无家可归,种族/种族和心血管疾病:现状证据总结和种族/种族报告的结构性审查
Phillippe F Nyembo1, Caitlin Bakker2, Woubeshet Ayenew1
1Department of Medicine, Hennepin Healthcare, Minneapolis, MN, USA.
心血管疾病 (CVD) 不成比例地影响无家可归人口,特别是种族/少数民族. 需要对无家可归者的种族特异性心血管疾病干预进行更多的研究.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 无家可归是根深蒂固的结构性种族主义,不成比例地影响黑人,美洲原住民和西班牙裔人口.
- 越来越多的证据表明,无家可归的人群中心血管疾病 (CVD) 的发病率,流行率和死亡率更高.
- 对于无家可归的人来说,心血管疾病程序护理存在差异.
研究的目的:
- 审查当前关于无家可归者心血管疾病的证据.
- 评估关于心血管疾病和无家可归的研究如何收集和报告种族/种族和种族主义数据.
- 在无家可归人群中确定基于证据的CVD干预措施.
主要方法:
- 对27篇关于心血管疾病和无家可归问题的文章进行了结构化审查.
- 在审查的研究中分析了种族/种族和种族主义的数据收集和报告.
- 搜索针对心血管疾病和无家可归的基于证据的干预措施.
主要成果:
- 没有发现针对心血管疾病和无家可归的交叉点的干预措施,也没有特别解决种族/种族问题.
- 59%的审查研究收集了种族/种族数据,但只有19%报告了种族/种族的心血管疾病结果.
- 现有的临床证据往往缺乏严格性,并未考虑种族/种族和无家可归对心血管疾病的交叉影响.
结论:
- 需要更多的研究来了解种族/种族,无家可归和心血管疾病的复杂相互作用.
- 社区参与的方法对于制定有效的CVD预防和管理策略至关重要.
- 针对性干预对于改善来自不同种族和种族背景的无家可归者心血管疾病结果至关重要.
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