Julian Acosta

Research Fellow, Yale University

2 active projects

Determinants of cardiovascular disease across minority populations V4

Cardiovascular disease (CVD) are responsible for a substantial proportion of the morbidity and mortality observed in the general population. Mounting evidence indicates that this impact disproportionately affects minority populations. This disproportionate effect is not only present in minorities defined by…

Scientific Questions Being Studied

Cardiovascular disease (CVD) are responsible for a substantial proportion of the morbidity and mortality observed in the general population. Mounting evidence indicates that this impact disproportionately affects minority populations. This disproportionate effect is not only present in minorities defined by race/ethnicity, but also in those defined by age, sexual orientation, and other characteristics. The main questions of this study are: (1) can we use All of US to identify novel risk factors for cardiovascular disease that are specific to a given minority group? (2) Are existing risk factors for CVD shared across all minority groups? (3) How do the effects of these risk factors vary when considering more than one minority group? These questions are important to (1) identify groups of persons at particularly high risk of sustaining these conditions that may benefit from tailored diagnostic and therapeutic interventions; and (2) identify new treatments for these conditions.

Project Purpose(s)

  • Disease Focused Research (cardiovascular system disease)
  • Population Health
  • Social / Behavioral
  • Ancestry

Scientific Approaches

We will use the All of US dataset V4. We will identify variables that represent (1) cardiovascular disease (myocardial infarction, coronary artery disease, stroke); (2) all the known risk factors for each of these conditions; (3) physiological variables that either define a risk factor or are associated with risk of cardiovascular disease (blood pressure, cholesterol levels, hemoglobin A1C); and (4) identify the minority groups of interest. We will use linear and logistic regression to test for association between risk factors and the conditions of interest.

Anticipated Findings

We expect to find that: (1) a substantial number of the known vascular risk factors increase risk of cardiovascular disease in across all evaluated groups; (2) known risk factors for cardiovascular disease disproportionately affect some minority groups; and (3) the effect of these risk factors will be stronger in some minority groups. These findings will helps us to (1) identify groups of persons at particularly high risk of sustaining these conditions that may benefit from tailored diagnostic and therapeutic interventions; and (2) identify new treatments for these conditions.

Demographic Categories of Interest

  • Race / Ethnicity
  • Age
  • Sex at Birth
  • Gender Identity
  • Sexual Orientation
  • Geography
  • Disability Status
  • Access to Care
  • Education Level
  • Income Level

Research Team

Owner:

Collaborators:

  • Zachariah Demarais - Graduate Trainee, Yale University
  • Daniela Renedo - Research Fellow, Yale University
  • Cyprien Rivier - Research Fellow, Yale University
  • Carolyn Conlon - Graduate Trainee, Yale University

Determinants of cardiovascular disease across minority populations

Cardiovascular disease (CVD) are responsible for a substantial proportion of the morbidity and mortality observed in the general population. Mounting evidence indicates that this impact disproportionately affects minority populations. This disproportionate effect is not only present in minorities defined by…

Scientific Questions Being Studied

Cardiovascular disease (CVD) are responsible for a substantial proportion of the morbidity and mortality observed in the general population. Mounting evidence indicates that this impact disproportionately affects minority populations. This disproportionate effect is not only present in minorities defined by race/ethnicity, but also in those defined by age, sexual orientation, and other characteristics. The main questions of this study are: (1) can we use All of US to identify novel risk factors for cardiovascular disease that are specific to a given minority group? (2) Are existing risk factors for CVD shared across all minority groups? (3) How do the effects of these risk factors vary when considering more than one minority group? These questions are important to (1) identify groups of persons at particularly high risk of sustaining these conditions that may benefit from tailored diagnostic and therapeutic interventions; and (2) identify new treatments for these conditions.

Project Purpose(s)

  • Disease Focused Research (cardiovascular system disease)
  • Population Health
  • Social / Behavioral
  • Ancestry

Scientific Approaches

We will use the All of US dataset V3. We will identify variables that represent (1) cardiovascular disease (myocardial infarction, coronary artery disease, stroke); (2) all the known risk factors for each of these conditions; (3) physiological variables that either define a risk factor or are associated with risk of cardiovascular disease (blood pressure, cholesterol levels, hemoglobin A1C); and (4) identify the minority groups of interest. We will use linear and logistic regression to test for association between risk factors and the conditions of interest.

Anticipated Findings

We expect to find that: (1) a substantial number of the known vascular risk factors increase risk of cardiovascular disease in across all evaluated groups; (2) known risk factors for cardiovascular disease disproportionately affect some minority groups; and (3) the effect of these risk factors will be stronger in some minority groups. These findings will helps us to (1) identify groups of persons at particularly high risk of sustaining these conditions that may benefit from tailored diagnostic and therapeutic interventions; and (2) identify new treatments for these conditions.

Demographic Categories of Interest

  • Race / Ethnicity
  • Age
  • Sex at Birth
  • Gender Identity
  • Sexual Orientation
  • Geography
  • Disability Status
  • Access to Care
  • Education Level
  • Income Level

Research Team

Owner:

Collaborators:

  • Zachariah Demarais - Graduate Trainee, Yale University
  • Carolyn Conlon - Graduate Trainee, Yale University
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