医学
文化适应
疾病
移民
老年学
种族(生物学)
民族
心血管健康
健康的社会决定因素
人口学
死因
公共卫生
病理
植物
考古
社会学
生物
人类学
历史
作者
Odayme Quesada,Odayme Quesada,Daniela R. Crousillat,Fátima Rodríguez,Katia Bravo‐Jaimes,Joan Briller,Joan Briller,M Ogunniyi,M Ogunniyi,Deirdre Mattina,Niti R. Aggarwal,Carlos J. Rodríguez,Gláucia Maria Moraes de Oliveira,Gladys Velarde
标识
DOI:10.1016/j.jacc.2024.02.039
摘要
Cardiovascular disease affects 37% of Hispanic women and is the leading cause of death among Hispanic women in the United States. Hispanic women have a higher burden of cardiovascular risk factors, are disproportionally affected by social determinants of health, and face additional barriers related to immigration, such as discrimination, language proficiency, and acculturation. Despite this, Hispanic women show lower rates of cardiovascular disease and mortality compared with non-Hispanic White women. However, this "Hispanic paradox" is challenged by recent studies that account for the diversity in culture, race, genetic background, country of origin, and social determinants of health within Hispanic subpopulations. This review provides a comprehensive overview of the cardiovascular risk factors in Hispanic women, emphasizing the role of social determinants, and proposes a multipronged approach for equitable care.
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