Secondary Stroke Risk Reduction in Black Adults: a Systematic Review.

Secondary Stroke Risk Reduction in Black Adults: a Systematic Review.
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DOI:
10.1007/s40615-021-01221-2
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发表时间:
2023-03
影响因子:
3.9
通讯作者:
Still CH
Still CH
中科院分区:
医学4区
文献类型:
--
作者:
Cao C;Jain N;Lu E;Sajatovic M;Still CH

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为了解决黑人成年人(BA)经历的卒中负担明显高于普通人群的事实,我们进行了一项系统性文献综述,其中描述了针对降低BA继发性卒中风险的循证干预措施。出版物选自PubMed、奥维德、科克伦和Web of Science数据库。我们纳入了在美国进行的同行评议、纵向、英语研究,这些研究分别报告了BA的结果,并且有经历过卒中相关事件的成年参与者。7项研究中有6项采用了行为干预措施,促进了卒中风险因素、解决问题技能和健康应对策略的教育。这些研究证明了一种或多种生物学结局的改善,包括胆固醇控制和收缩压。现有的二次卒中风险降低方法干预措施可有效降低BA中的二次卒中风险,尤其是基线血压控制不良的个体。然而,需要进行更多的研究,因为目前的方法可能会限制普遍性。
To address the fact that Black adults (BAs) experience significantly greater stroke burden than the general population, we conducted a systematic literature review which described evidence-based interventions targeting secondary stroke risk reduction in BAs. Publications were selected from PubMed, Ovid, Cochrane, and Web of Science databases. We included peer-reviewed, longitudinal, English-language studies performed in the USA which reported results for BAs separately and had adult participants who had experienced stroke-related events. Six of the 7 studies employed behavioral interventions which promoted education on stroke risk factors, problem-solving skills, and healthy-coping strategies. These studies demonstrated improvements in one or more biologic outcomes including cholesterol control and systolic blood pressure. Existing interventions on secondary stroke risk reduction approaches are effective in reducing secondary stroke risk among BAs, especially in individuals with poorly controlled blood pressure at baseline. However, additional research is needed because the current approaches may limit generalizability.
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