communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">The Wayne State University\/Wayne Health mobile health units program has conducted screening events across metropolitan Detroit (&gt;1000 locations) since 2020. Adults \u226518\u2009years undergo medical history assessment and may elect blood pressure (BP) and laboratory testing. We conducted a serial cross\u2010sectional analysis of electronic health records data from July 26, 2021 to September 8, 2025 to characterize the population screened.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">The median BP (122\/75\u2009mm\u2009Hg), low\u2010density lipoprotein\u2010cholesterol (103\u2009mg\/dL) and hemoglobin A1c (5.7%) were modestly elevated. Roughly half of the population had high BP (systolic \u2265130\u2009mm\u2009Hg or diastolic \u226580\u2009mm\u2009Hg; 48%; n=6182\/12821) and low\u2010density lipoprotein\u2010cholesterol levels \u2265100\u2009mg\/dL (54%; n=3860\/7115), whereas 16% had hemoglobin A1c levels \u22656.5% (n=1137\/7061). Among individuals with all 4 results (n=5393), only 4% had an ideal cardiometabolic disease risk profile (systolic BP &lt;120\u2009mm\u2009Hg\u2009+\u2009low\u2010density lipoprotein\u2010cholesterol &lt;70\u2009mg\/dL\u2009+\u2009hemoglobin A1c &lt;5.7%). Conversely, 70% had \u22651 uncontrolled cardiometabolic disease risk factor(s) (systolic BP \u2265130\u2009mm\u2009Hg or low\u2010density lipoprotein\u2010cholesterol \u2265100\u2009mg\/dL or hemoglobin A1c \u22657.0%). Older age was associated with all 4 risk factors being uncontrolled, whereas Black race was associated with uncontrolled BP and male sex with both uncontrolled BP and HbA1c.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Population screening using mobile health unit\u2010based outreach identified a high burden of cardiometabolic disease abnormalities in socially disadvantaged urban communities. These programs are potentially valuable for improving detection and enabling targeted interventions to reduce health disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.047852","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T11:15:06Z","timestamp":1778757306000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mobile Health Unit Outreach to Socially Disadvantaged Urban Communities Detects Uncontrolled Cardiometabolic Risk Factors"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8521-7262","authenticated-orcid":false,"given":"Robert D.","family":"Brook","sequence":"first","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]},{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8895-6052","authenticated-orcid":false,"given":"Steven J.","family":"Korzeniewski","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]},{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6752-3033","authenticated-orcid":false,"given":"Bethany","family":"Foster","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]},{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Kurian","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Reed","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5282-2080","authenticated-orcid":false,"given":"Anna","family":"Steinberg\u2010Abreu","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2619-2481","authenticated-orcid":false,"suffix":"II","given":"James L.","family":"Young","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-5620","authenticated-orcid":false,"given":"Phillip D.","family":"Levy","sequence":"additional","affiliation":[{"name":"Wayne State University","place":["Detroit, USA"]},{"name":"Wayne State University","place":["Detroit, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpae141"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2023.3931"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2025.101659"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.04.046"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.123.21354"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/dci20-0053"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.01.042"},{"key":"e_1_3_2_9_2","unstructured":"City Health Dashboard. Accessed 10\u20106\u201025. https:\/\/www.cityhealthdashboard.com\/mi\/detroit\/demographic\u2010detail?metricId=29&dataPeriod=2021."},{"key":"e_1_3_2_10_2","unstructured":"Wayne State University PHOENIX Prevalence Profiler View of the CDC Social Vulnerability Index Distribution. Accessed 10\u20106\u201025. https:\/\/phoenix\u2010data.wayne.edu\/map\/allmetrics\/rpl_themes\/all%20data\/tract\/basic?geo=tract26163522200&state=state26&parentgeolevel=county&zoom=10.39."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256908"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.14800"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.122.19088"},{"key":"e_1_3_2_14_2","unstructured":"Wayne State University PHOENIX Prevalence Profiler. Accessed 10\u201011\u201025. https:\/\/phoenix\u2010data.wayne.edu."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd19.210459"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000087"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000249"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpaf016"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.11.002"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S002"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2021.0289"},{"key":"e_1_3_2_22_2","unstructured":"Accessed 10\/22\/2025. https:\/\/www.mobilehealthmap.org\/."},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.059674"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.125.047852","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:37:11Z","timestamp":1789713431000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.125.047852"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,5,19]]}},"alternative-id":["10.1161\/JAHA.125.047852"],"URL":"https:\/\/doi.org\/10.1161\/jaha.125.047852","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]},"assertion":[{"value":"2025-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e047852"}}