Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations
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{"title"=>"Systematic review of health disparities for cardiovascular diseases and associated factors among American Indian and Alaska native populations", "type"=>"journal", "authors"=>[{"first_name"=>"Rebecca Newlin", "last_name"=>"Hutchinson", "scopus_author_id"=>"56115241200"}, {"first_name"=>"Sonya", "last_name"=>"Shin", "scopus_author_id"=>"7403647123"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84898618027", "sgr"=>"84898618027", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0080973", "pmid"=>"24454685", "isbn"=>"1932-6203 (Electronic) 1932-6203 (Linking)", "pui"=>"372838439"}, "id"=>"193972c3-31a6-3345-9cf2-5ebe2f2f266d", "abstract"=>"BACKGROUND: 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.\\n\\nOBJECTIVES: 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.\\n\\nDATA SOURCES: 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.\\n\\nSTUDY ELIGIBILITY CRITERIA: Published literature that were published within the last fifteen years and provided direct comparisons between AI/AN to non-AI/AN populations were included.\\n\\nSTUDY APPRAISAL AND SYNTHESIS METHODS: We abstracted data on study design, data source, AI/AN population, comparison group, and. outcome measures. A descriptive synthesis of primary findings is included.\\n\\nRESULTS: 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.\\n\\nLIMITATIONS: 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.\\n\\nCONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: 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.\\n\\nSYSTEMATIC REVIEW REGISTRATION NUMBER: N/A.", "link"=>"http://www.mendeley.com/research/systematic-review-health-disparities-cardiovascular-diseases-associated-factors-among-american-india-3", "reader_count"=>60, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>2, "Researcher"=>13, "Student > Doctoral Student"=>10, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>3, "Student > Master"=>12, "Student > Bachelor"=>3, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>2, "Researcher"=>13, "Student > Doctoral Student"=>10, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>3, "Student > Master"=>12, "Student > Bachelor"=>3, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Agricultural and Biological Sciences"=>4, "Arts and Humanities"=>1, "Business, Management and Accounting"=>2, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>1, "Environmental Science"=>2, "Nursing and Health Professions"=>7, "Medicine and Dentistry"=>19, "Neuroscience"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>6, "Social Sciences"=>10}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>19}, "Social Sciences"=>{"Social Sciences"=>10}, "Psychology"=>{"Psychology"=>6}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Neuroscience"=>{"Neuroscience"=>1}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>7}}, "reader_count_by_country"=>{"United States"=>3}, "group_count"=>4}

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  • {"files"=>["https://ndownloader.figshare.com/files/1347880", "https://ndownloader.figshare.com/files/1347881", "https://ndownloader.figshare.com/files/1347882", "https://ndownloader.figshare.com/files/1347883"], "description"=>"<div><p>Background</p><p>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.</p><p>Objectives</p><p>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.</p><p>Data sources</p><p>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.</p><p>Study eligibility criteria</p><p>Published literature that were published within the last fifteen years and provided direct comparisons between AI/AN to non-AI/AN populations were included.</p><p>Study appraisal and synthesis methods</p><p>We abstracted data on study design, data source, AI/AN population, comparison group, and. outcome measures. A descriptive synthesis of primary findings is included.</p><p>Results</p><p>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.</p><p>Limitations</p><p>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.</p><p>Conclusions and implications of key findings</p><p>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.</p><p>Systematic review registration number</p><p>N/A</p></div>", "links"=>[], "tags"=>["cardiovascular", "hypertension", "Clinical research design", "Systematic reviews", "epidemiology", "Cardiovascular disease epidemiology", "Metabolic disorders", "Non-clinical medicine", "Health care policy", "Ethnic differences", "Health risk analysis", "Health systems strengthening", "Socioeconomic aspects of health", "nutrition", "obesity", "Public health", "alcohol", "Behavioral and social aspects of health", "tobacco control", "disparities", "diseases", "american", "indian", "alaska"], "article_id"=>901501, "categories"=>["Medicine"], "users"=>["Rebecca Newlin Hutchinson", "Sonya Shin"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0080973.s001", "https://dx.doi.org/10.1371/journal.pone.0080973.s002", "https://dx.doi.org/10.1371/journal.pone.0080973.s003", "https://dx.doi.org/10.1371/journal.pone.0080973.s004"], "stats"=>{"downloads"=>22, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Systematic_Review_of_Health_Disparities_for_Cardiovascular_Diseases_and_Associated_Factors_among_American_Indian_and_Alaska_Native_Populations_/901501", "title"=>"Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-01-15 03:12:44"}

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