Cardiovascular Disease in Hispanics/Latinos in the United States.
Cardiovascular Disease in Hispanics/Latinos in the United States.
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DOI：
10.1037/lat0000056
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发表时间：
2016-05
期刊：
影响因子：
--
通讯作者：
Rodriguez CJ
中科院分区：
文献类型：
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作者：
Balfour PC Jr;Ruiz JM;Talavera GA;Allison MA;Rodriguez CJ
对于所有群体而言，心血管疾病（CVD）是美国和西方世界死亡率的主要原因，一个例外：CVD是西班牙裔/拉丁美洲人的第二名死亡原因，而拉丁美洲人的总体癌症率相对于非 - 西班牙裔白人（NHWS）。尽管风险因素的特征明显较差，其标志性的传统和非传统决定因素率较高，但拉丁美洲人相对NHWS中的某些CVD患病率和死亡率显着降低。这些发现支持在拉丁美洲人中特别了解CVD的需求，以便更好地记录患病率，适当地模拟风险和韧性，并改善对干预工作的目标。目前的目的是在拉丁美洲人中对CVD进行最先进的评论，包括对流行病学证据，危险因素的普遍性以及对数据的广度和质量的评估。有关当前风险模型的普遍性，与CVD相关的西班牙裔悖论，促进心理社会和社会文化因素以及未来的方向的问题。
Cardiovascular diseases (CVD) are the leading cause of mortality in the United States and Western world for all groups with one exception: CVDs are the number 2 cause of death for Hispanics/Latinos behind cancer with overall cancer rates lower for Latinos relative to non-Hispanic Whites (NHWs). Despite a significantly worse risk factor profile marked by higher rates of traditional and non-traditional determinants, some CVD prevalence and mortality rates are significantly lower among Latinos relative NHWs. These findings support a need for greater understanding of CVDs specifically among Latinos in order to better document prevalence, appropriately model risk and resilience, and improve targeting of intervention efforts. The current aim is to provide a state-of-the-science review of CVDs amongst Latinos including a review of the epidemiological evidence, risk factor prevalence, and evaluation of the breadth and quality of the data. Questions concerning the generalizability of current risk models, the Hispanic paradox as it relates to CVDs, contributing psychosocial and sociocultural factors, and future directions are discussed.