Eliminating Disparities in Cardiovascular Disease for Black Women: JACC Review Topic of the Week.

Eliminating Disparities in Cardiovascular Disease for Black Women: JACC Review Topic of the Week.
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DOI:
10.1016/j.jacc.2022.08.769
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发表时间:
2022-11-01
影响因子:
24
通讯作者:
Hayes, Sharonne N.
Hayes, Sharonne N.
中科院分区:
医学1区
文献类型:
--
作者:
Ogunniyi, Modele O.;Mahmoud, Zainab;Commodore-Mensah, Yvonne;Fleg, Jerome L.;Fatade, Yetunde A.;Quesada, Odayme;Aggarwal, Niti R.;Mattina, Deirdre J.;Moraes De Oliveira, Glaucia Maria;Lindley, Kathryn J.;Ovbiagele, Bruce;Roswell, Robert O.;Douglass, Paul L.;Itchhaporia, Dipti;Hayes, Sharonne N.

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黑人妇女受到心血管疾病的影响不成比例,心血管疾病的发病率和死亡率负担过重。此外,美国的种族主义结构影响了黑人女性的心血管疾病研究和医疗保健提供。鉴于医疗保健提供、研究和心血管结果存在差异的无可争辩的证据,迫切需要开发和实施有效和可持续的解决方案,以促进黑人妇女心血管健康公平,同时考虑到她们的种族多样性、原籍地区和文化适应。应实施创新和文化定制的战略,考虑到健康的社会决定因素的不同影响以及塑造他们寻求健康行为的独特挑战。需要一个以患者为中心的框架,包括临床医生、医疗保健系统、专业协会和政府机构之间的合作,以改善黑人女性的心血管结果。现在是实现所有黑人妇女健康平等的时候了。
Black women are disproportionately affected by cardiovascular disease with an excess burden of cardiovascular morbidity and mortality. In addition, the racialized structure of the United States shapes cardiovascular disease research and health care delivery for Black women. Given the indisputable evidence of the disparities in health care delivery, research, and cardiovascular outcomes, there is an urgent need to develop and implement effective and sustainable solutions to advance cardiovascular health equity for Black women while considering their ethnic diversity, regions of origin, and acculturation. Innovative and culturally tailored strategies that consider the differential impact of social determinants of health and the unique challenges that shape their health-seeking behaviors should be implemented. A patient-centered framework that involves collaboration among clinicians, health care systems, professional societies, and government agencies is required to improve cardiovascular outcomes for Black women. The time is “now” to achieve health equity for all Black women.
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