期刊论文详细信息
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Inequities in Hypertension Control in the United States Exposed and Exacerbated by COVID‐19 and the Role of Home Blood Pressure and Virtual Health Care During and After the COVID‐19 Pandemic
Daichi Shimbo1  Michael K. Rakotz2  Kristi Reynolds3  Paul Muntner4  Kolawole S. Okuyemi5  John Stuligross6  Jordana B. Cohen7  Adam P. Bress8  Monika M. Safford9  David Edmund Anstey1,10  Beverly B. Green1,10  Valy Fontil1,11  Molly B. Conroy1,12  Morgan M. Millar1,12  Karen L. Margolis1,13  Keith C. Ferdinand1,14  April F. Mohanty1,15 
[1] Evaluation, Kaiser Permanente Southern California, Pasadena, CA Pasadena CA;Preventive Medicine University of Utah School of Medicine Salt Lake City UT;American Medical Association Chicago IL;Department of Epidemiology School of Public Health University of Alabama at Birmingham Birmingham AL;;Department of Family &Department of Medicine Joan and Sanford I Weill Medical College of Cornell University New York NY;Department of Medicine Renal‐Electrolyte and Hypertension Division Perelman School of Medicine at the University of Pennsylvania Philadelphia PA;Department of Population Health Sciences Division of Health System Innovation and Research University of Utah School of Medicine Salt Lake City UT;;Department of Research &Division of Cardiology Department of Medicine Columbia University Medical Center New York NY;Division of General Internal Medicine Department of Medicine Zuckerberg San Francisco General HospitalUniversity of California San Francisco CA;Division of General Internal Medicine, Department of Internal Medicine University of Utah School of Medicine Salt Lake City UT;HealthPartners Institute Minneapolis MN;Tulane University School of Medicine New Orleans LA;Utah Department of Health Salt Lake City UT;
关键词: COVID‐19;    health disparities;    health policy;    hypertension;   
DOI  :  10.1161/JAHA.121.020997
来源: DOAJ
【 摘 要 】

Abstract The COVID‐19 pandemic is a public health crisis, having killed more than 514 000 US adults as of March 2, 2021. COVID‐19 mitigation strategies have unintended consequences on managing chronic conditions such as hypertension, a leading cause of cardiovascular disease and health disparities in the United States. During the first wave of the pandemic in the United States, the combination of observed racial/ethnic inequities in COVID‐19 deaths and social unrest reinvigorated a national conversation about systemic racism in health care and society. The 4th Annual University of Utah Translational Hypertension Symposium gathered frontline clinicians, researchers, and leaders from diverse backgrounds to discuss the intersection of these 2 critical social and public health phenomena and to highlight preexisting disparities in hypertension treatment and control exacerbated by COVID‐19. The discussion underscored environmental and socioeconomic factors that are deeply embedded in US health care and research that impact inequities in hypertension. Structural racism plays a central role at both the health system and individual levels. At the same time, virtual healthcare platforms are being accelerated into widespread use by COVID‐19, which may widen the divide in healthcare access across levels of wealth, geography, and education. Blood pressure control rates are declining, especially among communities of color and those without health insurance or access to health care. Hypertension awareness, therapeutic lifestyle changes, and evidence‐based pharmacotherapy are essential. There is a need to improve the implementation of community‐based interventions and blood pressure self‐monitoring, which can help build patient trust and increase healthcare engagement.

【 授权许可】

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