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运动心脏病学中的种族差异:一篇综述
Sheela Krishnan1, James Sawalla Guseh2, Merije Chukumerije3
1Cardiovascular Services, Division of Cardiology, Maine Medical Center, Portland.
体育心脏病学中的种族差异影响运动员.
科学领域:
- 运动心脏病学 运动心脏病学
- 心血管健康的心血管健康
- 种族差异是种族差异.
背景情况:
- 心血管健康的种族差异,包括突然心脏病死亡 (SCD),影响一般人和运动员人口.
- 健康的社会决定因素 (SDOH) 和结构性种族主义被不充分理解为对运动员健康结果的影响.
- 在体育心脏病学中现有的基于种族的做法可能会引入偏见.
研究的目的:
- 审查体育心脏病学中的种族差异.
- 鼓励重新审视基于种族的做法.
- 提出一个转向个性化护理的范式转变.
主要方法:
- 对流行病学数据和医学文献进行叙述性审查.
- 对SCD风险,错误阳性查率和左心室缩等种族差异的分析.
- 讨论SDOH和结构性种族主义的影响.
主要成果:
- 对SDOH和结构性种族主义的不充分考虑导致了体育心脏病学中的潜在偏见.
- 当前的规范标准和临床方法可能会受到基于种族的假设的影响.
- 需要从基于种族的转变为意识到种族的做法.
结论:
- 运动心脏病学需要改变范式,强调种族意识,临床包容性和研究驱动的精细化.
- 从基于种族的假设转向个性化,以健康为中心的护理至关重要.
- 医疗劳动力的多样化和开展包容性研究是解决不平等问题的关键.
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