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Addressing disparities in cardiovascular risk through community-based interventions
Annette K Low1, Karen B Grothe, Taylor S Wofford
1Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Insights
Community-based programs can reduce cardiovascular disease disparities in underserved women. Initiatives in the Mississippi Delta improved awareness and outcomes for heart disease and diabetes.
Area of Science:
- Public Health
- Health Disparities
- Cardiovascular Medicine
Background:
- Cardiovascular diseases (CVD) are a leading cause of death and healthcare expenditure in the U.S.
- Ethnic minority and rural women face a disproportionately high burden of CVD morbidity and mortality.
- Factors contributing to CVD disparities include low awareness, high prevalence of risk factors like obesity, and inconsistent screening/treatment.
Purpose of the Study:
- To describe a community education initiative to enhance awareness and knowledge of heart disease in women.
- To present a community-academic collaborative project aimed at improving diabetes and cardiovascular outcomes.
- To address persistent health disparities in cardiovascular disease among vulnerable populations.
Main Methods:
- Implementation of a community education initiative targeting lay and healthcare provider levels.
- Establishment of a community-academic collaborative project focused on diabetes and cardiovascular health.
- Program delivery in the Mississippi Delta, an area with high CVD mortality and limited healthcare resources.
Main Results:
- Successful initiation of programs to increase awareness and knowledge about heart disease.
- Demonstrated improvement in diabetes and cardiovascular outcomes through collaborative efforts.
- Engagement with communities facing significant socioeconomic and literacy challenges.
Conclusions:
- Community-based interventions are crucial for addressing cardiovascular health disparities.
- Education and collaboration can improve cardiovascular and diabetes outcomes in at-risk populations.
- Targeted programs are effective in areas with high CVD mortality and limited healthcare infrastructure.
Abstract:
Cardiovascular diseases account for a significant portion of deaths and healthcare costs in the United States. Women from ethnic minorities and rural areas carry a disproportionately higher burden of cardiovascular morbidity and mortality. Many factors contribute to this persistent disparity: a comparatively low level of awareness especially among the at-risk populations, increased prevalence of cardiovascular risks linked to the obesity epidemic, and inconsistent levels of screening and treatment of cardiovascular risks. Cultural and social factors that influence lifestyle and behavior also have significant cardiovascular health consequences and contribute to the disparity. Any intervention to address health disparities should include a community-based component that incorporates education at the lay level, as well as the healthcare provider level. We describe a community education initiative to increase awareness and knowledge about heart disease in women and a community-academic collaborative project to improve diabetes and cardiovascular outcome. These programs have been successfully initiated in the Mississippi Delta, a location with some of the highest cardiovascular mortality (especially among the African American women) as well as limited healthcare infrastructure, low socioeconomic levels, and low literacy rates.
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