在外周动脉疾病的种族和社会经济健康差异
Victoria E Thomas1, Joshua A Beckman1,2
1Division of Cardiovascular Medicine, Department of Internal Medicine Vanderbilt University Medical Center Nashville TN USA.
周围动脉疾病 (PAD) 不成比例地影响少数群体. 解决健康的社会决定因素是减少PAD结果中的这些种族和民族差异的关键.
科学领域:
- 心血管医学 心血管医学
- 健康差距 研究 研究 研究 研究
- 公共卫生 公共卫生
背景情况:
- 周围动脉疾病 (PAD) 是一种常见的动脉样硬化病,影响下肢.
- PAD增加了心肌梗塞,中风,四肢并发症和死亡的风险.
- 在PAD结果中存在显著的种族和民族差异,特别是在黑人,西班牙裔和美洲印第安人中.
研究的目的:
- 审查关于周围动脉疾病 (PAD) 种族和民族差异的当前文献.
- 要强调对黑人人口的关注和对其他少数群体的有限研究.
- 检查PAD中种族,种族和社会经济地位之间的相互作用.
主要方法:
- 对研究的文献综述 检查PAD的种族和民族差异.
- 在现有工作中分析研究趋势和重点领域.
- 综合证据关于健康的社会决定因素对PAD结果的影响.
主要成果:
- 越来越多的研究解决了PAD的种族和民族差异.
- 大多数研究集中在黑人个体上,对其他少数群体的研究较少.
- 种族和种族与社会经济地位相互作用,影响PAD结果.
结论:
- 生物学差异不太可能是PAD差异的主要驱动因素.
- 健康的社会决定因素在PAD健康不平等中发挥着关键作用.
- 专注于质量措施和社会决定因素的政策实施对于实现PAD健康平等至关重要.
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