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心血管健康社会经济决定因素的全球视角

A Global Perspective on Socioeconomic Determinants of Cardiovascular Health.

作者信息

Wilder Bart, Pinedo Alejandro, Abusin Salaheldin, Ansell David, Bacong Adrian Matias, Calvin James, Cha Sung Whoy, Doukky Rami, Hasan Faisal, Luo Shengyuan, Oktay Ahmet Afşin, Palaniappan Latha, Rana Natasha, Rivera Frederick Berro, Fayaz Basmah, Suliman Ahmed Ali, Volgman Annabelle Santos

机构信息

Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.

Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.

出版信息

Can J Cardiol. 2025 Jan;41(1):45-59. doi: 10.1016/j.cjca.2024.07.024. Epub 2024 Jul 31.

Abstract

Cardiovascular disease (CVD) is the leading cause of mortality in the world. From 2005 to 2008, the World Health Organization (WHO) planned an initiative to reduce the mortality rate of CVD by 2030 by addressing health, finance, transport, education, and agriculture in these communities. Plans were underway by many countries to meet the goals of the WHO initiative. However, in 2020, the COVID-19 pandemic derailed these goals, and many health systems suffered as the world battled the viral pandemic. The pandemic made health inequities even more prominent and necessitated a different approach to understanding and improving the socioeconomic determinants of health (SDOH). WHO initiated a special initiative to improve SDOH globally. This paper is an update on what other regions across the globe are doing to decrease, more specifically, the impact of socioeconomic determinants of cardiovascular health. Our review highlights how countries and regions such as Canada, the United States, India, Southeast Asia, the Middle East, and Africa are uniquely affected by various socioeconomic factors and how these countries are attempting to counter these obstacles by creating policies and protocols to facilitate an infrastructure that promotes screening and treatment of CVD. Ultimately, interventions directed toward populations that have been economically and socially marginalized may aid in reducing the disease and financial burden associated with CVD.

摘要

心血管疾病(CVD)是全球主要的死亡原因。2005年至2008年期间,世界卫生组织(WHO)计划开展一项倡议,通过解决这些社区的健康、金融、交通、教育和农业问题,到2030年降低心血管疾病的死亡率。许多国家正在制定计划以实现WHO倡议的目标。然而,2020年,新冠疫情打乱了这些目标,在全球抗击病毒大流行的过程中,许多卫生系统受到影响。这场大流行使健康不平等问题更加突出,因此需要采用不同的方法来理解和改善健康的社会经济决定因素(SDOH)。WHO发起了一项在全球改善SDOH的特别倡议。本文是关于全球其他地区为更具体地降低心血管健康的社会经济决定因素的影响正在采取的措施的最新情况。我们的综述强调了加拿大、美国、印度、东南亚、中东和非洲等国家和地区如何受到各种社会经济因素的独特影响,以及这些国家如何通过制定政策和协议来建立促进心血管疾病筛查和治疗的基础设施,试图应对这些障碍。最终,针对在经济和社会上处于边缘地位的人群的干预措施可能有助于减轻与心血管疾病相关的疾病负担和经济负担。

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Cardiovascular Disease in China: Socioeconomic Status Variation in Prevalence.中国的心血管疾病:患病率的社会经济地位差异
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