Disparities in cardiovascular disease among Caribbean populations: a systematic literature review.
Disparities in cardiovascular disease among Caribbean populations: a systematic literature review.
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DOI：
10.1186/s12889-015-2166-7
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发表时间：
2015-08-28
影响因子：
4.5
通讯作者：
US Caribbean Alliance for Health Disparities Research Group
中科院分区：
文献类型：
--
作者：
Francis DK;Bennett NR;Ferguson TS;Hennis AJ;Wilks RJ;Harris EN;MacLeish MM;Sullivan LW;US Caribbean Alliance for Health Disparities Research Group
心血管疾病（CVD）是全球死亡的主要原因。发达国家和发展中国家在疾病负担的分布方面存在巨大的健康差距，这日益令人关切。这一关切的核心是，在社会弱势群体和种族/族裔少数群体中，结果不佳的情况不成比例。这项研究的目的是进行系统的文献审查，调查非洲裔加勒比人口中心血管疾病健康差异的性质，并确定目前的知识差距。开发了一项系统性文献综述，包括详细的检索策略，以检索MEDLINE和其他研究数据库。使用先验方案，检索和筛选同行评审的出版物和灰色文献文章，并由两位独立的综述作者提取相关数据。根据心血管疾病的结果和差异的措施，包括年龄，性别，种族和社会经济地位进行专题分析。检索到665篇文章，其中22篇符合纳入标准。大多数研究在英国进行，并集中在种族，年龄和性别的CVD患病率。确定的一个重要次主题是保健服务利用/住院方面的差距。与高加索人和东南亚族裔群体相比，非洲裔加勒比人中冠心病（CHD）和外周动脉疾病（PAD）的患病率较低。CHD的患病率范围从非洲裔加勒比人的0- 7%到高加索人的2- 22%。中风在非洲裔加勒比人中更为常见。关于非裔加勒比人口心血管疾病发病率和死亡率的数据不足，特别是在整个社会经济梯度中。不同种族人群CVD的发病率和死亡率存在重要差异。重要的知识差距仍然在理解心血管疾病的这些差异的社会决定因素。需要进行更多研究，通过不同的差异指标来探索这些差距。本文的在线版本（doi：10.1186/s12889-015-2166-7）包含补充材料，可供授权用户使用。
Cardiovascular diseases (CVD) are the predominant cause of death globally. The large health disparities in the distribution of the burden of disease seen in developed and developing countries are of growing concern. Central to this concern is the poor outcome which is seen disproportionately in socially disadvantaged groups and racial/ethnic minorities. The aim of the study was to conduct a systematic literature review to investigate the nature of cardiovascular disease health disparities among Afro-Caribbean origin populations and identify current knowledge gaps. A systematic literature review including a detailed search strategy was developed to search MEDLINE and other research databases. Using an a priori protocol peer-reviewed publications and grey literature articles were retrieved and screened and relevant data extracted by two independent review authors. Thematic analysis was done according to CVD outcomes and measures of disparity including age, sex, ethnicity and socioeconomic status. The search retrieved 665 articles of which 22 met the inclusion criteria. Most studies were conducted in the United Kingdom and centered on the prevalence of CVD by ethnicity, age and sex. An important sub-theme identified was the disparities in health service utilization/hospital admission. Coronary Heart Disease (CHD) and Peripheral Arterial Disease (PAD) were less prevalent among Afro-Caribbeans compared to Caucasian and South East Asian ethnic groups. The prevalence of CHD ranged from 0–7 % in Afro-Caribbean to 2–22 % in Caucasians. Strokes were more common among Afro-Caribbeans. There are inadequate data on morbidity and mortality from CVD, particularly across the socio-economic gradient, in Afro-Caribbean populations. There are important differences in morbidity and mortality from CVD across ethnic groups. Important knowledge gaps remain in understanding the social determinants of these disparities in CVD. More research exploring these gaps by varying disparity indicators needs to be undertaken. The online version of this article (doi:10.1186/s12889-015-2166-7) contains supplementary material, which is available to authorized users.