Jihane Hajj
Widener University, USAPresentation Title:
Associations of neighborhood environments and socioeconomic status with subclinical atherosclerosis: An integrative review
Abstract
Background: A limited understanding exists on the associations of neighborhood environment with subclinical atherosclerosis and its progression.
Purpose: The purpose of this integrative review was to explore associations of neighborhood environments and socioeconomic status (SES) with subclinical atherosclerosis and its long-term progression.
Results: Three themes were identified: environmental exposure affects the natural history of atherosclerosis, neighborhood characteristics are associated with subclinical atherosclerosis, and individual SES is associated with development and progression of subclinical atherosclerosis more so than neighborhood SES. Some variations in results were noted based on the vascular site examined.
Clinical Implications: Disadvantaged neighborhoods and low SES are associated with greater subclinical atherosclerosis. Inconsistencies in a few studies seemed to be related to lack of coronary artery progression among the relatively young adults. This suggests further examination is needed of the contextual associations of neighborhood and SES with markers of generalized atherosclerosis, such as carotid intima-media thickness
Biography
Dr. Jihane Hajj has serves as an Associate Professor of Nursing at Widener University since 2015. Her research is rooted in primary cardiovascular prevention, with a focus on identifying factors that influence the risk of developing subclinical cardiovascular disease. In collaboration with colleagues and the FH Foundation, she utilized machine learning algorithms to help identify individuals with suspected familial hypercholesterolemia. Dr. Hajj also has a strong interest in big data analysis. She worked alongside research partners to query and analyze large healthcare databases, providing valuable insights into how well clinicians adhere to national cardiovascular guidelines aimed at reducing disease risk. As part of her commitment to leadership in the field, Dr. Hajj was awarded a prestigious fellowship for leadership training at Duke University. Her fellowship project explored how healthcare providers manage subclinical atherosclerosis, further contributing to the understanding and improvement of cardiovascular care practices.
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