Race, discrimination, and cardiovascular disease.

Race, discrimination, and cardiovascular disease.
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DOI:
10.1001/virtualmentor.2014.16.06.stas2-1406
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发表时间:
2014-06-01
期刊:
The virtual mentor : VM
影响因子:
--
通讯作者:
Cooper, Lisa A
Cooper, Lisa A
中科院分区:
其他
文献类型:
--
作者:
Brewer, LaPrincess C;Cooper, Lisa A

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It is now well documented that there are profound race-associated disparities among those who are affected by and die from cardiovascular disease (CVD)[1]. These disparities are deeply rooted within the history of race and medicine in the US. Blacks continue to have the highest burden of coronary heart disease (CHD) mortality among all ethnic groups in the US [2], despite an overall decline in CHD-related mortality among the general population [3]. Black patients also have a higher prevalence of CVD risk factors (eg, diabetes, hypertension, hyperlipidemia, and obesity) than white patients [4]. This persistent incongruity has compelled investigators to look beyond traditional risk factors for CVD towards psychosocial risk factors in an effort to better comprehend and offer solutions to the issue [4]. Individual psychological stress has emerged as a potential nontraditional CVD risk factor that has garnered much attention [5]. There is a growing interest in elucidating how chronic exposure to racial/ethnic discrimination, a psychosocial stressor, contributes to observed CVD and cardiovascular care disparities.