4.8 Article

Cardiovascular Disease Risk Factors in Women: The Impact of Race and Ethnicity: A Scientific Statement From the American Heart Association

Journal

CIRCULATION
Volume 147, Issue 19, Pages 1471-1487

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/CIR.0000000000001139

Keywords

AHA Scientific Statements; cardiovascular diseases; ethnicity; primary prevention; racial groups; risk factors; women

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Cardiovascular disease is the leading cause of death in women, with differences among racial and ethnic groups due to various factors such as language barriers, discrimination, acculturation, and healthcare access. These factors contribute to a higher prevalence of cardiovascular disease and challenges in diagnosis and treatment. Culturally sensitive education and equitable access to evidence-based preventive care are essential for reducing the disparities.
Cardiovascular disease is the leading cause of death in women, yet differences exist among certain racial and ethnic groups. Aside from traditional risk factors, behavioral and environmental factors and social determinants of health affect cardiovascular health and risk in women. Language barriers, discrimination, acculturation, and health care access disproportionately affect women of underrepresented races and ethnicities. These factors result in a higher prevalence of cardiovascular disease and significant challenges in the diagnosis and treatment of cardiovascular conditions. Culturally sensitive, peer-led community and health care professional education is a necessary step in the prevention of cardiovascular disease. Equitable access to evidence-based cardiovascular preventive health care should be available for all women regardless of race and ethnicity; however, these guidelines are not equally incorporated into clinical practice. This scientific statement reviews the current evidence on racial and ethnic differences in cardiovascular risk factors and current cardiovascular preventive therapies for women in the United States.

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