Interventions Targeting Racial/Ethnic Disparities in Stroke Prevention and Treatment

被引：94

作者：

Levine, Deborah A. ^{[1
,2
,3
,4
,5
]}

Duncan, Pamela W. ^{[6
]}

Nguyen-Huynh, Mai N. ^{[7
,8
]}

Ogedegbe, Olugbenga G. ^{[9
,10
]}

机构：

[1] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Cognit Hlth Serv Res Program, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Dept Neurol, Ann Arbor, MI USA

[4] Univ Michigan, Stroke Program, Ann Arbor, MI 48109 USA

[5] Univ Michigan, Inst Healthcare Policy & Innovat, Ann Arbor, MI 48109 USA

[6] Wake Forest Sch Med, Dept Neurol, Winston Salem, NC 27101 USA

[7] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA

[8] Kaiser Permanente Walnut Creek Med Ctr, Dept Neurol, Walnut Creek, CA USA

[9] NYU, Grossman Sch Med, Dept Populat Hlth, New York, NY USA

[10] NYU, Dept Med, Grossman Sch Med, 550 1St Ave, New York, NY 10016 USA

来源：

STROKE | 2020年 / 51卷 / 11期

基金：

美国国家卫生研究院;

关键词：

blood pressure; cardiovascular disease; cause of death; racism; risk factors; stroke; EMERGENCY-DEPARTMENT ARRIVAL; ETHNIC DISPARITIES; BLOOD-PRESSURE; RACIAL DISPARITIES; CONTROLLED-TRIAL; HEALTH; CARE; RACE; HYPERTENSION; MORTALITY;

D O I：

10.1161/STROKEAHA.120.030427

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Systemic racism is a public health crisis. Systemic racism and racial/ethnic injustice produce racial/ethnic disparities in health care and health. Substantial racial/ethnic disparities in stroke care and health exist and result predominantly from unequal treatment. This special report aims to summarize selected interventions to reduce racial/ethnic disparities in stroke prevention and treatment. It reviews the social determinants of health and the determinants of racial/ethnic disparities in care. It provides a focused summary of selected interventions aimed at reducing stroke risk factors, increasing awareness of stroke symptoms, and improving access to care for stroke because these interventions hold the promise of reducing racial/ethnic disparities in stroke death rates. It also discusses knowledge gaps and future directions.

引用

页码：3425 / 3432

页数：8

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