Importance of Housing and Cardiovascular Health and Well-Being: A Scientific Statement From the American Heart Association
Importance of Housing and Cardiovascular Health and Well-Being: A Scientific Statement From the American Heart Association
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DOI：
10.1161/hcq.0000000000000089
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发表时间：
2020-08-01
影响因子：
6.9
通讯作者：
Suglia, Shakira F.
中科院分区：
文献类型：
--
作者：
Sims, Mario;Kershaw, Kiarri N.;Suglia, Shakira F.
心血管疾病的差异是由不同种族和民族的风险因素的差异形成的。住房仍然是健康的一个重要社会决定因素。本声明的目的是回顾和总结研究住房状况与心血管健康和整体健康的关系。PubMed/Medline、疾病控制和预防中心数据、美国人口普查数据、科克伦图书馆评论以及美国心脏协会的年度心脏病和中风统计报告被用来识别检验住房与心血管健康和整体福祉之间关系的实证研究。健康受到住房的四个突出方面的影响：稳定性，质量和安全性，负担能力和可获得性以及邻里环境。弱势群体和得不到充分服务的群体受到住房无保障和无家可归的不利影响，面临着住房质量差和不安全的风险，面临着限制获得负担得起的住房的结构性障碍，并面临着生活在与心血管疾病有关的建筑环境不达标的地区的风险。将选择途径与心血管健康联系起来的研究相对较强，但其他住房途径和心血管健康方面的研究差距仍然存在。消除心血管疾病差距的努力最近强调了健康的社会决定因素的重要性。住房是心血管健康和福祉的一个突出的社会决定因素，在评估减少和消除种族/族裔和社会经济差距的预防工作时应予以考虑。
Cardiovascular disease disparities are shaped by differences in risk factors across racial and ethnic groups. Housing remains an important social determinant of health. The objective of this statement is to review and summarize research that has examined the associations of housing status with cardiovascular health and overall health. PubMed/Medline, Centers for Disease Control and Prevention data, US Census data, Cochrane Library reviews, and the annual Heart Disease and Stroke Statistics report from the American Heart Association were used to identify empirical research studies that examined associations of housing with cardiovascular health and overall well-being. Health is affected by 4 prominent dimensions of housing: stability, quality and safety, affordability and accessibility, and neighborhood environment. Vulnerable and underserved populations are adversely affected by housing insecurity and homelessness, are at risk for lower-quality and unsafe housing conditions, confront structural barriers that limit access to affordable housing, and are at risk for living in areas with substandard built environment features that are linked to cardiovascular disease. Research linking select pathways to cardiovascular health is relatively strong, but research gaps in other housing pathways and cardiovascular health remain. Efforts to eliminate cardiovascular disease disparities have recently emphasized the importance of social determinants of health. Housing is a prominent social determinant of cardiovascular health and well-being and should be considered in the evaluation of prevention efforts to reduce and eliminate racial/ethnic and socioeconomic disparities.