Intervening on the social determinants of cardiovascular disease and diabetes
Intervening on the social determinants of cardiovascular disease and diabetes
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DOI：
10.1016/j.amepre.2005.07.013
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发表时间：
2005-12-01
影响因子：
5.5
通讯作者：
Tucker, P
中科院分区：
文献类型：
--
作者：
Liburd, LC;Jack, L Jr;Tucker, P
心脏病、脑血管疾病和2型糖尿病在2000年美国死亡和残疾的主要原因中分别排在第一、第三和第六位。种族和族裔社区(即非洲裔美国人、西班牙裔拉美裔美国人、美国原住民和阿拉斯加原住民以及亚裔美国人和太平洋岛民)不成比例地遭受这些慢性疾病的影响。传统的行为改变策略产生了一些积极但有限的效果，可能不足以在人口层面消除这些健康差距。在这篇评论中，作者认为，如果我们要扭转有色人种社区慢性病流行的当前趋势，就应该对心血管疾病和糖尿病的社会决定因素进行更多的干预研究。作者还呼吁提出新的研究问题和研究设计，以增加我们对造成差异的社会、政策和历史背景的理解，作为发展针对社会背景和心理社会风险因素的干预措施的必要的第一步。由疾病控制和预防中心的种族和民族方法社区健康(REACH 2010)计划和糖尿病翻译部支持的有希望的计划被重点介绍。
Heart disease, cerebrovascular diseases, and type 2 diabetes ranked first, third, and sixth, respectively, among the leading causes of death and disability in the United States in 2000. Racial and ethnic communities (i.e., African Americans, Hispanic-Latino Americans, Native Americans and Alaska Natives, and Asian Americans and Pacific Islanders) disproportionately suffer from these chronic conditions. Traditional behavior change strategies have had some positive, but limited effects and will not likely be sufficient to eliminate these health disparities at the population level. In this commentary, the authors argue for greater intervention research directed at the social determinants of cardiovascular disease and diabetes if we are to reverse current trends in chronic disease prevalence in communities of color. The authors also call for new research questions and study designs that will increase our understanding of the social, policy, and historic context in which disparities are created as a necessary first step in developing interventions aimed at social-contextual and psychosocial risk factors. Promising programs supported by the Centers for Disease Control and Prevention's Racial and Ethnic Approaches to Community Health (REACH 2010) program and the Division of Diabetes Translation are highlighted.