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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Health Disparities Across the Continuum of ASCVD Risk
Ankita Devareddy1, Ashish Sarraju2, Fatima Rodriguez3
1Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Insights
Racial and ethnic disparities in cardiovascular disease (CVD) persist despite advances. Social determinants and structural racism significantly impact CVD outcomes, necessitating targeted strategies for equitable health.
Area of Science:
- Public Health
- Cardiology
- Health Equity
Background:
- Cardiovascular disease (CVD) management has advanced, yet significant health disparities persist.
- Historically marginalized racial and ethnic groups experience disproportionately worse cardiovascular health outcomes.
Purpose of the Study:
- To review the current state of cardiovascular health disparities.
- To discuss the role of social determinants of health and structural racism in CVD.
- To highlight strategies for addressing these disparities.
Main Methods:
- Literature review and synthesis of existing research on CVD disparities.
- Analysis of the impact of social determinants and structural racism on cardiovascular outcomes.
- Identification and discussion of potential intervention strategies.
Main Results:
- Significant disparities exist across the continuum of atherosclerotic cardiovascular disease (ASCVD) prevention.
- These disparities manifest in morbidity and mortality rates by race, ethnicity, and socioeconomic status.
- Social determinants of health and structural racism are identified as key drivers of these inequities.
Conclusions:
- Addressing cardiovascular health disparities requires a comprehensive approach.
- Interventions must target social determinants of health and dismantle structural racism.
- Equitable cardiovascular care is essential for improving outcomes in marginalized populations.
Purpose Of The Review:
Despite marked progress in cardiovascular disease management in the last several decades, there remain significant, persistent disparities in cardiovascular health in historically marginalized racial and ethnic groups. Here, we outline current state of health disparities in cardiovascular disease, discuss the interplay between social determinants of health, structural racism, and cardiovascular outcomes, and highlight strategies to address these issues.
Recent Findings:
Across the continuum of atherosclerotic cardiovascular disease (ASCVD) prevention, there remain significant disparities in outcomes including morbidity and mortality by race, ethnicity, and socioeconomic status (SES). These disparities begin early in childhood (primordial prevention) and continue with a higher prevalence of cardiovascular risk factors (primary prevention), and in the uptake of evidence-based therapies (secondary prevention). These disparities are driven by social determinants of health and structural racism that disproportionately disadvantage historically marginalized populations. Structural racism and social determinants of health contribute to significant disparities in cardiovascular morbidity and mortality.
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