Document Type
Article
Source Publication Title
Preventive Medicine
Abstract
Objective: Structural and COVID-related factors have been linked with the decline in preventive health screenings among adults. However, associations between psychosocial factors and undergoing preventive cardiovascular screening are not fully known. The current study examined associations between psychosocial factors and preventive cardiovascular screening among U.S. adults. Methods: We used data from the 2023 National Health Interview Survey (N = 23,428). Data were collected from January to December from adults living in U.S. Preventive cardiovascular (CV) screening (i.e., blood pressure, cholesterol, or blood sugar level) was defined as no screening, and undergoing screening for any CV risk within the past year. Psychosocial factors were defined as discrimination, life satisfaction, and depression. Multivariable logistic regression models examined the associations between psychosocial factors and preventive cardiovascular screening, adjusted for sociodemographic characteristics. Results: Adults with diagnosis of depression (OR: 1.93, 95 % CI: 1.65–2.25) had higher odds of undergoing screening for any CV risk. Adults who experienced discrimination had lower odds of undergoing screening for cholesterol (OR: 0.77, 95 % CI: 0.71–0.84) and blood sugar level specifically (OR: 0.78, 95 % CI: 0.72–0.85), while life dissatisfaction was associated with lower odds of screening for blood pressure (OR: 0.76, 95 % CI: 0.58–0.99) and blood sugar level specifically (OR: 0.80, 95 % CI: 0.65–0.97). Conclusions: Discrimination and life dissatisfaction were associated with decreased odds of undergoing specific preventive cardiovascular screening, and depression is associated with increased odds of undergoing any preventive cardiovascular screening. Equitable health care policies focused on a
DOI
https://doi.org/10.1016/j.ypmed.2025.108272
Publication Date
4-2025
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Agbonlahor, Osayande; Gamble, Abigail; Compretta, Caroline; Mann, Joshua R.; and Faruque, Fazlay, "Psychosocial factors and associations with preventive cardiovascular screening among U.S adults: Findings from the National Health Interview Survey, 2023☆" (2025). Preventive Medicine Publications. 1.
https://digitalcollections.umc.edu/som-preventivemedicine/1
