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Disparities cardiovascular disease

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https://www.readbyqxmd.com/read/28415975/k%C3%A4-holo-project-a-protocol-for-a-randomized-controlled-trial-of-a-native-cultural-dance-program-for-cardiovascular-disease-prevention-in-native-hawaiians
#1
Joseph Keawe'aimoku Kaholokula, Mele A Look, Thomas A Wills, Māpuana de Silva, Tricia Mabellos, Todd B Seto, Hyeong Jun Ahn, Ka'imi A Sinclair, Dedra Buchwald
BACKGROUND: As a major risk factor for cardiovascular and cerebrovascular disease (CVD), hypertension affects 33% of U.S. adults. Relative to other US races and ethnicities, Native Hawaiians have a high prevalence of hypertension and are 3 to 4 times more likely to have CVD. Effective, culturally-relevant interventions are needed to address CVD risk in this population. Investigators of the Kā-HOLO Project developed a study design to test the efficacy of an intervention that uses hula, a traditional Hawaiian dance, to increase physical activity and reduce CVD risk...
April 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28395890/frequency-of-nonalcoholic-fatty-liver-disease-and-subclinical-atherosclerosis-among-young-mexican-americans
#2
Clarence Gill, Kristina P Vatcheva, Jen-Jung Pan, Beverly Smulevitz, David D McPherson, Michael Fallon, Joseph B McCormick, Susan P Fisher-Hoch, Susan T Laing
Nonalcoholic fatty liver disease (NAFLD) is considered as the hepatic manifestation of the metabolic syndrome, whose criteria are risk factors for atherosclerotic cardiovascular disease. We aimed to evaluate the prevalence of NAFLD, its association with subclinical atherosclerosis, and factors that may account for this association in Mexican Americans. In a population-based cross-sectional sample drawn from the Cameron County Hispanic Cohort in Texas, carotid intima media thickness (cIMT), an indicator of subclinical atherosclerosis, was measured...
March 16, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28353542/promoting-heart-health-among-rural-african-americans
#3
Laurie Abbott, Christine Williams, Elizabeth Slate, Sareen Gropper
BACKGROUND: Cardiovascular disease is a major cause of death for people living in the United States. African Americans bear a disproportionate burden of cardiovascular disease. Interventions designed to target multiple risk factors may facilitate elimination of cardiovascular disease health disparities. OBJECTIVE: The purpose of this study was to evaluate a culturally relevant cardiovascular health promotion intervention that could potentially reduce cardiovascular disease risk among a group of rural African American adults by improving intentions, attitudes, norms, and self-efficacy to increase produce consumption, reduce dietary saturated fat intake, and increase exercise...
March 28, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28339883/interventions-to-improve-immigrant-health-a-scoping-review
#4
Esperanza Diaz, Gaby Ortiz-Barreda, Yoav Ben-Shlomo, Michelle Holdsworth, Bukola Salami, Anu Rammohan, Roger Yat-Nork Chung, Sabu S Padmadas, Thomas Krafft
: Disparities in health between immigrants and their host populations have been described across countries and continents. Hence, interventions for improving health targeting general populations are not necessarily effective for immigrants. To conduct a systematic search of the literature evaluating health interventions for immigrants; to map the characteristics of identified studies including range of interventions, immigrant populations and their host countries, clinical areas targeted and reported evaluations, challenges and limitations of the interventions identified...
February 27, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28338521/ethnicity-lipids-and-cardiovascular-disease
#5
Katia Gazzola, Rens Reeskamp, Bert-Jan van den Born
PURPOSE OF REVIEW: The prevalence of cardiovascular disease differs among ethnic groups and along geographic boundaries. At present, most of the projected increase in mortality from cardiovascular disease occurs in sub-Saharan African, Chinese and Southeast Asian populations. Ethnic disparities in the prevalence of cardiovascular disease coincide with quantitative and qualitative differences in risk factors for cardiovascular disease. High plasma cholesterol is one of the most important preventable causes of ischemic heart disease...
March 23, 2017: Current Opinion in Lipidology
https://www.readbyqxmd.com/read/28336354/educational-disparities-in-mortality-between-adults-aged-50-64-and-66-79-years-u-s
#6
Jiemin Ma, Sean Altekruse, Candace Cosgrove, Farhad Islami, Ahmedin Jemal
INTRODUCTION: This study estimated differences in educational disparities in mortality between ages 50-64 and 66-79 years in the U.S. and explored factors contributing to the differences. METHODS: Based on the follow-up of a nationally representative cohort in the National Longitudinal Mortality Study 2002-2011, relative differences in educational disparities (relative index of inequality) between people aged 50-64 and 66-79 years were calculated for deaths from all causes, cancer, cardiovascular disease, injuries, and other causes by sex and race/ethnicity...
