Reducing Cardiovascular Disparities Through Community-Engaged Implementation Research: A National Heart, Lung, and Blood Institute Workshop Report.
Reducing Cardiovascular Disparities Through Community-Engaged Implementation Research: A National Heart, Lung, and Blood Institute Workshop Report.
复制标题
通过社区参与的实施研究减少心血管差异：国家心脏，肺和血液研究所研讨会报告。
DOI：
10.1161/circresaha.117.312243
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发表时间：
2018-01-19
影响因子：
20.1
通讯作者：
Pérez-Stable EJ
中科院分区：
文献类型：
--
作者：
Mensah GA;Cooper RS;Siega-Riz AM;Cooper LA;Smith JD;Brown CH;Westfall JM;Ofili EO;Price LN;Arteaga S;Green Parker MC;Nelson CR;Newsome BJ;Redmond N;Roper RA;Beech BM;Brooks JL;Furr-Holden D;Gebreab SY;Giles WH;James RS;Lewis TT;Mokdad AH;Moore KD;Ravenell JE;Richmond A;Schoenberg NE;Sims M;Singh GK;Sumner AE;Treviño RP;Watson KS;Avilés-Santa ML;Reis JP;Pratt CA;Engelgau MM;Goff DC Jr;Pérez-Stable EJ
心血管疾病的不平等在美国仍然很普遍。在基于性别、种族、民族、社会经济地位(SES)、教育程度、出生地或地理位置的人口群体中，疾病负担明显不平等。尽管在过去50年里，所有人口群体的心血管疾病(CVD)死亡率显著下降，但性别、种族、民族和地理位置仍然存在很大差异。最近来自建模研究、链接的微图和小区域分析的数据也表明，各州和县之间的心血管疾病死亡率存在显著差异，美国东南部和阿巴拉契亚地区的疾病负担尤其严重。尽管存在这些持续的差异，但在这些高负担人群中进行的大规模干预研究很少，以检查减少或消除心血管差异的可行性。为了应对这一挑战，2017年6月22日至23日，国家心肺血液研究所(NHLBI)召集了来自生物医学、行为、环境、实施和社会科学背景的专家，总结了对心血管疾病差异的了解现状，并提出了与NHLBI使命相一致的干预战略。本报告介绍了研讨会讨论的主题、挑战、机会、现有资源和建议采取的行动。
Cardiovascular disparities remain pervasive in the US. Unequal disease burden is evident among population groups based on sex, race, ethnicity, socioeconomic status (SES), educational attainment, nativity, or geography. Despite the significant declines in cardiovascular disease (CVD) mortality rates in all demographic groups over the last 50 years, large disparities remain by sex, race, ethnicity, and geography. Recent data from modeling studies, linked micromap plots, and small-area analyses also demonstrate prominent variation in CVD mortality rates across states and counties, with an especially high disease burden in the southeast US and Appalachia. Despite these continued disparities, few large-scale intervention studies have been conducted in these high-burden populations to examine the feasibility of reducing or eliminating cardiovascular disparities. To address this challenge, on June 22-23, 2017, the National Heart, Lung, and Blood Institute (NHLBI) convened experts from a broad range of biomedical, behavioral, environmental, implementation, and social science backgrounds to summarize the current state of knowledge of CVD disparities and propose intervention strategies aligned with the NHLBI mission. This report presents the themes, challenges, opportunities, available resources and recommended actions discussed at the workshop.