在老年人高血压的社会,种族和文化因素
Shawna D Nesbitt1, Spencer V Carter2
1Division of Cardiology, Hypertension Section, Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard B6.102, Dallas, TX 75390-9112, USA.
Clinics in geriatric medicine
|September 30, 2024
概括
与白人成年人相比,黑人和西班牙裔老年人面临更高的高血压率和更糟糕的结果. 社会,经济和环境因素,而不仅仅是遗传,推动了这些健康差异.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心血管医学 心血管医学
背景情况:
- 黑人和西班牙裔老年人比美国白人成年人患高血压的患病率更高,治疗不充分,血压控制较差.
- 高血压的这些差异导致少数老年人群中心血管状况更差.
- 仅仅遗传因素并不能解释这些在高血压中观察到的种族和民族差异.
研究的目的:
- 检查导致老年人高血压差异的多方面的因素.
- 突出社会,经济和环境决定因素在高血压结果中的作用.
- 倡导采取全面的方法来解决高血压护理中的不平等问题.
主要方法:
- 这项研究综合了现有的老年人高血压研究,重点关注种族和民族差异.
- 分析考虑了健康的社会决定因素,包括生活环境,收入,医疗保健,粮食安全,教育和烟草使用.
- 审查强调了这些因素对长期高血压管理和结果的影响.
主要成果:
- 社会,经济和环境因素对黑人和西班牙裔老年人中高血压差异作出了重大贡献.
- 生活条件,收入,获得护理,粮食安全,教育和吸烟等因素会对高血压的结果产生负面影响.
- 这些社会和环境影响对于理解心血管健康持续存在的不平等至关重要.
结论:
- 老年人的高血压不平等是由社会,经济和环境因素的复杂相互作用驱动的.
- 解决这些差异需要一个整体的评估,包括社会,种族和文化层面.
- 干预措施必须超越纯粹的生物学解释,以解决健康不平等的根本原因.
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