Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, 4770 Buford Highway, Building 107, Atlanta, GA, 30341, USA.
Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
Prev Sci. 2024 Apr;25(Suppl 1):190-194. doi: 10.1007/s11121-023-01585-3. Epub 2024 Jan 8.
In the USA, structural racism contributes to higher rates of cardiovascular disease (CVD) including hypertension, heart disease, and stroke among African American persons. Evidence-based interventions (EBIs), which include programs, policies, and practices, can help mitigate health inequities, but have historically been underutilized or misapplied among communities experiencing discrimination and exclusion. This commentary on the special issue of Prevention Science, "Advancing the Adaptability of Chronic Disease Prevention and Management Through Implementation Science," describes the Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention's (DHDSP's) efforts to support implementation practice and highlights several studies in the issue that align with DHDSP's methods and mission. This work includes EBI identification, scale, and spread as well as health services and policy research. We conclude that implementation practice to enhance CVD health equity will require greater coordination with diverse implementation science partners as well as continued innovation and capacity building to ensure meaningful community engagement throughout EBI development, translation, dissemination, and implementation.
在美国，结构性种族主义导致包括非裔美国人在内的心血管疾病（CVD）的发病率更高，包括高血压、心脏病和中风。循证干预措施（EBIs）包括项目、政策和实践，可以帮助减轻健康不平等，但在经历歧视和排斥的社区中，这些措施在历史上一直未得到充分利用或应用不当。这篇关于《预防科学》特刊“通过实施科学推进慢性病预防和管理的适应性”的评论描述了疾病控制和预防中心、心脏病和中风预防司（DHDSP）支持实施实践的努力，并强调了该特刊中与 DHDSP 方法和使命一致的几项研究。这项工作包括 EBI 的识别、规模和传播以及卫生服务和政策研究。我们的结论是，为了加强心血管疾病健康公平，实施实践需要与更多的实施科学伙伴进行协调，同时需要不断创新和能力建设，以确保在 EBI 的开发、翻译、传播和实施过程中，整个社区都能有意义地参与。
