Informing Policy for Reducing Stroke Health Disparities from the Experience of African-American Male Stroke Survivors.
Informing Policy for Reducing Stroke Health Disparities from the Experience of African-American Male Stroke Survivors.
复制标题
从非裔美国男性中风幸存者的经验中了解减少中风健康差异的政策。
DOI：
10.1007/s40615-015-0171-2
复制
发表时间：
2016
影响因子：
3.9
通讯作者：
Sajatovic,Martha
中科院分区：
文献类型：
--
作者：
Perzynski,Adam;Blixen,Carol;Cage,Jamie;Colón-Zimmermann,Kari;Sajatovic,Martha
背景非裔美国人中风的负担很重。尽管自2000年以来中风率总体下降，但非洲裔美国男性的结局基本上没有改善或恶化。不利的心理社会挑战可能会阻碍坚持一个方案的风险因素reduction.Methods和ResultsFocus组分析相结合，审查目前公布的指南和流行病学证据的风险因素，以更好地了解中风的健康差距和潜在的政策解决方案。分析了三个焦点小组的成绩单，其中包括10名65岁以下的非洲裔美国男性卒中幸存者及其护理伙伴（N= 7），并与现有的已发表数据进行了比较：（a）卒中负担（B）临床危险因素的趋势，以及（c）行为危险因素的趋势。与会者描述了无数的心理障碍，阻碍减少风险指标，包括低信任供应商，社会支持差，访问困难，抑郁症，和distress.ConclusionsIn为了有效，政策和方案必须针对机制一致的非洲裔美国人所面临的挑战。需要基础设施来更好地识别和分享有效改善特定种族和民族人群心血管结局的实践。
BackgroundThe burden of stroke is severe among African-Americans. Despite overall declines in the rate of stroke since 2000, outcomes are largely unimproved or have worsened for African-American men. Adverse psychosocial challenges may hinder adherence to a regimen of risk factor reduction.Methods and ResultsFocus group analysis was combined with a review of current published guidelines and epidemiologic evidence on risk factors to better understand stroke health disparities and potential policy solutions. Transcripts from three focus groups with ten African-American male stroke survivors under age 65 and their care partners (N= 7) were analyzed and compared with existing published data on (a) the burden of stroke (b) trends in clinical risk factors, and (c) trends in behavioral risk factors. Participants described myriad psychosocial barriers that impede reduction of risk indicators, including low trust in providers, poor social support, access difficulties, depression, and distress.ConclusionsIn order to be effective, policies and programs must target mechanisms consistent with the challenges faced by African-American men. Infrastructure is needed to better identify and share practices effective for improving cardiovascular outcomes within specific racial and ethnic groups.