Department of Internal Medicine and Cognitive Health Services Research Program (D.A.L.), University of Michigan, Ann Arbor.
Department of Neurology and Stroke Program (D.A.L.), University of Michigan, Ann Arbor.
Stroke. 2020 Nov;51(11):3425-3432. doi: 10.1161/STROKEAHA.120.030427. Epub 2020 Oct 26.
Systemic racism is a public health crisis. Systemic racism and racial/ethnic injustice produce racial/ethnic disparities in health care and health. Substantial racial/ethnic disparities in stroke care and health exist and result predominantly from unequal treatment. This special report aims to summarize selected interventions to reduce racial/ethnic disparities in stroke prevention and treatment. It reviews the social determinants of health and the determinants of racial/ethnic disparities in care. It provides a focused summary of selected interventions aimed at reducing stroke risk factors, increasing awareness of stroke symptoms, and improving access to care for stroke because these interventions hold the promise of reducing racial/ethnic disparities in stroke death rates. It also discusses knowledge gaps and future directions.
系统性种族主义是公共卫生危机。系统性种族主义和种族/族裔不公正导致医疗保健和健康方面存在种族/族裔差异。在中风护理和健康方面存在大量的种族/族裔差异，主要是由于待遇不平等造成的。本特别报告旨在总结减少中风预防和治疗中种族/族裔差异的选定干预措施。它审查了健康的社会决定因素和护理中种族/族裔差异的决定因素。它重点总结了旨在降低中风危险因素、提高中风症状意识和改善中风护理机会的选定干预措施，因为这些干预措施有望降低中风死亡率方面的种族/族裔差异。它还讨论了知识差距和未来方向。
