Integration of sociocultural and behavioral factors into the clinical framework of cardiovascular studies in Hispanic/Latino populations: Relevance during the SARS-COV-2 pandemic.

Integration of sociocultural and behavioral factors into the clinical framework of cardiovascular studies in Hispanic/Latino populations: Relevance during the SARS-COV-2 pandemic.
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DOI:
10.1017/cts.2021.20
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发表时间:
2021-03-08
影响因子:
2.6
通讯作者:
Ramos KS
Ramos KS
中科院分区:
其他
文献类型:
--
作者:
Suglia SF;Abraido-Lanza AF;Guerrero-Preston RE;Ramos KS

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最近关于美国心血管疾病(CVD)负担的报告表明,尽管在世纪后期CVD死亡率显著下降,但这种下降现在正在减速,并且可能因医疗保健的不平等而恶化。社会因素导致了迄今为止记录的大多数心血管健康差异。西班牙裔/拉丁美洲人和非洲裔美国人的心血管危险因素患病率较高,贫困率和社会压力高于非西班牙裔白人。我们建议,除了基本的、有时是松散的种族/民族、教育程度和职业标识符之外,使用社会和行为数据将为临床实践提供信息,并极大地促进为患者提供充分的指导和支持,包括护理的连续性、药物和治疗计划的依从性以及参与者在未来研究中的参与。这种观点简要强调了被认为是西班牙裔/拉丁裔健康进步的关键因素,并描绘了未来应用的途径。
Recent reports on the burden of cardiovascular disease (CVD) in the USA indicate that despite significant declines in CVD mortality in the late 20th century, this decline is now decelerating and may be worsened by inequalities in health care. Social factors contribute to most of the cardiovascular health disparities documented to date. Hispanics/Latinos and African-Americans share a higher prevalence of cardiovascular risk factors and experience higher rates of poverty and social stressors than non-Hispanic Whites. We propose that the use of social and behavioral data beyond basic and sometimes loose identifiers of race/ethnicity, educational attainment, and occupation would inform clinical practice and greatly facilitate the provision of adequate guidance and support to patients regarding continuity of care, adherence to medications and treatment plans, and engagement of participants in future research. This perspective briefly highlights factors deemed to be critical for the advancement of Hispanic/Latino health and delineates pathways toward future applications.
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