Reducing Cardiovascular Disparities Through Community-Engaged Implementation Research A National Heart, Lung, and Blood Institute Workshop Report

• Type of Material: Article
• Authors: George A. Mensah, National Heart, Lung, and Blood Institute; Richard S. Cooper, Loyola University; Anna Maria Siega-Riz, University of Virginia; Lisa A. Cooper, Johns Hopkins University; Justin D. Smith, Northwestern University; C. Hendricks Brown, Northwestern University; John M. Westfall, University of Colorado; Elizabeth O. Ofili, Morehouse School of Medicine; LeShawndra N. Price, National Heart, Lung, and Blood Institute; Sonia Arteaga, National Heart, Lung, and Blood Institute; Melissa Green Parker, National Heart, Lung, and Blood Institute; Cheryl R. Nelson, National Heart, Lung, and Blood Institute; Brad J. Newsome, National Heart, Lung, and Blood Institute; Nicole Redmond, Community-Campus Partnerships for Health; Rebecca A. Roper, National Heart, Lung, and Blood Institute; Bettina M. Beech, University of Mississippi; Jada L. Brooks, University of North Carolina; Debra Furr-Holden, Michigan State University; Samson Y. Gebreab, National Human Genome Research Institute; Wayne H. Giles, University of Illinois; Regina Smith James, National Institute on Minority Health and Health Disparities; Tene Lewis, Emory University; Ali H. Mokdad, University of Washington; Kari D. Moore, University of Louisville; Joseph E. Ravenell, New York University; Al Richmond, Community-Campus Partnerships for Health; Nancy E. Schoenberg, University of Kentucky; Mario Sims, University of Mississippi; Gopal K. Singh, Health Resources and Services Administration; Anne E. Sumner, National Institute of Diabetes and Digestive and Kidney Diseases; Roberto P. Trevino, Social and Health Research Center; Karriem S. Watson, University of Illinois; M. Larissa Aviles-Santa, National Heart, Lung, and Blood Institute; Jared P. Reis, National Heart, Lung, and Blood Institute; Charlotte A. Pratt, National Heart, Lung, and Blood Institute; Michael M. Engelgau, National Heart, Lung, and Blood Institute; David C. Goff Jr., National Heart, Lung, and Blood Institute; Eliseo J. Perez-Stable, National Institute on Minority Health and Health Disparities
• Language: English
• Date: 2018-01-19
• Publisher: American Heart Association
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2018 American Heart Association, Inc.
• Final Published Version (URL): http://dx.doi.org/10.1161/CIRCRESAHA.117.312243
• Title of Journal or Parent Work: Circulation Research
• ISSN: 0009-7330
• Volume: 122
• Issue: 2
• Start Page: 213
• End Page: 230
• Keywords: social determinants of health; Life Sciences & Biomedicine; Cardiac & Cardiovascular Systems; geography; MINORITY COMMUNITIES; ACHIEVING HEALTH EQUITY; social class; Peripheral Vascular Disease; OF-THE-LITERATURE; community-based participatory research; cardiovascular diseases; SOCIOECONOMIC DISPARITIES; RECENT METHODOLOGICAL DEVELOPMENTS; Science & Technology; ACCOUNTABLE CARE ORGANIZATIONS; PUBLIC-HEALTH; Cardiovascular System & Cardiology; UNITED-STATES; Hematology; TRANSLATIONAL SCIENCE; RACIAL DISPARITIES
• Research Categories: Sociology, Demography; Geography; Health Sciences, Public Health

Abstract

Cardiovascular disparities remain pervasive in the United States. Unequal disease burden is evident among population groups based on sex, race, ethnicity, socioeconomic status, educational attainment, nativity, or geography. Despite the significant declines in cardiovascular disease mortality rates in all demographic groups during the last 50 years, large disparities remain by sex, race, ethnicity, and geography. Recent data from modeling studies, linked micromap plots, and small-Area analyses also demonstrate prominent variation in cardiovascular disease mortality rates across states and counties, with an especially high disease burden in the southeastern United States and Appalachia. Despite these continued disparities, few large-scale intervention studies have been conducted in these high-burden populations to examine the feasibility of reducing or eliminating cardiovascular disparities. To address this challenge, on June 22 and 23, 2017, the National Heart, Lung, and Blood Institute convened experts from a broad range of biomedical, behavioral, environmental, implementation, and social science backgrounds to summarize the current state of knowledge of cardiovascular disease disparities and propose intervention strategies aligned with the National Heart, Lung, and Blood Institute mission. This report presents the themes, challenges, opportunities, available resources, and recommended actions discussed at the workshop.