Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African Americans

弗洛尔阿尔瓦拉多，多样性补充 项目摘要 社区卫生工作者领导的以教会为基础的消除心血管健康干预 非裔美国人的差异（CHERISH）”研究是一项随机分组试验，将测试 社区卫生工作者（CHW）领导和基于教会的多方面战略，以实施2019年 ACC/AHA心血管疾病（CVD）一级预防指南可以减少 居住在路易斯安那州新奥尔良的非裔美国人的心血管健康差异。广泛 研究强调了健康的社会决定因素（SDH）对心血管健康的影响， 特别是表明，个人水平的决定因素可能不能完全解释心血管疾病相关的变化， 结果。社会经济贫困的地区与更高的死亡率和心血管疾病相关 结果，而邻里的物理和社会环境也与CVD风险有关， 独立于个人因素。然而，评估这一问题的研究有限。 邻居SDH和可能影响心血管健康的早期结果之间的关联 包括：定期使用常规预防护理或处方药物，积极 从事医疗护理，或与可接受性，适当性， 参与生活方式和药物干预的可行性。了解这些 结果受到邻里因素的影响是至关重要的。为此目的，这一辅助的目标是 研究，是使用混合方法的方法来评估邻里之间的关系， SDH与这些上游健康相关的信念和行为在非洲裔美国人中的CVD风险 住在新奥尔良，洛杉矶这些关键的评估邻居级SDH在目标 人口将有助于为干预提供信息，并为解释 父母研究的结果。

Flor Alvarado, Diversity Supplement Project Summary The “Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African Americans (CHERISH)” study is a cluster randomized trial that will test whether a community health worker (CHW)-led and church-based multifaceted strategy for implementing 2019 ACC/AHA Guidelines on the Primary Prevention of cardiovascular disease (CVD) can reduce cardiovascular health disparities among African Americans residing in New Orleans, Louisiana. Extensive research highlights the impact of social determinants of health (SDH) on cardiovascular health, and particularly suggest that individual-level determinants may not fully account for variation in CVD-related outcomes. Areas with socioeconomic deprivation have been linked to greater mortality and CVD related outcomes, whereas neighborhood physical and social environments have also been tied to CVD risk, independent of individual level factors. However, there has been limited research evaluating the associations between neighborhood SDH and earlier outcomes that may influence cardiovascular health including: regular use of routine preventative care or prescribed medications, confidence in actively engaging in medical care, or perceptions related to acceptability, appropriateness, and perceived feasibility of participating in lifestyle and pharmaceutical interventions. Understanding how these outcomes are influenced by neighborhood factors is critical. To this end, the objective of this ancillary study, is to use a mixed-methods approach to evaluate the relationships between neighborhood-level SDH to these upstream health-related beliefs and behaviors among African Americans at risk for CVD residing in in New Orleans, LA. These critical assessments of neighborhood-level SDH in the target population will help inform the intervention and provide further context for the interpretation of outcomes in the parent study.