Bonomo Jason A, Luo Kate, Ramallo Jorge A
Inova Scar Heart and Vascular, Inova Health System, Falls Church, VA, United States.
University of Virginia School of Medicine, Charlottesville, VA, United States.
Front Cardiovasc Med. 2024 Mar 6;11:1350603. doi: 10.3389/fcvm.2024.1350603. eCollection 2024.
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the United States. Data shows that social drivers of health (SDOH), including economic stability, racial/cultural identity, and community, have a significant impact on cardiovascular morbidity and mortality. LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and other gender and sexual minority) patients face a variety of unique health risk factors and bear a disproportionate burden of CVD compared to cis-gender, heterosexual peers. There is a paucity of research assessing the etiologies of CVD health disparities within the LGBTQ+ community. Herein, we seek to explore existing literature on LGBTQ+ health disparities with a focus on cardiovascular disease, examine trends impacting LGBTQ+ health equity, and identify strategies and interventions that aim to promote LGBTQ+ cardiovascular health equity on a regional and national level.
心血管疾病(CVD)是美国发病和死亡的主要原因。数据显示,健康的社会驱动因素(SDOH),包括经济稳定性、种族/文化认同和社区,对心血管疾病的发病率和死亡率有重大影响。与顺性别、异性恋同龄人相比,LGBTQ+(女同性恋、男同性恋、双性恋、跨性别者、酷儿以及其他性别和性少数群体)患者面临各种独特的健康风险因素,并且承担着不成比例的心血管疾病负担。评估LGBTQ+社区内心血管疾病健康差异病因的研究很少。在此,我们试图探索关于LGBTQ+健康差异的现有文献,重点关注心血管疾病,研究影响LGBTQ+健康公平性的趋势,并确定旨在在区域和国家层面促进LGBTQ+心血管健康公平性的策略和干预措施。