March 20, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28320207/examination-of-cardiovascular-risk-factors-and-rurality-in-appalachian-children
#7
Christa L Lilly, Amna Umer, Lesley Cottrell, Lee Pyles, William Neal
INTRODUCTOIN: The prevalence of childhood cardiovascular disease (CVD) risk factors often increases in more rural geographic regions in the USA. However, research on the topic often has conflicting results. Researchers note differences in definitions of rurality and other factors that would lead to differences in inference, including appropriate use of statistical clustering analysis, representative data, and inclusion of individual-level covariates. The present study's objective was to examine CVD risk factors during childhood by geographic distribution in the US Appalachian region as a first step towards understanding the health disparities in this area...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28298955/the-apolipoprotein-l1-gene-and-cardiovascular-disease
#8
Todd W Robinson, Barry I Freedman
Relative to those with European ancestry, African Americans have an excess incidence of nondiabetic chronic kidney disease predominantly due to two coding renal-risk variants in the apolipoprotein L1 gene (APOL1). This APOL1-kidney disease association is independent of systemic hypertension or blood pressure. Recent reports describe extra-renal effects of the APOL1 G1 and G2 renal-risk variants on cardiovascular disease (CVD), subclinical atherosclerosis, lipoprotein particle concentrations, and survival. However, results have been less consistent than those seen in kidney disease, and the observed APOL1 associations with CVD vary from risk to protective...
October 2016: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/28285333/south-asian-health-from-research-to-practice-and-policy-an-overview
#9
Francesca Gany, Latha Palaniappan, Lakshmi Prasad, Sudha Acharya, Jennifer Leng
The US South Asian population has grown tremendously, and is now over 2.5 million. South Asians often face tremendous cultural, socioeconomic, linguistic and structural obstacles to good health, and face staggering cardiovascular disease (CVD) and cancer risk. Coupled with this is a paucity of detailed data on the population's unique CVD and cancer risk profiles, etiologic mechanisms, and effective interventions to address South Asian health disparities. This data gap compelled an initiative to develop more targeted research and evidence-based practice and policy approaches...
March 11, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28277046/social-disparities-in-diabetes-care-a-general-population-study-in-denmark
#10
Andreas Heltberg, John Sahl Andersen, Jakob Kragstrup, Volkert Siersma, Håkon Sandholdt, Christina Ellervik
OBJECTIVE: We investigated the association between socioeconomic factors and the attainment of treatment goals and pharmacotherapy in patients with type 2 diabetes in Denmark. DESIGN: A cross-sectional population study. SETTING: The municipality of Naestved, Denmark. SUBJECTS: We studied 907 patients with type 2 diabetes identified from a random sample of 21,205 Danish citizens. MAIN OUTCOME MEASURES: The proportion of patients who were not achieving goals for diabetes care based on their HbA1c, LDL-cholesterol, blood pressure, and lifestyle, and the proportion of patients who were treated with antihypertensive and cholesterol- and glucose-lowering medication...
March 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28275997/caring-by-numbers-evaluation-of-inconsistencies-and-incompleteness-in-the-reporting-of-racial-and-ethnic-data
#11
Beth Marie Hartzler, Angela Snyder
Significant health disparities throughout the lifespan have long been evident within the American, non-White population. These differences include increased incidence of infant mortality, childhood hospitalization, diabetes, mental and behavioral health problems, cardiovascular disease, and late-stage cancer diagnoses. These types of disparities could be addressed by identifying those individuals at greatest risk for chronic disease or higher mortality rates and improving their health literacy and access to care...
March 8, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28272943/a-systematic-review-of-cardiovascular-disease-in-sexual-minorities
#12
Billy A Caceres, Abraham Brody, Rachel E Luscombe, Jillian E Primiano, Peter Marusca, Edward M Sitts, Deborah Chyun
BACKGROUND: Mental health and HIV disparities are well documented among sexual minorities, but there is a dearth of research on other chronic conditions. Cardiovascular disease remains the leading cause of death worldwide. Although sexual minorities have high rates of several modifiable risk factors for cardiovascular disease (including stress, tobacco use, and alcohol consumption), there is a paucity of research in this area. OBJECTIVES: In this systematic review, we synthesized and critiqued the existing evidence on cardiovascular disease among sexual minority adults...
April 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28272770/sex-differences-in-vascular-dysfunction-and-cardiovascular-outcomes-the-cardiac-endothelial-function-and-arterial-stiffness-in-esrd-ceres-study
#13
Isabella Guajardo, Amrita Ayer, Alexander D Johnson, Peter Ganz, Claire Mills, Catherine Donovan, Rebecca Scherzer, Sanjiv J Shah, Carmen A Peralta, Ruth F Dubin
INTRODUCTION: Recent studies suggest that women with end-stage renal disease (ESRD) may have higher rates of mortality than men, but it is unknown whether sex differences in vascular function explain this disparity. The cardiac, endothelial function, and arterial stiffness in ESRD (CERES) study is an ongoing, prospective observational study designed to investigate vascular function, myocardial injury, and cardiovascular outcomes in ESRD. METHODS: Among 200 CERES participants (34% women), we evaluated arterial wave reflections as augmentation index normalized to a heart rate of 75 (AIx75), arterial stiffness as pulse wave velocity, and macro- and microvascular endothelial dysfunction as flow-mediated dilation and velocity time integral (VTI)...
