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Community-Based Interventions to Address Disparities in Cardiometabolic Diseases Among Minoritized Racial and Ethnic

Victoria E Thomas1, Faith E Metlock2, Anika L Hines3

  • 1Division of Cardiovascular Medicine, Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Current Atherosclerosis Reports
|July 10, 2023
PubMed

Insights

Community-engaged research (CER) using the Life's Essential 8 (LE8) framework can improve cardiovascular health (CVH) and reduce cardiometabolic diseases (CMDs) in racial/ethnic groups. Strategies include technology, group activities, and policy changes for health equity.

Area of Science:

  • Public Health
  • Cardiology
  • Health Equity

Background:

  • Cardiometabolic diseases (CMDs) are a primary cause of mortality in the U.S.
  • Historically marginalized racial/ethnic groups experience a disproportionate burden of CMDs.
  • The American Heart Association's Life's Essential 8 (LE8) framework promotes cardiovascular health (CVH).

Purpose of the Study:

  • To review community-engaged research (CER) studies applying the LE8 framework.
  • To examine CER's role in improving CVH among racial/ethnic groups.
  • To identify effective strategies for integrating LE8 metrics within CER.

Main Methods:

  • Systematic review of contemporary CER studies.
  • Synthesis of research focusing on LE8 factors within racial/ethnic populations.
  • Analysis of strategies employed in successful CER interventions.

Main Results:

  • Limited studies currently integrate CER and the LE8 framework.
  • CER application to LE8 metrics shows potential for improving CVH and reducing CMDs.
  • Effective strategies include technology integration, group activities, cultural practices, social support, and structural changes.

Conclusions:

  • CER is crucial for enhancing CVH and addressing CMD disparities in racial/ethnic groups.
  • Future research should prioritize scalability and health policy interventions.
  • Advancing health equity requires robust CER approaches to LE8 implementation.
Abstract

Keywords:
Cardiometabolic diseaseCommunity-based participatory researchCommunity-based researchLife’s Essential 8Racial and ethnic minority groupsSocial determinants of health

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