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A Zip Code Tabulation Area-Level Analysis of Food Insecurity and Social Determinants of Coronary Heart Disease in California

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Abstract

Coronary heart disease (CHD) is the most common type of cardiovascular disease (CVD), affecting 7.2% of adults ≥ 20 years of age in the United States (U.S.). CHD prevalence is disproportionately high amongCalifornia’s (CA) racial and ethnic minority populations. Social determinants of health (SDOH) play a significant role in CHD and CVD risk factors, which have a higher prevalence among Hispanics and Blacks. Among the key SDOH that drive disparities in CHD is access to nutritious food. There are barriers to the availability of foods that support healthy eating patterns, such as living in a “food desert,” or low-income areas where nutritious food sources are limited. Other SDOH associated with CHD outcomes include socioeconomic (SES) factors, such as education andhealth insurance status.

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