动脉样硬化心血管疾病预防中的不平等
Sofia E Gomez1, Ramzi Dudum1, Fatima Rodriguez1
1Division of Cardiovascular Medicine and Cardiovascular Institute, Department of Medicine, Stanford University, Stanford, CA, United States.
预防动脉样硬化心血管疾病 (ASCVD) 需要终身关注理想的心血管健康 (CVH) 和风险因素. 预防方面的差异不成比例地影响到边缘化群体,导致更糟糕的结果,并需要公平的解决方案.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 动脉样性心血管疾病 (ASCVD) 的预防涵盖了整个生命中的原始,初级和二级干预.
- 原始预防侧重于通过生活方式优化在儿童时期建立理想的心血管健康 (CVH).
- 初级和二级预防通过医疗和生活方式策略来解决现有的风险因素.
研究的目的:
- 检查ASCVD预防在整个生命过程中的差异.
- 识别历史边缘化人口的预防性护理中的不平等.
- 突出健康的社会决定因素对ASCVD预防的影响.
主要方法:
- 对从童年到成年期的ASCVD预防策略的审查.
- 对查,风险因素管理和治疗处方不平等的分析.
- 检查健康的社会决定因素和增加风险的因素的作用.
主要成果:
- 在原始,初级和二级ASCVD预防工作中存在显著的差异.
- 在美国,女性,黑人和西班牙裔个人经历过不充分的查和管理.
- 边缘化群体面临更高的ASCVD风险由于社会决定因素和增加风险的因素,导致更糟糕的结果.
结论:
- 解决ASCVD预防不平等问题对于改善人口健康至关重要.
- 解决方案包括基于社区的干预,增强查和增加医疗保健准入.
- 促进心血管保健中的健康公平对于减少ASCVD负担和死亡率至关重要.
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