March 8, 2017: Hemodialysis International
https://www.readbyqxmd.com/read/28265036/preclinical-models-in-the-study-of-sex-differences
#14
REVIEW
Maria Buoncervello, Matteo Marconi, Alessandra Carè, Paola Piscopo, Walter Malorni, Paola Matarrese
The biology of sex differences deals with the study of the disparities between females and males and the related biological mechanisms. Gender medicine focuses on the impact of gender and sex on human physiology, pathophysiology and clinical features of diseases that are common to women and men. The term gender refers to a complex interrelation and integration of sex-as a biological and functional determinant-and psychological and cultural behaviours (due to ethnical, social or religious background). The attention to the impact of gender differences on the pathophysiology and, therefore, on the clinical management of the most common diseases, such as cardiovascular diseases (CVD), neurodegenerative disorders, immune and autoimmune diseases as well as several tumours, is in fact often neglected...
March 1, 2017: Clinical Science (1979-)
https://www.readbyqxmd.com/read/28263280/disparities-in-potentially-preventable-hospitalizations-between-american-indian-and-alaska-native-and-non-hispanic-white-medicare-enrollees
#15
Joan O'Connell, Jennifer Rockell, Judith C Ouellet, Mark LeBeau
OBJECTIVE: A number of health care initiatives seek to improve health outcomes by increasing access to outpatient services while reducing preventable acute events. We evaluated disparities between American Indian and Alaska Native (AI/AN) and non-Hispanic white (white) Medicare enrollees in access to outpatient preventive, primary, and specialty services by comparing their potentially preventable hospitalizations (PPHs). RESEARCH DESIGN: The study population included 121,311 adult AI/AN Medicare enrollees registered to use services funded by the Indian Health Service and 5,915,011 adult white enrollees living in the same counties...
March 3, 2017: Medical Care
https://www.readbyqxmd.com/read/28255530/epigenetics-and-health-disparities
#16
Alexis D Vick, Heather H Burris
PURPOSE OF REVIEW: African Americans disproportionately suffer from leading causes of morbidity and mortality including cardiovascular disease (CVD), cancer, and preterm birth. Disparities can arise from multiple social and environmental exposures, but how the human body responds to these exposures to result in pathophysiologic states is incompletely understood. RECENT FINDINGS: Epigenetic mechanisms, particularly DNA methylation, can be altered in response to exposures such as air pollution, psychosocial stress, and smoking...
March 2017: Current Epidemiology Reports
https://www.readbyqxmd.com/read/28249995/gender-disparities-in-cardiovascular-disease-prevention
#17
EDITORIAL
Lauren E Thompson, Stacie L Daugherty
No abstract text is available yet for this article.
April 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28235961/distributions-of-subclinical-cardiovascular-disease-in-a-socioeconomically-and-racially-diverse-sample
#18
Carrington R Wendell, Shari R Waldstein, Michele K Evans, Alan B Zonderman
BACKGROUND AND PURPOSE: Differential subgroup vulnerability to subclinical cardiovascular disease is likely, and yet few, if any, studies have addressed interactive relations of age, sex, race, and socioeconomic status (SES) to these conditions to examine nuances of known health disparities. We examined distributions of carotid atherosclerosis and arterial stiffness in a socioeconomically diverse, biracial, urban sample. METHODS: Participants (n=2270) in the population-based HANDLS study (Healthy Aging in Neighborhoods of Diversity Across the Life Span; 30-64 years old, 44% men, 57% African American, 39% with household income <125% federal poverty threshold) underwent carotid intimal medial thickness (IMT) and pulse wave velocity assessment...
April 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28230728/optimistic-bias-risk-factors-and-development-of-high-blood-pressure-and-obesity-among-african-american-adolescents-in-mississippi-usa
#19
Monique S White, Clifton C Addison, Brenda W Campbell Jenkins, Vanessa Bland, Adrianne Clark, Donna Antoine LaVigne
Childhood obesity has reached epidemic proportions and is linked to hypertension among African American youth. Optimistic bias influences behavior of youth causing them to underestimate their susceptibility to negative health outcomes. This study explored adolescent behaviors and prevalence of high blood pressure and obesity in a school district. We examined the relationship between individual health risk practices and optimistic bias on health outcomes; 433 African American high school students were administered a survey and had their obesity and blood pressure measured by the school nurse...
February 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28224941/telehealth-applications-to-enhance-ckd-knowledge-and-awareness-among-patients-and-providers
#20
REVIEW
Delphine S Tuot, L Ebony Boulware
CKD affects 13% of the US adult population, causes excess mortality, and is associated with significant sociodemographic disparities. Optimal CKD management slows progression of disease and reduces cardiovascular-related outcomes. Resources for patients and primary care providers, major stakeholders in preventive CKD care, are critically needed to enhance understanding of the disease and to optimize CKD health, particularly because of the asymptomatic nature of kidney disease. Telehealth is defined as the use of electronic communication and telecommunications technology to support long-distance clinical health care, patient and professional health-related education, and public health and health administration...
January 2017: Advances in Chronic Kidney Disease
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