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Eliminating Disparities in Cardiovascular Disease for Black Women: JACC Review Topic of the Week
Modele O Ogunniyi1, Zainab Mahmoud2, Yvonne Commodore-Mensah3
1Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA; Grady Health System, Atlanta, Georgia, USA.
Insights
Cardiovascular disease disproportionately impacts Black women. Achieving cardiovascular health equity requires culturally tailored strategies and collaborative efforts to address systemic disparities in research and care.
Area of Science:
- Public Health
- Health Disparities
- Cardiovascular Medicine
Background:
- Black women experience a disproportionate burden of cardiovascular disease (CVD) morbidity and mortality.
- The U.S. racialized social structure significantly influences CVD research and healthcare delivery for this population.
- Existing disparities in healthcare delivery, research, and CVD outcomes necessitate urgent, sustainable solutions.
Purpose of the Study:
- To highlight the urgent need for effective and sustainable solutions to advance cardiovascular health equity for Black women.
- To emphasize the importance of considering ethnic diversity, regions of origin, and acculturation in tailored strategies.
- To advocate for innovative approaches addressing social determinants of health and unique health-seeking behaviors.
Main Methods:
- This study is a review and synthesis of existing evidence on cardiovascular health disparities in Black women.
- It emphasizes a qualitative approach, analyzing the impact of social determinants and systemic factors.
- The proposed framework involves collaboration among diverse stakeholders.
Main Results:
- Evidence indisputably shows significant disparities in CVD research, healthcare delivery, and outcomes for Black women.
- Culturally tailored strategies are crucial to address the differential impact of social determinants of health.
- A patient-centered, collaborative framework is essential for improving cardiovascular outcomes.
Conclusions:
- Urgent implementation of innovative, culturally sensitive strategies is required to achieve cardiovascular health equity for Black women.
- Addressing systemic inequities and social determinants of health is paramount.
- A collaborative, patient-centered approach involving clinicians, health systems, professional societies, and government agencies is necessary.
Abstract:
Black women are disproportionately affected by cardiovascular disease with an excess burden of cardiovascular morbidity and mortality. In addition, the racialized structure of the United States shapes cardiovascular disease research and health care delivery for Black women. Given the indisputable evidence of the disparities in health care delivery, research, and cardiovascular outcomes, there is an urgent need to develop and implement effective and sustainable solutions to advance cardiovascular health equity for Black women while considering their ethnic diversity, regions of origin, and acculturation. Innovative and culturally tailored strategies that consider the differential impact of social determinants of health and the unique challenges that shape their health-seeking behaviors should be implemented. A patient-centered framework that involves collaboration among clinicians, health care systems, professional societies, and government agencies is required to improve cardiovascular outcomes for Black women. The time is "now" to achieve health equity for all Black women.
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