{"id":"https://openalex.org/W7214180835","doi":"https://doi.org/10.64898/2026.09.22.26363738","title":"Assessing psychosocial adversities at Cardiovascular-Kidney-Metabolic Syndrome stages in a large population survey","display_name":"Assessing psychosocial adversities at Cardiovascular-Kidney-Metabolic Syndrome stages in a large population survey","publication_year":2026,"publication_date":"2026-09-24","ids":{"openalex":"https://openalex.org/W7214180835","doi":"https://doi.org/10.64898/2026.09.22.26363738"},"language":"en","primary_location":{"id":"doi:10.64898/2026.09.22.26363738","doi":"https://doi.org/10.64898/2026.09.22.26363738","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.22.26363738","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.64898/2026.09.22.26363738","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5152587958","display_name":"Tanvir Ahmed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tanvir Ahmed","raw_affiliation_strings":["Department of Biostatistics, Data Science and Epidemiology, School of Public Health, Augusta University, Augusta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Data Science and Epidemiology, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071301963","display_name":"Darshan Chudasama","orcid":"https://orcid.org/0000-0001-6708-602X","observed_orcids":["https://orcid.org/0000-0001-6708-602X"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Darshan Chudasama","raw_affiliation_strings":["Medical College of Georgia, Augusta University, Augusta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical College of Georgia, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014593747","display_name":"Biplab Kumar Datta","orcid":"https://orcid.org/0000-0002-2559-850X","observed_orcids":["https://orcid.org/0000-0002-2559-850X"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Biplab Datta","raw_affiliation_strings":["Department of Health Management, Economics and Policy, School of Public Health, Augusta University, Augusta, GA, USA","Institute of Public and Preventive Health, School of Public Health, Augusta University, Augusta, GA, USA"],"raw_orcid":"https://orcid.org/0000-0002-2559-850X","affiliations":[{"raw_affiliation_string":"Department of Health Management, Economics and Policy, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]},{"raw_affiliation_string":"Institute of Public and Preventive Health, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064351005","display_name":"Marlo Vernon","orcid":"https://orcid.org/0000-0002-7575-1576","observed_orcids":["https://orcid.org/0000-0002-7575-1576"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marlo Vernon","raw_affiliation_strings":["Department of Health Management, Economics and Policy, School of Public Health, Augusta University, Augusta, GA, USA","Institute of Public and Preventive Health, School of Public Health, Augusta University, Augusta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Management, Economics and Policy, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]},{"raw_affiliation_string":"Institute of Public and Preventive Health, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031271048","display_name":"Steven Scott Coughlin","orcid":"https://orcid.org/0000-0003-1704-0466","observed_orcids":["https://orcid.org/0000-0003-1704-0466"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven S. Coughlin","raw_affiliation_strings":["Department of Biostatistics, Data Science and Epidemiology, School of Public Health, Augusta University, Augusta, GA, USA","Institute of Public and Preventive Health, School of Public Health, Augusta University, Augusta, GA, USA"],"raw_orcid":"https://orcid.org/0000-0003-1704-0466","affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Data Science and Epidemiology, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]},{"raw_affiliation_string":"Institute of Public and Preventive Health, School of Public Health, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5049445146","display_name":"Jennifer C. Sullivan","orcid":"https://orcid.org/0000-0003-0541-0247","observed_orcids":["https://orcid.org/0000-0003-0541-0247"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer C. Sullivan","raw_affiliation_strings":["Department of Physiology, Medical College of Georgia, Augusta University, Augusta, GA, USA"],"raw_orcid":"https://orcid.org/0000-0003-0541-0247","affiliations":[{"raw_affiliation_string":"Department of