无家可归、种族/族裔和心血管疾病:种族/族裔报告的证据现状总结和结构化审查。

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Cardiovascular Risk Reports Pub Date : 2023-10-01 Epub Date: 2023-08-16 DOI:10.1007/s12170-023-00725-2
Phillippe F Nyembo, Caitlin Bakker, Woubeshet Ayenew, Gautam R Shroff, Andrew M Busch, Katherine Diaz Vickery
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引用次数: 0

摘要

目的:在这篇综述中,我们研究了心血管疾病(CVD)、种族/民族和无家可归/不稳定住房(心血管健康的一个关键社会决定因素)之间的交叉关系。无家可归问题根深蒂固,反映了住房、教育和经济政策中的结构性种族主义,导致美国无家可归人口中黑人、美洲原住民和西班牙裔的比例失调。最近的发现:越来越严格的观察性研究详细说明了无家可归者中心血管疾病的不成比例的发病率、流行率和死亡率。关于程序性心血管疾病护理差异的住院文件研究。我们总结了目前关于无家可归者中心血管疾病的证据。我们对27篇关于心血管疾病和无家可归的文章进行了新的结构化审查,以确定它们是否以及如何收集和报道种族/民族和种族主义。我们寻找以证据为基础的干预措施来改善无家可归者的心血管疾病。摘要:最近的一项系统综述和其他关于心血管疾病和无家可归的文章发现,没有针对这些主题交叉点的干预措施,也没有专门针对种族/民族的干预措施。我们发现,27项综述研究中有16项(59%)收集了种族/民族的数据,但只有5项(19%)报告了按种族/民族划分的心血管疾病特异性结果。我们总结了基于专家意见的临床证据,这些专家意见虽然实用,但缺乏严谨性,并且没有考虑种族/民族、无家可归和其他因素对心血管疾病患者的交叉影响。因此,我们得出结论,需要更多的研究和创新,使用社区参与的方法来开发证据,以支持改善黑人、美洲原住民、西班牙裔或其他有色人种无家可归者的心血管疾病预防和管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Homelessness, Race/Ethnicity, and Cardiovascular Disease: a State‑of‑the‑Evidence Summary and Structured Review of Race/Ethnicity Reporting.

Purpose: In this review, we examine the intersection of cardiovascular disease (CVD), race/ethnicity, and homelessness/unstable housing-a key social determinant of cardiovascular health. Homelessness has deep roots reflecting structural racism in housing, educational, and economic policies, leading to disproportional representation of Black, Native American, and Hispanic people among the U.S. homeless population.

Recent findings: Increasingly rigorous observational studies detail the disproportionate incidence, prevalence, and mortality of CVD among people experiencing homelessness. Studies of hospital admissions document concerning disparities in procedural CVD care. We summarize current evidence about CVD among people experiencing homelessness. We conducted a new structured review of 27 articles about CVD and homelessness to determine if and how they collected and reported on race/ethnicity and racism. We searched for evidence-based interventions to improve CVD for people experiencing homelessness.

Summary: A recent systematic review and additional articles addressing CVD and homelessness found no interventions targeting the intersections of these topics or any that specifically addressed race/ethnicity. We found that 16 of 27 reviewed studies (59%) collected any data on race/ethnicity, but only 5 (19%) reported CVD-specific outcomes by race/ethnicity. We summarize clinical evidence based on expert opinion that, while practical, lacks rigor and does not consider the intersectional impact of race/ethnicity, homelessness, and other factors on people experiencing CVD. Therefore, we conclude that more research and innovation are needed using community-engaged approaches to develop evidence to support improved CVD prevention and management among people experiencing homelessness who identify as Black, Native American, Hispanic, or other people of color.

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来源期刊
Current Cardiovascular Risk Reports
Current Cardiovascular Risk Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.00
自引率
0.00%
发文量
23
期刊介绍: The aim of this journal is to keep readers informed by providing cutting-edge reviews on key topics pertaining to cardiovascular risk. We use a systematic approach: international experts prepare timely articles on relevant topics that highlight the most important recent original publications. We accomplish this aim by appointing Section Editors in major subject areas across the discipline of cardiovascular medicine to select topics for review articles by leading experts who emphasize recent developments and highlight important papers published in the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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