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行为科学在解决心血管健康差异方面的作用:努力、挑战和未来方向的叙述性综述。

The role of behavioral science in addressing cardiovascular health disparities: A narrative review of efforts, challenges, and future directions.

机构信息

Department of Preventive Medicine.

Department of Psychiatry and Behavioral Sciences.

出版信息

Health Psychol. 2022 Oct;41(10):740-754. doi: 10.1037/hea0001191. Epub 2022 Jul 18.

Abstract

Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality in the United States. Despite improvements in the prevention and treatment of CVD over the past 20 years, racial/ethnic minority groups including non-Hispanic Blacks, Hispanic/Latinos, and some Asian subgroups (e.g., Asian Indians, Filipinos) experience higher rates of CVD risk factors and morbidity and mortality from CVD than non-Hispanic Whites. Therefore, addressing cardiovascular health disparities is an immediate priority. Behavioral science can play an important role in reducing disparities by capitalizing on expertise in human behavior change, social determinants of health, and implementation science. In this narrative review, we describe the efforts made within behavioral science to address CVD health disparities. We review current interventions to reduce CVD health disparities and provide practical recommendations that can be used as the field moves forward. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

心血管疾病(CVD)仍然是美国发病率和死亡率的主要原因。尽管在过去 20 年中,CVD 的预防和治疗有所改善,但包括非西班牙裔黑人、西班牙裔/拉丁裔和一些亚洲亚群(例如,印度裔、菲律宾裔)在内的种族/民族少数群体经历的 CVD 风险因素以及 CVD 发病率和死亡率都高于非西班牙裔白人。因此,解决心血管健康差距是当务之急。行为科学可以通过利用人类行为改变、健康的社会决定因素和实施科学方面的专业知识,在减少差异方面发挥重要作用。在这篇叙述性评论中,我们描述了行为科学在解决 CVD 健康差距方面所做的努力。我们回顾了目前减少 CVD 健康差距的干预措施,并提供了实用建议,为该领域的发展提供参考。(选自《PsycInfo 数据库》,版权所有,2022,美国心理协会)

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