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非洲裔美国人与严重的精神疾病和心血管疾病的生活经历:一个综合性视角

Margaret Salisu¹, Carla Boutin-Foster¹, Laura Geer²

¹College of Medicine, Downstate Health Sciences University, Brooklyn, NY, United States.

Frontiers in psychiatry

|December 26, 2025

概括

患有严重精神疾病 (SMI) 和心血管疾病 (CVD) 的非裔美国人经历了疾病相互依赖. 结构不平等,环境因素和对医疗保健的不信任造成了健康状况不佳的循环,需要综合护理.

科学领域:

公共卫生公共卫生
社会学社会学社会学
精神病学是一个精神病学.

背景情况:

患有严重精神疾病 (SMI) 的非裔美国人不成比例地患有心血管疾病 (CVD).
关于SMI和CVD的个体如何感知和管理这些相互关联的条件,我们知之甚少.
结构性不平等加剧了生物脆弱性,导致健康差距.

研究的目的:

探索SMI和CVD的非洲裔美国成年人如何理解和导航他们的条件之间的相互作用.
为了确定管理共患性SMI和CVD的上下文障碍和促进者.
在这个人群中开发综合性相互依赖的理论模型.

主要方法:

接地理论和综合症理论指导了这项研究.
半结构面试对23名被诊断患有SMI和报告心血管疾病的非裔美国成年人进行了采访.
常规比较分析被用来识别模式,并开发一个理论模型.

主要成果:

综合性相互依赖成为核心概念,描述SMI和CVD如何相互加强.
精神症状阻碍了心血管疾病管理,而心血管疾病并发症加剧了精神疾病.
结构因素 (例如,公共援助,粮食不安全),环境影响 (例如,不安全的住房,暴力),以及对医疗保健的不信任加剧了疾病的发展轨迹.

结论:

这些发现说明了个人对SMI-CVD纠在结构和环境约束中的概念化.
需要综合,以公平为重点的护理模式,同时解决这两种情况.
解决结构性和制度性力量对于破坏SMI-CVD相互依赖和健康差异至关重要.

关键词:

非洲裔美国人 (AA)建立在基础上的理论理论.在健康方面存在差异.医疗不信任的医学不信任严重的精神疾病 (SMI)健康的社会决定因素结构驱动因素结构驱动因素综合症理论综合症理论

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