{"doi":"10.1161/circulationaha.122.061112","title":"Centering Patient Voices Through Community Engagement in Cardiovascular Research","abstract":"We are experiencing converging pandemics.The coronavirus disease 2019 (COVID-19) pandemic has highlighted and exacerbated the cardiometabolic disease pandemics globally.Obesity, diabetes, and cardiovascular disease (CVD) prevalence remains stagnant or is rising across populations and geographic regions.These pandemics intersect in the midst of increasingly glaring social inequities and systemic discrimination that promote health disparities across racial/ethnic and sex/gender groups. 1 Moreover, persistent disparities in CVD outcomes emphasize the critical role of social determinants of health (SDH), or socioeconomic, environmental, and psychosocial factors to which we are exposed over the life course, in defining health care access and CVD outcomes. 2We can characterize obesity, diabetes, and CVD as parts of a syndemic, with these diseases acting synergistically to worsen population health and the effects of these converging diseases defined by SDH (Figure).A syndemic is also characterized by diseases in which biologic pathways connect social and psychological factors to clinical outcomes. 3A syndemic approach to the treatment of obesity, diabetes, and CVD may help to frame potential solutions to improve population-level cardiometabolic health. 4e current clinical care model on which we have relied to reduce CVD mortality, in which patients are required to access treatment and preventive care in the clinical setting, will not be sufficient to stem the tide of worsening and interrelated cardiometabolic diseases.Our current care model does not work in a syndemic given that it depends on solutions that have not been designed to account for structural barriers to health care access","journal":"Circulation","year":2023,"id":358077,"datarank":0.37273599746820013,"base_score":2.4849066497880004,"endowment":2.4849066497880004,"self_citation_contribution":0.37273599746820013,"citation_network_contribution":0.0,"self_endowment_contribution":0.37273599746820013,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":11,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.953,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":281794,"name":"Tiffany M. Powell‐Wiley","orcid":"0000-0001-9488-4131","position":0,"is_corresponding":true}],"reference_count":7,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T01:13:43.629667Z","pmid":"36622908","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}