Physiology, Medical College of Georgia, Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I25041050"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9390000104904175,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9390000104904175,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11083","display_name":"Cardiac Health and Mental Health","score":0.02160000056028366,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10027","display_name":"Diabetes, Cardiovascular Risks, and Lipoproteins","score":0.015799999237060547,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cardiovascular-kidney-metabolic-syndrome","display_name":"cardiovascular-kidney-metabolic syndrome","score":0.9290000200271606},{"id":"https://openalex.org/keywords/psychosocial-adversity","display_name":"psychosocial adversity","score":0.8629999756813049},{"id":"https://openalex.org/keywords/life-satisfaction","display_name":"life satisfaction","score":0.9660000205039978},{"id":"https://openalex.org/keywords/loneliness","display_name":"loneliness","score":0.9990000128746033},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.6840000152587891},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.9120000004768372},{"id":"https://openalex.org/keywords/psychosocial-well-being","display_name":"psychosocial well-being","score":0.8450000286102295},{"id":"https://openalex.org/keywords/chronic-disease-burden","display_name":"chronic disease burden","score":0.6840000152587891}],"concepts":[{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.8810999989509583},{"id":"https://openalex.org/C2779998236","wikidata":"https://www.wikidata.org/wiki/Q223270","display_name":"Loneliness","level":2,"score":0.7670999765396118},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5931000113487244},{"id":"https://openalex.org/C2780148112","wikidata":"https://www.wikidata.org/wiki/Q1432581","display_name":"Proxy (statistics)","level":2,"score":0.5769000053405762},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4823000133037567},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.4699000120162964},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.44119998812675476},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.43470001220703125},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4223000109195709},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.42089998722076416},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.41040000319480896},{"id":"https://openalex.org/C3017945913","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Emotional distress","level":3,"score":0.4027999937534332},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.36480000615119934},{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.33329999446868896},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3287999927997589},{"id":"https://openalex.org/C127158533","wikidata":"https://www.wikidata.org/wiki/Q983472","display_name":"Erikson's stages of psychosocial development","level":2,"score":0.31619998812675476},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.31049999594688416},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.2906000018119812},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.28459998965263367},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.27880001068115234},{"id":"https://openalex.org/C2776893239","wikidata":"https://www.wikidata.org/wiki/Q1778765","display_name":"Social isolation","level":2,"score":0.2766000032424927},{"id":"https://openalex.org/C75795011","wikidata":"https://www.wikidata.org/wiki/Q917904","display_name":"Typology","level":2,"score":0.2578999996185303},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.25380000472068787},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.2529999911785126}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.09.22.26363738","doi":"https://doi.org/10.64898/2026.09.22.26363738","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.22.26363738","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.09.22.26363738","doi":"https://doi.org/10.64898/2026.09.22.26363738","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.22.26363738","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W2004761428","https://openalex.org/W2099003584","https://openalex.org/W2160788840","https://openalex.org/W2165243546","https://openalex.org/W2336497595","https://openalex.org/W2626203448","https://openalex.org/W2754400581","https://openalex.org/W2775487393","https