Cardiovascular Disease Risk Among the Poor and Homeless - What We Know So Far
Cardiovascular Disease Risk Among the Poor and Homeless - What We Know So Far
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DOI：
10.2174/157340309787048086
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发表时间：
2009-01-01
影响因子：
1.9
通讯作者：
Davachi, Shahnaz
中科院分区：
文献类型：
--
作者：
Jones, Charlotte A.;Perera, Arjuna;Davachi, Shahnaz
无家可归[和贫困]在北美迅速升级，并与公共卫生和我们的医疗保健系统的可怕影响有关。两者都是影响到所有年龄、种族和性别的令人信服的生存状态。无家可归问题往往是通过个人自身内部和外部因素的复杂相互作用而演变的。一旦无家可归，就无法公平地获得预防和补救性保健，这与心血管疾病风险因素、发病率和死亡率的平均负担较高有关，并伴随着不成比例的高保健费用。旨在解决无家可归者独特的健康和社会需求的有限、小规模方案的出现令人鼓舞。然而，在国家、州或省和地方各级，没有充分承诺执行政策，并投入资金和资源，将这种“个人层面”的干预措施扩大为提供可持续的综合预防和服务的综合方案，特别是在心血管疾病方面。解决无家可归和心血管疾病之间联系的长期解决方案在于防止无家可归和扭转我们的医疗保健系统的趋势，这些趋势为社会经济地位较低的人和无家可归的人创造了差距。
Homelessness [and poverty] is rapidly escalating across North America and is associated with dire implications for public health and our health care systems. Both are compelling states of existence affecting all ages, ethnicities and both genders. Homelessness frequently evolves through a complex interaction of factors that are both internal and external to the individual themselves. Once homeless, equitable access to both preventative and remedial health care is lacking and is associated with a higher than average burden of cardiovascular disease [CVD] risk factors, morbidity and mortality and is accompanied by disproportionately high health care costs. The emergence of limited, small scale programs aimed at addressing the unique health and social needs of the homeless is encouraging. However, there has been inadequate commitment at the National, State or Provincial and local levels to implement policies and dedicate funding and resources to the expansion of such "individual level" interventions into comprehensive programs that deliver sustainable, integrated prevention and services, especially with regard to CVD. The long-term solutions that address the links between homelessness and CVD lie in preventing homelessness and reversing the trends in our health care system that create disparities for lower socioeconomic status [SES] and homeless individuals.