<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Sal Públ]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662023000300008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Determinantes sociales de salud y mortalidad por enfermedad cardiovascular en adultos mayores]]></article-title>
<article-title xml:lang="en"><![CDATA[Social Determinants of Health and Mortality from Cardiovascular Disease in Older Adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hierrezuelo Rojas]]></surname>
<given-names><![CDATA[Naifi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Del Rio Caballero]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Magdariaga]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonal Ruiz]]></surname>
<given-names><![CDATA[Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila Vázquez]]></surname>
<given-names><![CDATA[Marileydis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Policlínico &#8220;Ramón López Peña&#8221;  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Desarrollo Hospital Clínico Quirúrgico &#8220;Dr. Joaquín Castillo Duany&#8221;  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico &#8220;Camilo Torres Restrepo&#8221; Servicio Asistencia Médica ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>49</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662023000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662023000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662023000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La etiología y patogénesis de las enfermedades cardiovasculares son multifactoriales, complejas e individuales y van apareciendo a lo largo del tiempo. Su desarrollo y progreso hasta la muerte ocurren bajo la influencia de los determinantes individuales y sociales de salud  Objetivo:  Identificar los determinantes sociales de salud asociados a la mortalidad por enfermedad cardiovascular en adultos mayores.  Métodos: Se realizó un estudio analítico observacional, retrospectivo de tipo caso- control, en pacientes adultos mayores pertenecientes a tres áreas de salud del municipio Santiago de Cuba durante el año 2021. La población de estudio estuvo constituida por 357 pacientes que fallecieron por una enfermedades cardiovasculares de tipo ateroesclerótica, cardiopatía isquémica y enfermedad cerebrovascular (casos), y otro grupo de pacientes adultos mayores vivos que padecen de dichas enfermedades (controles). Para comprobar la fortaleza de asociación entre variables cualitativas fue seleccionada la prueba no paramétrica ji al cuadrado de Pearson. Se empleó un nivel de significación del 5 %.  Resultados: El bajo ingreso económico, las malas condiciones de vida, la poca accesibilidad a los alimentos saludables, el apoyo familiar, disfuncionalidad familiar y variables relacionadas con la calidad de la atención médica mostraron una asociación estadística significativa con la mortalidad.  Conclusiones: Existe una relación entre los determinantes sociales de salud y la mortalidad por enfermedades cardiovasculares, con una mayor contribución de los factores económicos, familiares y calidad de la atención médica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The etiology and pathogenesis of cardiovascular diseases are multifactorial, complex and specific, which appear over time. Its development and progression to death occur under the influence of health specific and social determinants.  Objective: To identify the health social determinants associated with mortality from cardiovascular diseases in older adults.  Methods:  An observational, retrospective, case-control analytical study was carried out on older adult patients of three health areas of Santiago de Cuba municipality during 2021. The study population consisted of 357 patients who died from one of cardiovascular diseases of the atherosclerotic type, ischemic heart disease and cerebrovascular disease (cases), and another group of living older adult patients who suffer from these diseases (controls). In order to check the association strength among qualitative variables, the non-parametric Pearson chi-square test was selected. A 5% significance level was used.  Results:  Low income, poor living conditions, poor accessibility to healthy foods, family support, family dysfunction and variables related to the quality of medical care showed significant statistical association with mortality.  Conclusions:  There is a relationship between social determinants of health and mortality from cardiovascular diseases, with greater contribution from economic and family factors and quality of medical care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[enfermedad cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[determinantes sociales de salud]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[older adult]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular disease]]></kwd>
<kwd lng="en"><![CDATA[social determinants of health]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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