Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA; Duke Global Health Institute, Duke University, Durham, NC, USA.
Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Prog Cardiovasc Dis. 2020 Mar-Apr;63(2):142-148. doi: 10.1016/j.pcad.2020.02.006. Epub 2020 Feb 11.
Despite developments to improve health in the United States, racial and ethnic disparities persist. These disparities have profound impact on the wellbeing of historically marginalized racial and ethnic groups. This narrative review explores disparities by race in people living with cardiovascular disease (CVD) and the Human Immunodeficiency Virus (HIV). We discuss selected common social determinants of health for both of these conditions which include; regional historical policies, incarceration, and neighborhood effects. Data on racial disparities for persons living with comorbid HIV and CVD are lacking. We found few published articles (n = 7) describing racial disparities for persons living with both comorbid HIV and CVD. Efforts to reduce CVD morbidity in historically marginalized racial and ethnic groups with HIV must address participation in clinical research, social determinants of health and translation of research into clinical practice.
尽管美国在改善健康方面取得了进展，但种族和族裔差异仍然存在。这些差异对历史上处于边缘地位的种族和族裔群体的福祉产生了深远的影响。本叙述性综述探讨了心血管疾病 (CVD) 和人类免疫缺陷病毒 (HIV) 患者的种族差异。我们讨论了这两种情况的一些共同社会决定因素，包括：区域历史政策、监禁和邻里效应。关于同时患有 HIV 和 CVD 的人群的种族差异的数据缺乏。我们发现很少有描述同时患有 HIV 和 CVD 的人群的种族差异的已发表文章（n=7）。为了减少 HIV 感染者中历史上处于边缘地位的种族和族裔群体的 CVD 发病率，必须解决参与临床研究、健康的社会决定因素以及将研究转化为临床实践的问题。
