Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.

<h4>Background</h4>American Indians and Alaska Native (AI/AN) populations experience significant health disparities compared to non-Hispanic white populations. Cardiovascular disease and related risk factors are increasingly recognized as growing indicators of global health disparities....

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Autores principales:	Rebecca Newlin Hutchinson, Sonya Shin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e975f1bf33b04ec992ea02d76a97bf16
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spelling	oai:doaj.org-article:e975f1bf33b04ec992ea02d76a97bf162021-11-18T08:37:48ZSystematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.1932-620310.1371/journal.pone.0080973https://doaj.org/article/e975f1bf33b04ec992ea02d76a97bf162014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24454685/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>American Indians and Alaska Native (AI/AN) populations experience significant health disparities compared to non-Hispanic white populations. Cardiovascular disease and related risk factors are increasingly recognized as growing indicators of global health disparities. However, comparative reports on disparities among this constellation of diseases for AI/AN populations have not been systematically reviewed.<h4>Objectives</h4>We performed a literature review on the prevalence of diabetes, metabolic syndrome, dyslipidemia, obesity, hypertension, and cardiovascular disease; and associated morbidity and mortality among AI/AN.<h4>Data sources</h4>A total of 203 articles were reviewed, of which 31 met study criteria for inclusion. Searches were performed on PUBMED, MEDLINE, the CDC MMWR, and the Indian Health Services.<h4>Study eligibility criteria</h4>Published literature that were published within the last fifteen years and provided direct comparisons between AI/AN to non-AI/AN populations were included.<h4>Study appraisal and synthesis methods</h4>We abstracted data on study design, data source, AI/AN population, comparison group, and. outcome measures. A descriptive synthesis of primary findings is included.<h4>Results</h4>Rates of obesity, diabetes, cardiovascular disease, and metabolic syndrome are clearly higher for AI/AN populations. Hypertension and hyperlipidemia differences are more equivocal. Our analysis also revealed that there are likely regional and gender differences in the degree of disparities observed.<h4>Limitations</h4>Studies using BRFSS telephone surveys administered in English may underestimate disparities. Many AI/AN do not have telephones and/or speak English. Regional variability makes national surveys difficult to interpret. Finally, studies using self-reported data may not be accurate.<h4>Conclusions and implications of key findings</h4>Profound health disparities in cardiovascular diseases and associated risk factors for AI/AN populations persist, perhaps due to low socioeconomic status and access to quality healthcare. Successful programs will address social determinants and increase healthcare access. Community-based outreach to bring health services to the most vulnerable may also be very helpful in this effort.<h4>Systematic review registration number</h4>N/A.Rebecca Newlin HutchinsonSonya ShinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e80973 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Rebecca Newlin Hutchinson Sonya Shin Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.
description	<h4>Background</h4>American Indians and Alaska Native (AI/AN) populations experience significant health disparities compared to non-Hispanic white populations. Cardiovascular disease and related risk factors are increasingly recognized as growing indicators of global health disparities. However, comparative reports on disparities among this constellation of diseases for AI/AN populations have not been systematically reviewed.<h4>Objectives</h4>We performed a literature review on the prevalence of diabetes, metabolic syndrome, dyslipidemia, obesity, hypertension, and cardiovascular disease; and associated morbidity and mortality among AI/AN.<h4>Data sources</h4>A total of 203 articles were reviewed, of which 31 met study criteria for inclusion. Searches were performed on PUBMED, MEDLINE, the CDC MMWR, and the Indian Health Services.<h4>Study eligibility criteria</h4>Published literature that were published within the last fifteen years and provided direct comparisons between AI/AN to non-AI/AN populations were included.<h4>Study appraisal and synthesis methods</h4>We abstracted data on study design, data source, AI/AN population, comparison group, and. outcome measures. A descriptive synthesis of primary findings is included.<h4>Results</h4>Rates of obesity, diabetes, cardiovascular disease, and metabolic syndrome are clearly higher for AI/AN populations. Hypertension and hyperlipidemia differences are more equivocal. Our analysis also revealed that there are likely regional and gender differences in the degree of disparities observed.<h4>Limitations</h4>Studies using BRFSS telephone surveys administered in English may underestimate disparities. Many AI/AN do not have telephones and/or speak English. Regional variability makes national surveys difficult to interpret. Finally, studies using self-reported data may not be accurate.<h4>Conclusions and implications of key findings</h4>Profound health disparities in cardiovascular diseases and associated risk factors for AI/AN populations persist, perhaps due to low socioeconomic status and access to quality healthcare. Successful programs will address social determinants and increase healthcare access. Community-based outreach to bring health services to the most vulnerable may also be very helpful in this effort.<h4>Systematic review registration number</h4>N/A.
format	article
author	Rebecca Newlin Hutchinson Sonya Shin
author_facet	Rebecca Newlin Hutchinson Sonya Shin
author_sort	Rebecca Newlin Hutchinson
title	Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.
title_short	Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.
title_full	Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.
title_fullStr	Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.
title_full_unstemmed	Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.
title_sort	systematic review of health disparities for cardiovascular diseases and associated factors among american indian and alaska native populations.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/e975f1bf33b04ec992ea02d76a97bf16
work_keys_str_mv	AT rebeccanewlinhutchinson systematicreviewofhealthdisparitiesforcardiovasculardiseasesandassociatedfactorsamongamericanindianandalaskanativepopulations AT sonyashin systematicreviewofhealthdisparitiesforcardiovasculardiseasesandassociatedfactorsamongamericanindianandalaskanativepopulations
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Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska Native populations.

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