Cardiovascular Health Disparities
Cardiovascular Health Disparities
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心血管健康差异
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
E. Huang
中科院分区：
文献类型：
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作者：
A. Davis;Lisa M. Vinci;T. Okwuosa;Ayana Chase;E. Huang
心血管保健方面的种族和民族差异是有据可查的。自1995年以来发表的文献中越来越多地描述了有希望的缩小差距的方法，但报告因风险、条件、人口和环境而支离破碎。作者对有色人种社区的临床研究进行了系统回顾，这些研究涉及高血压、高脂血症、身体活动不足、烟草以及两种主要心血管疾病（冠状动脉疾病和心力衰竭）。实际上，没有任何文献专门论述减少差距问题。最大的焦点是非洲裔美国人，西班牙裔，亚洲人和美洲原住民人口的工作相对较少。作者发现了62项干预措施，其中27项针对高血压，9项针对血脂，18项针对烟草使用，8项针对缺乏体力活动，7项针对心力衰竭。只有1项研究专门讨论了心肌梗死后护理。在几种情况下发现了支持登记、多学科团队和社区外展价值的数据。应对护理过渡的干预措施，使用电话外展，促进药物获取和坚持值得进一步探索。
Racial and ethnic disparities in cardiovascular health care are well documented. Promising approaches to disparity reduction are increasingly described in literature published since 1995, but reports are fragmented by risk, condition, population, and setting. The authors conducted a systematic review of clinically oriented studies in communities of color that addressed hypertension, hyperlipidemia, physical inactivity, tobacco, and two major cardiovascular conditions, coronary artery disease and heart failure. Virtually no literature specifically addressed disparity reduction. The greatest focus has been African American populations, with relatively little work in Hispanic, Asian, and Native American populations. The authors found 62 interventions, 27 addressing hypertension, 9 lipids, 18 tobacco use, 8 physical inactivity, and 7 heart failure. Only 1 study specifically addressed postmyocardial infarction care. Data supporting the value of registries, multidisciplinary teams, and community outreach were found across several conditions. Interventions addressing care transitions, using telephonic outreach, and promoting medication access and adherence merit further exploration.