Advancing Equity in Blood Pressure Control: A Response to the Surgeon General's Call-to-Action.
Advancing Equity in Blood Pressure Control: A Response to the Surgeon General's Call-to-Action.
复制标题
促进血压控制的公平性：响应卫生局局长的行动号召。
DOI：
10.1093/ajh/hpab187
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发表时间：
2022
影响因子：
3.2
通讯作者：
Commodore-Mensah,Yvonne
中科院分区：
文献类型：
--
作者：
Colvin,CalvinL;Kalejaiye,Ayoola;Ogedegbe,Gbenga;Commodore-Mensah,Yvonne
高血压是心血管疾病的既定危险因素。虽然控制血压可以降低心血管和中风死亡率以及靶器官损伤，但血压控制不佳仍然是临床和公共卫生的挑战。此外，种族和民族差异的高血压的结果是有据可查的。2020年10月，美国卫生与公众服务部发布了卫生部长控制高血压的行动呼吁。除其他优先事项外，《呼吁血压控制》强调，需要消除高血压治疗和控制方面的差距，并解决作为血压控制和治疗不平等根源的社会决定因素。为了支持《行动呼吁》中设定的目标，本文综述了高血压和血压控制方面的种族、民族和社会经济差异的当代研究;描述了通过解决健康的社会决定因素改善少数民族人群血压控制的干预措施和政策;并提出了实现高血压和血压控制公平的下一步措施。
Hypertension is an established risk factor for cardiovascular disease. Although controlling blood pressure reduces cardiovascular and stroke mortality and target organ damage, poor blood pressure control remains a clinical and public health challenge. Furthermore, racial and ethnic disparities in the outcomes of hypertension are well documented. In October of 2020, the U.S. Department of Health and Human Services publishedThe Surgeon General’s Call to Action to Control Hypertension. TheCall to Actionemphasized, among other priorities, the need to eliminate disparities in the treatment and control of high blood pressure and to address social determinants as root causes of inequities in blood pressure control and treatment. In support of the goals set in theCall to Action, this review summarizes contemporary research on racial, ethnic, and socioeconomic disparities in hypertension and blood pressure control; describes interventions and policies that have improved blood pressure control in minoritized populations by addressing the social determinants of health; and proposes next steps for achieving equity in hypertension and blood pressure control.