RT Book, Section
A1 Mensah, George A.
A1 Desvigne-Nickens, Patrice
A2 Fuster, Valentin
A2 Harrington, Robert A.
A2 Narula, Jagat
A2 Eapen, Zubin J.
SR Print(0)
ID 1191189281
T1 RACE, ETHNICITY, AND CARDIOVASCULAR DISEASE
T2 Hurst's The Heart, 14e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843249
LK accesscardiology.mhmedical.com/content.aspx?aid=1191189281
RD 2024/04/16
AB SummaryThis  chapter  discusses  racial  and  ethnic  differences  in  cardiovascular  risk  and  disease  in  the  US.  Race  and  ethnicity  are  social,  political,  historical,  and  cultural  constructs;  therefore,  racial  and  ethnic  differences  observed  in  the  incidence,  prevalence,  morbidity,  and  mortality  of  cardiovascular  diseases  should  not  be  construed  as  necessarily  resulting  from  genetic  of  other  biological  differences.  Over  the  past  decade  or  so,  some  progress  has  been  made  in  some  areas  to  reduce  disparities  in  the  burden  of  cardiovascular  disease  and  the  quality  of  health  care,  but  most  health  disparities  remain  unchanged  or  have  worsened.  The  primary  drivers  of  persisting  disparities  include  those  attributed  to  cardiovascular  health  behaviors  and  risk  factors  (see  accompanying  Hurst’s  Central  Illustration);  prominent  racial  and  ethnic  differences  are  seen  in  cardiovascular  risk  factors  such  as  hypertension,  overweight  and  obesity,  dyslipidemia,  physical  inactivity,  and  smoking  or  tobacco  use.  Disparities  in  cardiovascular  diseases/conditions,  such  as  coronary  heart  disease,  myocardial  infarction,  stroke,  and  congestive  heart  failure,  are  reported.  Factors  that  account  for  the  racial  and  ethnic  differences  in  health  behaviors,  risk  factors,  disease  burden,  and  associated  morbidity  and  mortality  operate  at  the  levels  of  the  individual  patients,  health  care  providers,  health  systems,  health  policies,  and  the  communities  within  which  patients  live.