://openalex.org/W3034614626","https://openalex.org/W3115187265","https://openalex.org/W3123652177","https://openalex.org/W4289766535","https://openalex.org/W4387439311","https://openalex.org/W4392551820","https://openalex.org/W4393973676","https://openalex.org/W4396733463","https://openalex.org/W4400729392","https://openalex.org/W4404474139","https://openalex.org/W4406385268","https://openalex.org/W4409988550","https://openalex.org/W4410601423","https://openalex.org/W7127438114","https://openalex.org/W7168415086"],"related_works":["https://openalex.org/W4401546283","https://openalex.org/W7123356891","https://openalex.org/W4404467436","https://openalex.org/W7127438114","https://openalex.org/W7223366899","https://openalex.org/W7221769821","https://openalex.org/W7160302607","https://openalex.org/W4415794512","https://openalex.org/W7160018542","https://openalex.org/W7171713232"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Cardiovascular-Kidney-Metabolic":[2],"Syndrome":[3],"(CKMS)":[4],"is":[5,245,258],"defined":[6],"as":[7],"a":[8,33,240],"cluster":[9],"of":[10,36,42,95,137,139,225,254,309],"disease":[11],"conditions":[12,217],"that":[13,229],"are":[14],"highly":[15],"prevalent":[16],"in":[17,32,280],"the":[18,60,92,134,165,178,295],"U.S.":[19,37],"population.":[20],"This":[21,51],"study":[22,53,227],"aims":[23],"to":[24,90,105,162,188,198,238,247,282],"assess":[25],"psychosocial":[26,97,128,241,252,290],"adversities":[27],"at":[28,107,116,158,204,299],"different":[29,214],"CKMS":[30,70,101,109,118,131,175,206,233,255,302],"stages":[31,71,110,119,207,234,303],"large":[34],"survey":[35],"adults,":[38],"measured":[39],"by":[40,219],"lack":[41,138],"emotional":[43,140,311],"support,":[44,141,312],"low":[45,142,314],"life":[46,143,315],"satisfaction,":[47,144,316],"and":[48,75,113,122,145,150,171,184,191,194,213,221,261,276,284,317,327],"loneliness.":[49],"Methods":[50],"cross-sectional":[52],"used":[54],"data":[55],"on":[56],"159,511":[57],"adults":[58,106,115,230],"from":[59],"2023":[61],"Behavioral":[62],"Risk":[63],"Factor":[64],"Surveillance":[65],"System":[66],"(BRFSS)":[67],"survey.":[68],"Proxy":[69],"(0,":[72],"1,":[73,164],"2/3,":[74,177],"4)":[76,123],"were":[77,88,147,168,181,235,322],"determined":[78],"using":[79],"self-reported":[80],"health":[81],"conditions.":[82],"Separate":[83],"multivariable":[84],"logistic":[85],"regression":[86],"models":[87],"estimated":[89],"obtain":[91],"predictive":[93],"margins":[94],"respective":[96],"attributes":[98],"across":[99,211,288,324],"proxy":[100,301],"stages.":[102],"Results":[103],"Compared":[104,161],"lower":[108],"(Stages":[111,120],"0":[112,190],"1),":[114],"advanced":[117,205,232,300],"2/3":[121],"generally":[124,209],"reported":[125],"having":[126,313],"higher":[127,305],"toll.":[129,242],"At":[130,174],"stage":[132,159,163,176,189,199,278],"4,":[133],"predicted":[135,307],"probabilities":[136,308],"loneliness":[146,275],"6.96,":[148],"3.24,":[149],"10.10":[151],"percentage":[152],"points":[153],"(pp)":[154],"higher,":[155],"respectively,":[156],"than":[157],"0.":[160],"corresponding":[166,179],"differences":[167,180],"5.92,":[169],"2.89,":[170],"9.65":[172],"pp.":[173],"4.36,":[182],"1.66,":[183],"5.69":[185],"pp":[186,196],"compared":[187,197],"3.33,":[192],"1.32,":[193],"5.25":[195],"1.":[200],"The":[201],"high":[202],"burden":[203],"was":[208],"evident":[210],"sex,":[212,325],"socioeconomic":[215],"status":[216],"manifested":[218],"income":[220],"education.":[222],"Conclusions":[223],"Findings":[224],"this":[226],"suggest":[228],"with":[231,267],"more":[236],"likely":[237],"experience":[239],"Further":[243],"research":[244,272],"warranted":[246],"facilitate":[248],"strategies":[249],"for":[250],"improving":[251],"wellbeing":[253],"patients.":[256],"What":[257,294],"Known":[259],"Loneliness":[260],"social":[262],"isolation":[263],"have":[264],"been":[265],"associated":[266],"adverse":[268],"cardiovascular":[269],"outcomes.":[270],"Prior":[271],"has":[273],"examined":[274],"CKM":[277],"together":[279],"relation":[281],"depression":[283],"anxiety,":[285],"but":[286],"evidence":[287],"other":[289],"outcomes":[291],"remains":[292],"limited.":[293],"Study":[296],"Adds":[297],"Adults":[298],"had":[304],"adjusted":[306],"lacking":[310],"feeling":[318],"lonely.":[319],"These":[320],"patterns":[321],"observed":[323],"income,":[326],"education":[328],"groups.":[329]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-09-25T00:00:00"}
