Impact of Neighborhood on Cardiovascular Health: A Contemporary Narrative Review.
Impact of Neighborhood on Cardiovascular Health: A Contemporary Narrative Review.
复制标题
社区对心血管健康的影响：当代叙事回顾。
DOI：
10.1007/s11886-023-01919-1
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发表时间：
2023
影响因子：
3.7
通讯作者：
Magnani,JaredW
中科院分区：
文献类型：
--
作者：
Fullin,Kerianne;Keen,Susan;Harris,Kathryn;Magnani,JaredW
综述的目的本文综述了与心血管健康有关的邻里特征的方法;当代有关邻里因素与心血管风险和疾病的研究;和倡议，以支持以社区为基础的干预措施，以解决社区为基础的社会决定因素有关的心血管健康。最近的调查结果社区的特点可能是人口普查派生的措施，地理空间数据，历史数据库，以及合并来自电子医疗记录和健康信息交换数据库的数据的度量。目前的研究已经研究了社区决定因素，包括种族隔离，获得医疗保健和食物，教育机会，物理和建筑环境以及社会环境，以及它们与心血管健康和相关结果的关系。以社区为基础的干预措施有可能缓解健康差距，但仍然有限的实施challenges.SummaryConsideration邻里背景下是必不可少的干预措施，以预防心血管疾病（CVD）和促进健康公平的设计。与社区利益相关者的伙伴关系可能会加强解决以社区为基础的健康决定因素的方案的实施。
Purpose of ReviewThis review summarizes approaches towards neighborhood characterization in relation to cardiovascular health; contemporary investigations relating neighborhood factors to cardiovascular risk and disease; and initiatives to support community-based interventions to address neighborhood-based social determinants related to cardiovascular health.Recent FindingsNeighborhoods may be characterized by Census-derived measures, geospatial data, historical databases, and metrics that incorporate data from electronic medical records and health information exchange databases. Current research has examined neighborhood determinants spanning racial segregation, access to healthcare and food, educational opportunities, physical and built environment, and social environment, and their relations to cardiovascular health and associated outcomes. Community-based interventions have potential to alleviate health disparities but remain limited by implementation challenges.SummaryConsideration of neighborhood context is essential in the design of interventions to prevent cardiovascular disease (CVD) and promote health equity. Partnership with community stakeholders may enhance implementation of programs addressing neighborhood-based health determinants.