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Updated: Mar 15, 2026

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Cardiovascular Health and Financial Hardship: Protocol for a Qualitative Citizen Science Study.

Dagmar Niewold1, Evy C E van Gestel2,3, Latifa Abidi3

  • 1Independent scholar, Amersfoort, Utrecht, The Netherlands.

JMIR Research Protocols
|March 13, 2026
PubMed
Summary

Financial hardship significantly increases cardiovascular disease (CVD) risk. This citizen science study explores how financial problems lead to CVD development and delayed diagnosis, aiming to reduce health inequalities.

Keywords:
cardiovascular diseasecitizen sciencequalitative researchsocioeconomic statuswomen’s health

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Area of Science:

  • Public Health
  • Health Disparities
  • Citizen Science

Background:

  • Cardiovascular disease (CVD) is a leading global cause of death.
  • Financial hardship is linked to a higher risk of developing CVD.
  • Limited insight exists into the experiences of individuals with financial hardship regarding CVD, particularly women.

Purpose of the Study:

  • To investigate the relationship between financial hardship and CVD.
  • To understand the mechanisms and contexts linking financial problems to CVD development and late recognition.
  • To enable earlier recognition and prevention of CVD in both men and women experiencing financial hardship.

Main Methods:

  • Utilizing a citizen science approach with qualitative lifeline interviews conducted by individuals with lived experience of financial hardship.
  • Employing methods such as photo elicitation, critical-creative hermeneutic analysis, and design thinking.
  • Facilitating collaboration between citizen scientists and professional scientists through weekly meetings and a dynamic learning agenda.

Main Results:

  • Data collection is ongoing, with initial qualitative interviews commenced.
  • Analysis of collected data is planned for 2026.
  • Manuscripts detailing findings and process evaluations are anticipated in 2027.

Conclusions:

  • The study aims to develop actionable recommendations for stakeholders to prevent CVD and improve early detection among financially disadvantaged populations.
  • Emphasis will be placed on considering sex and gender differences in all analyses and recommendations.
  • The research has the potential to contribute to reducing health inequalities associated with CVD.