University of Southern California, Los Angeles (A.T.).
Los Angeles County-Department of Health Services, CA (A.T.).
Stroke. 2022 Mar;53(3):636-642. doi: 10.1161/STROKEAHA.122.035816. Epub 2022 Feb 28.
There are stark inequities in stroke incidence, prevalence, acute care, rehabilitation, risk factor control, and outcomes. To address these inequities, it is critical to engage communities in identifying priorities and designing, implementing, and disseminating interventions. This issue of features health equity themed lectures delivered during the International Stroke Conference and Health Equity and Actionable Disparities in Stroke: Understanding and Problem-Solving meetings in 2021 as well as articles covering issues of disparities and diversity in stroke. Bruce Ovbiagele, MD, MSc, MAS, MBA, MLS, received the 2021 William Feinberg Award Lecture for his lifetime achievements in seeking global and local solutions to cerebrovascular health inequities. The second annual Health Equity and Actionable Disparities in Stroke: Understanding and Problem-Solving symposium, which took place the day before the International Stroke Conference in February 2021, focused on community-engaged research for reducing inequities in stroke. Phil Gorelick, MD was awarded the Edgar J. Kenton III Award for his lifetime achievements in using community engagement strategies to recruit and retain Black participants in observational studies and clinical trials. Walter Koroshetz, MD, Director of the National Institute of Neurological Disorders and Stroke delivered the keynote lecture on stroke inequities and Richard Benson, MD, PhD, Director of the Office of Global Health and Health Disparities at National Institute of Neurological Disorders and Stroke, gave a lecture focused on National Institute of Neurological Disorders and Stroke efforts to address inequities. Nichols et al highlighted approaches of community-based participatory research to address stroke inequities. Verma et al showcased digital health innovations to reduce inequities in stroke. Das et al showed that the proportion of underrepresented in medicine vascular neurology fellows has lowered over the past decade and authors provided a road map for enhancing the diversity in vascular neurology. Clearly, to overcome inequities, multipronged strategies are required, from broadening representation among vascular neurology faculty to partnering with communities to conduct research with meaningful impact.
在卒中的发病率、患病率、急性期治疗、康复、危险因素控制和结局方面存在明显的不公平现象。为了解决这些不公平问题，关键是让社区参与确定优先事项，并设计、实施和传播干预措施。本期专题介绍了在 2021 年国际卒中大会期间以及在 2021 年国际卒中大会之前举行的“健康公平和卒中的可操作差异：理解和解决问题”会议上发表的健康公平主题演讲，以及涵盖卒中差异和多样性问题的文章。Bruce Ovbiagele, MD, MSc, MAS, MBA, MLS 因其在寻求全球和地方解决方案以解决脑血管健康不公平问题方面的终身成就而获得 2021 年 William Feinberg 奖演讲。第二届年度“健康公平和卒中的可操作差异：理解和解决问题”专题研讨会于 2021 年 2 月国际卒中大会前一天举行，重点关注减少卒中不公平的社区参与式研究。Phil Gorelick, MD 因其在使用社区参与策略招募和保留黑人参与者参与观察性研究和临床试验方面的终身成就而获得 Edgar J. Kenton III 奖。国家神经疾病和卒中研究所所长 Walter Koroshetz, MD 发表了关于卒中不公平的主题演讲，国家神经疾病和卒中研究所全球健康和健康差异办公室主任 Richard Benson, MD, PhD 发表了关于国家神经疾病和卒中研究所解决不公平问题的演讲。Nichols 等人强调了基于社区的参与性研究方法在解决卒中不公平问题方面的应用。Verma 等人展示了减少卒中不公平的数字健康创新。Das 等人表明，过去十年中，医学代表性不足的血管神经病学研究员的比例有所降低，作者为增强血管神经病学的多样性提供了路线图。显然，要克服不公平现象，需要采取多管齐下的策略，从扩大血管神经病学教师中的代表性到与社区合作开展具有重要影响的研究。
