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Published on: June 10, 2025
Heart Failure Among African-Americans: Suggested Culturally Appropriate Intervention Strategies
1College of Health and Human Services, University of North Carolina Wilmington, Wilmington, NC 28403 alzaghario@uncw.edu.
Insights
African-Americans with heart failure face significant barriers including higher healthcare costs, reduced access to care, and lower quality of services compared to White individuals, impacting health outcomes.
Area of Science:
- Public Health
- Cardiology
- Health Disparities
Background:
- Cardiovascular disease (CVD) is a leading cause of mortality in the United States.
- Heart failure (HF) significantly impacts health outcomes and quality of life, particularly among African-Americans.
- Disparities in healthcare access, cost, and quality disproportionately affect African-American patients with HF.
Purpose of the Study:
- To identify and analyze the key issues related to healthcare cost, quality, and access for African-Americans experiencing heart failure.
- To highlight the specific challenges faced by this demographic in managing cardiovascular disease.
Main Methods:
- Literature review and analysis of existing health data.
- Examination of socioeconomic factors influencing healthcare utilization.
- Comparative analysis of healthcare experiences between African-Americans and White populations with heart failure.
Main Results:
- African-Americans with heart failure encounter greater obstacles in accessing healthcare services compared to their White counterparts.
- This population experiences disproportionately higher healthcare costs associated with heart failure management.
- The quality of healthcare received by African-Americans with heart failure is often lower than that of White individuals.
Conclusions:
- Significant disparities exist in the cost, access, and quality of healthcare for African-Americans with heart failure.
- Addressing these barriers is crucial for improving health outcomes and reducing mortality in this vulnerable population.
- Targeted interventions are needed to ensure equitable cardiovascular care for all individuals, irrespective of race.
Abstract:
Cardiovascular disease is a serious problem in the United States. It is the most common cause of death among African-Americans. Heart failure is associated with poor health outcomes and a diminished quality of life. Some of the issues that affect the health of African-Americans with heart failure are cost of health care, their access to care, and the quality of that care. The aim of this paper is to identify those issues that are related to cost, quality, and access to health care in African-Americans with heart failure. African-Americans with heart failure usually have less access to health care services than Whites do; moreover, they are also faced with higher costs and a lower quality of care.
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