Racial and Ethnic Disparities in Cardiovascular Disease: An Assessment of Obstetrician–Gynecologists’ Knowledge, Attitudes, and Practice Patterns

Jones, Katherine M.; Carter, Michele M.; Schulkin, Jay

doi:10.1007/s40615-015-0088-9

Cited by 6 publications

(3 citation statements)

References 56 publications

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“…67,68 Obstetrics-gynecology clinics with minority patient populations are more attuned to the risk of CVD in women with HDP. 69 This finding suggests that increased CVD and multicultural competency training may increase CVD risk awareness following HDP.…”

Section: Cardiovascular Risk Reductionmentioning

confidence: 96%

Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension

et al. 2021

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Patients with a history of hypertensive disorders of pregnancy (HDP) suffer higher rates of long-term cardiovascular events including heart failure, coronary artery disease, and stroke. Cardiovascular changes during pregnancy can act as a natural stress test, subsequently unmasking latent cardiovascular disease in the form of HDP. Because HDP now affect 10% of pregnancies in the United States, the American Heart Association has called for physicians who provide peripartum care to promote early identification and cardiovascular risk reduction. In this review, we discuss the epidemiology, pathophysiology, and outcomes of HDP-associated cardiovascular disease. In addition, we propose a multi-pronged approach to support cardiovascular risk reduction for women with a history of HDP. Additional research is warranted to define appropriate blood pressure targets in the postpartum period, optimize the use of pregnancy history in risk stratification tools, and clarify the effectiveness of preventive interventions. The highest rates of HDP are in populations with poor access to resources and quality health care, making it a major risk for inequity of care. Interventions to decrease long-term cardiovascular disease risk in women following HDP must also target disparity reduction.

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Section: Cardiovascular Risk Reductionmentioning

confidence: 96%

Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension

et al. 2021

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“…However, these reductions have not been equitably experienced across the U.S. population. In particular, African-American women continue to experience a higher burden of CVD compared to their White counterparts [3][4][5] . These differences appear to persist, even after accounting for traditional CVD risk factors.…”

Section: Introductionmentioning

confidence: 99%

Stress, Resilience, and Cardiovascular Disease Risk Among Black Women

Felix

Lehman

Nolan

et al. 2019

Circ: Cardiovascular Quality and Outcomes

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Background: Empirical data on the link between stress and cardiovascular (CVD) risk among African-American women is limited. We examined associations of stressful life events and social strain with incident CVD among African-American women and tested for effect modification by resilience. Methods and Results: Our analysis included 10,785 African-American women enrolled in the Women's Health Initiative Observational Study and Clinical Trials cohort. Participants were followed for CVD for up to 23 years (mean, 12.5). Multivariable Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for associations between stressrelated exposures and incident CVD. We included interactions between follow-up time (age) and

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“…Per the Multi-ethnic study of atherosclerosis (MESA), black population demonstrated the highest levels of sleep disturbance, shorter sleep duration, worse sleep quality and daytime sleepiness compared to Caucasians, Hispanics and Asians [12]. Higher poverty rate is also associated with higher apnea-hypopnea index (AHI) with relatively lower continuous positive airway pressure (CPAP) therapy acceptance rate [13,14]. …”

Section: Introductionmentioning

confidence: 99%

Obesity, Cardiovascular Disease and Sleep Disorders: Insights into the Rising Epidemic

Sharma¹,

Lee²,

Youssef³

et al. 2017

J Sleep Disord Ther

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Cardiovascular disease (CVD) is the main cause of death among adult men and women in the USA and impacts millions around the globe. Traditional risk factors for CVD include obesity, diabetes, hypertension and dyslipidemia. The modern-day epidemic of obesity not only increased the rate of CVD but also ushered in an additional CVD risk factor to be added to the list; that is obstructive sleep apnea (OSA). In this review, we discuss the growing epidemic of obesity and OSA, highlighting the common pathogenic hypotheses linking these risk factors to CVD. We will also highlight the therapeutic rationale of OSA as a way to reduce CVD risk.

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Racial and Ethnic Disparities in Cardiovascular Disease: An Assessment of Obstetrician–Gynecologists’ Knowledge, Attitudes, and Practice Patterns

Cited by 6 publications

References 56 publications

Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension

Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension

Stress, Resilience, and Cardiovascular Disease Risk Among Black Women

Obesity, Cardiovascular Disease and Sleep Disorders: Insights into the Rising Epidemic

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