健康素养、个人和社区参与以及心血管风险和差异:JACC:心脏肿瘤学最新评论。
Health Literacy, Individual and Community Engagement, and Cardiovascular Risks and Disparities: JACC: CardioOncology State-of-the-Art Review.
发表日期:2024 Jun
作者:
Lauren L Taylor, Arthur S Hong, Kristine Hahm, Dohyeong Kim, Carolyn Smith-Morris, Vlad G Zaha
来源:
JACC: CardioOncology
摘要:
心血管和癌症的结果在心脏肿瘤生存护理领域内相互交叉,其特点是种族、种族、社会和地理景观之间存在差异。尽管临床界越来越意识到这个复杂的问题,但有效的解决方案却迟迟没有出现。为了实现重大的公共卫生影响,癌症类型检查和心血管风险缓解需要采取补充方法,以激发患者的观点,将其扩大到人口水平,并重点关注可行的人口健康干预措施。采用这种多学科方法将加深我们对患者意识、动机、健康素养和社区资源的理解,以应对心脏肿瘤学的独特挑战。地理空间分析有助于在细粒度和更广泛的背景下识别有需要的关键社区。在这篇评论中,我们描绘了一条克服从个人到社区层面的障碍的途径。从这些角度收集的数据对于为不同社区中的个人赋权和改善心脏肿瘤生存率的干预措施提供信息至关重要。© 2024 作者。
Cardiovascular and cancer outcomes intersect within the realm of cardio-oncology survivorship care, marked by disparities across ethnic, racial, social, and geographical landscapes. Although the clinical community is increasingly aware of this complex issue, effective solutions are trailing. To attain substantial public health impact, examinations of cancer types and cardiovascular risk mitigation require complementary approaches that elicit the patient's perspective, scale it to a population level, and focus on actionable population health interventions. Adopting such a multidisciplinary approach will deepen our understanding of patient awareness, motivation, health literacy, and community resources for addressing the unique challenges of cardio-oncology. Geospatial analysis aids in identifying key communities in need within both granular and broader contexts. In this review, we delineate a pathway that navigates barriers from individual to community levels. Data gleaned from these perspectives are critical in informing interventions that empower individuals within diverse communities and improve cardio-oncology survivorship.© 2024 The Authors.