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

弗洛尔·阿尔瓦拉多，多样性副刊 项目摘要 “社区卫生工作者主导、教会为基础的干预措施，消除心血管健康” 非洲裔美国人的差异(HERISH)“研究是一项整群随机试验，将测试 社区卫生工作者(CHW)主导和教会为基础的多方面战略，以实施2019年 ACC/AHA关于心血管疾病一级预防的指南可以减少 居住在路易斯安那州新奥尔良的非裔美国人之间的心血管健康差异。广泛性 研究强调社会健康决定因素(SDH)对心血管健康的影响，以及 特别提示个体水平的决定因素可能不能完全解释心血管疾病相关的变异。 结果。社会经济匮乏的地区与更高的死亡率和心血管疾病相关 结果，而附近的物理和社会环境也与心血管疾病风险有关， 不受个人水平因素的影响。然而，一直有有限的研究评估 社区SDH与可能影响心血管健康的早期结局之间的关系 包括：定期使用常规预防性护理或处方药，对积极的信心 从事医疗护理，或与可接受性、适当性和知觉有关的看法 参与生活方式和药物干预的可行性。了解这些功能是如何 结果受到邻居因素的影响是至关重要的。为此，该附属机构的目标是 研究，是用一种混合的方法来评估邻里层面之间的关系 SDH在有心血管疾病风险的非裔美国人中对这些上游健康相关信念和行为的影响 居住在路易斯安那州新奥尔良。这些对目标中的邻居级SDH的关键评估 人口将有助于为干预提供信息，并为解释 父母研究中的结果。

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.