Cardiovascular Care in an Increasingly Diverse Community

Graham, Garth; Yancy, Clyde W.; Boehm, Amber K.; Wendt, Minh

doi:10.1161/circulationaha.109.898734

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…Racial/ethnic minority populations are rapidly growing and experience a disproportionately and rising burden of cardiovascular disease. Despite this rise, their research enrollment rates remain low [1,24]. Diabetes mellitus (DM) disproportionately affects racial/ethnic minority groups, especially African Americans [1,35], yet this population is underrepresented in DM trials with most mega-trials of new therapies for type 2 DM having less than 5% African Americans participating [36].…”

Section: Representation Of Women Of Racial/ethnic Minority Backgroundmentioning

confidence: 99%

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Disparities in Cardiovascular Care and Outcomes for Women From Racial/Ethnic Minority Backgrounds

Balla

Gomez

Rodríguez

2020

Curr Treat Options Cardio Med

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Purpose of review Racial, ethnic, and gender disparities in cardiovascular care are well-documented. This review aims to highlight the disparities and impact on a group particularly vulnerable to disparities, women from racial/ethnic minority backgrounds. Recent findings Women from racial/ethnic minority backgrounds remain underrepresented in major cardiovascular trials, limiting the generalizability of cardiovascular research to this population. Certain cardiovascular risk factors are more prevalent in women from racial/ethnic minority backgrounds, including traditional risk factors such as hypertension, obesity, and diabetes. Female-specific risk factors including gestational diabetes and preeclampsia as well as non-traditional psychosocial risk factors like depressive and anxiety disorders, increased child care, and familial and home care responsibility have been shown to increase risk for cardiovascular disease events in women more so than in men, and disproportionately affect women from racial/ethnic minority backgrounds. Despite this, minimal interventions to address differential risk have been proposed. Furthermore, disparities in treatment and outcomes that disadvantage minority women persist. The limited improvement in outcomes over time, especially among non-Hispanic Black women, is an area that requires further research and active interventions. Summary Understanding the lack of representation in cardiovascular trials, differential cardiovascular risk, and disparities in treatment and outcomes among women from racial/ethnic minority backgrounds highlights opportunities for improving cardiovascular care among this particularly vulnerable population.

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Section: Representation Of Women Of Racial/ethnic Minority Backgroundmentioning

confidence: 99%

“…In the USA, racial and ethnic diversity is growing rapidly [23]. The US Census Bureau predicts that by 2050, Whites will no longer be a majority population [24]. Thus, caring for women from racial/ethnic minority backgrounds is becoming increasingly important.…”

Section: Introductionmentioning

confidence: 99%

Disparities in Cardiovascular Care and Outcomes for Women From Racial/Ethnic Minority Backgrounds

Balla

Gomez

Rodríguez

2020

Curr Treat Options Cardio Med

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“… 35 - 37 In fact, CVD mortality occurs at a younger age and overall mortality rates are higher at most ages for Blacks compared to Whites. 38 - 40…”

Section: Introductionmentioning

confidence: 99%

“…[35][36][37] In fact, CVD mortality occurs at a younger age and overall mortality rates are higher at most ages for Blacks compared to Whites. [38][39][40] Studies indicate that racial differences relate in part to socioeconomic factors, process-of-care variables, and patient preferences, whereas sex differences relate in part to physiological factors. In both cases, however, understanding is limited by deficiencies in currently available datasets.…”

Section: Introductionmentioning

confidence: 99%

Disparities in Perceived Physical and Mental Wellness: Relationships Between Social Vulnerability, Cardiovascular Risk Factor Prevalence, and Health Behaviors Among Elderly US Residents

Jacobs

Burch

2023

J Prim Care Community Health

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Introduction: Cardiovascular disease (CVD) is the leading cause of death for males, females, and people of most racial and ethnic groups in the United States. In addition to known epidemiological and behavioral risk factors, recent evidence suggests that circumstantial or behavioral factors may also be associated with CVD. This study evaluates the contribution of cardiovascular disease (CVD) risk factors, community vulnerabilities, and individual health behaviors to individual physical and mental wellness among Black and White, male, and female Medicare beneficiaries. Methods: This study utilized data from the Behavioral Risk Factor Surveillance System, county-level CVD risk factor prevalence, and selected items from the Social Vulnerability Index. Results: Correlations were found between unhealthy days reported by males and area social vulnerabilities and health behaviors. Prevalence of disease was correlated with mentally unhealthy days for White males. Among White females, health behaviors, disease prevalence, and social vulnerability measures were associated with unhealthy days. Among Black females, disease prevalence was highly correlated with mentally unhealthy days. Discussion: While individual-level health behaviors are highly associated with perceived physical and mental health, the self-reported health of Black respondents is also heavily correlated with local area vulnerabilities, including community poverty, group housing, and crowding.

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Antiplatelet and Statin Use in US Patients With Coronary Artery Disease Categorized by Race/Ethnicity and Gender, 2003 to 2012

Johansen¹,

Hefner²,

Foraker³

2015

The American Journal of Cardiology

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Cardiovascular Care in an Increasingly Diverse Community

Cited by 6 publications

References 25 publications

Disparities in Cardiovascular Care and Outcomes for Women From Racial/Ethnic Minority Backgrounds

Disparities in Cardiovascular Care and Outcomes for Women From Racial/Ethnic Minority Backgrounds

Disparities in Perceived Physical and Mental Wellness: Relationships Between Social Vulnerability, Cardiovascular Risk Factor Prevalence, and Health Behaviors Among Elderly US Residents

Antiplatelet and Statin Use in US Patients With Coronary Artery Disease Categorized by Race/Ethnicity and Gender, 2003 to 2012

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