Healthy Heart Community Prevention Project, Inc., New Orleans, LA.
Tulane University School of Medicine, New Orleans, LA.
Prog Cardiovasc Dis. 2020 Jan-Feb;63(1):40-45. doi: 10.1016/j.pcad.2019.12.005. Epub 2019 Dec 19.
While there have been significant advances made towards controlling cardiovascular disease (CVD) morbidity and mortality in recent decades, African- Americans continue to experience a markedly elevated burden of CVD. Multiple factors have contributed to this major public health crisis, including medication adherence, racial inequities in diagnosis and treatment, lack of culturally competent care, and disparities in healthcare access. Historical approaches to reduce this burden are targeted towards community outreach by recruiting community partners and healthcare providers to disseminate health information on CVD awareness and prevention. Current community-based approaches, such as the barbershop and faith-based programs, have built upon previous approaches and incorporated novel ideas to increase community engagement in risk factor and disease reduction. Based on these models, future directions point to an increased usage of community partners, alongside health information technology and healthy behavior patient education, to reduce risk factors and prevalence of CVD in an ethnically vulnerable community.
尽管近几十年来在控制心血管疾病（CVD）发病率和死亡率方面取得了重大进展，但非裔美国人仍然面临着明显更高的 CVD 负担。多种因素导致了这一重大公共卫生危机，包括药物依从性、诊断和治疗方面的种族不平等、缺乏文化上适宜的护理以及医疗保健获取方面的差异。历史上减少这种负担的方法是通过招募社区合作伙伴和医疗保健提供者来传播关于 CVD 意识和预防的健康信息，以开展社区外展活动。目前基于社区的方法，如理发店和基于信仰的项目，是在以前的方法基础上建立的，并融入了新的理念，以增加社区对危险因素和疾病减少的参与度。基于这些模式，未来的方向指向增加使用社区合作伙伴，以及健康信息技术和健康行为患者教育，以减少一个种族脆弱社区的 CVD 危险因素和患病率。
