Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Ethn Dis. 2016 Jul 21;26(3):369-78. doi: 10.18865/ed.26.3.369.
Cardiovascular health disparities persist despite decades of recognition and the availability of evidence-based clinical and public health interventions. Racial and ethnic minorities and adults in urban and low-income communities are high-risk groups for uncontrolled hypertension (HTN), a major contributor to cardiovascular health disparities, in part due to inequitable social structures and economic systems that negatively impact daily environments and risk behaviors. This commentary presents the Johns Hopkins Center to Eliminate Cardiovascular Health Disparities as a case study for highlighting the evolution of an academic-community partnership to overcome HTN disparities. Key elements of the iterative development process of a Community Advisory Board (CAB) are summarized, and major CAB activities and engagement with the Baltimore community are highlighted. Using a conceptual framework adapted from O'Mara-Eves and colleagues, the authors discuss how different population groups and needs, motivations, types and intensity of community participation, contextual factors, and actions have shaped the Center's approach to stakeholder engagement in research and community outreach efforts to achieve health equity.
尽管已经认识到心血管健康差异存在数十年，并提供了基于证据的临床和公共卫生干预措施，但这些差异仍然存在。少数族裔和城市及低收入社区的成年人是高血压（HTN）的高危人群，高血压是导致心血管健康差异的主要因素之一，部分原因是不平等的社会结构和经济体系对日常生活环境和风险行为产生负面影响。本文以约翰霍普金斯消除心血管健康差异中心（Johns Hopkins Center to Eliminate Cardiovascular Health Disparities）为例，介绍了学术-社区伙伴关系的演变，以克服高血压差异。总结了社区咨询委员会（CAB）的迭代发展过程中的关键要素，并强调了 CAB 的主要活动以及与巴尔的摩社区的参与。作者采用了 O'Mara-Eves 及其同事改编的概念框架，讨论了不同的人群群体和需求、动机、类型和强度的社区参与、背景因素以及行动如何塑造了该中心在研究和社区外展工作中与利益相关者接触的方法，以实现健康公平。
