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Medical Care Research and Review, Vol. 64, No. 5 suppl, 29S-100S (2007)
DOI: 10.1177/1077558707305416
© 2007 SAGE Publications

Cardiovascular Health Disparities

A Systematic Review of Health Care Interventions

Andrew M. Davis

The University of Chicago, amd{at}uchicago.edu

Lisa M. Vinci

The University of Chicago

Tochi M. Okwuosa

The University of Chicago

Ayana R. Chase

The University of Chicago

Elbert S. Huang

The University of Chicago

Racial and ethnic disparities in cardiovascular health care are well documented. Promising approaches to disparity reduction are increasingly described in literature published since 1995, but reports are fragmented by risk, condition, population, and setting. The authors conducted a systematic review of clinically oriented studies in communities of color that addressed hypertension, hyperlipidemia, physical inactivity, tobacco, and two major cardiovascular conditions, coronary artery disease and heart failure. Virtually no literature specifically addressed disparity reduction. The greatest focus has been African American populations, with relatively little work in Hispanic, Asian, and Native American populations. The authors found 62 interventions, 27 addressing hypertension, 9 lipids, 18 tobacco use, 8 physical inactivity, and 7 heart failure. Only 1 study specifically addressed postmyocardial infarction care. Data supporting the value of registries, multidisciplinary teams, and community outreach were found across several conditions. Interventions addressing care transitions, using telephonic outreach, and promoting medication access and adherence merit further exploration.

Key Words: cardiovascular disease • health disparities • interventions • quality improvement


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