Disparities in hypertension among black Caribbean populations: a scoping review by the U.S. Caribbean Alliance for Health Disparities Research Group (USCAHDR)

International Journal for Equity in Health

Systematic Review

Anselm J. M. Hennis¹  Aurelian Bidulescu²  Marlene MacLeish³  Damian K. Francis⁴  Rainford Wilks⁴  Trevor S. Ferguson⁴  Nadia R. Bennett⁴  Louis W. Sullivan⁵  Eon N. Harris⁶ 

[1] Chronic Disease Research Centre, Tropical Medicine Research Institute, The University of the West Indies, Bridgetown, West Indies, Barbados;Department of Epidemiology and Biostatistics, Indiana University School of Public Health - Bloomington, Bloomington, Indiana, USA;Department of Medical Education, Morehouse School of Medicine, Atlanta, Georgia;Epidemiology Research Unit, Tropical Medicine Research Institute, The University of the West Indies, Kingston, West Indies, Jamaica;The Sullivan Alliance, Alexandria, Virginia, USA;The University of the West Indies, Kingston, West Indies, Jamaica;

关键词: Sexual Orientation;    Health Disparity;    Hypertension Prevalence;    Caribbean Black;    African Black;   

DOI  :  10.1186/s12939-015-0229-0

 received in 2015-03-16, accepted in 2015-09-30,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundDespite the large body of research on racial/ethnic disparities in health, there are limited data on health disparities in Caribbean-origin populations. This scoping review aimed to analyze and synthesize published and unpublished literature on the disparities in hypertension and its complications among Afro-Caribbean populations.MethodsA comprehensive protocol, including a thorough search strategy, was developed and used to identify potentially relevant studies. Identified studies were then screened for eligibility using pre-specified inclusion/exclusion criteria. An extraction form was developed to chart data and collate study characteristics including methods and main findings. Charted information was tagged by disparity indicators and thematic analysis performed. Disparity indicators evaluated include ethnicity, sex, socioeconomic status, disability, sexual orientation and geographic location. Gaps in the literature were identified and extrapolated into a gap map.ResultsA total of 455 hypertension related records, published between 1972 and 2012, were identified and screened. Twenty-one studies met inclusion criteria for detailed analysis. The majority of studies were conducted in the United Kingdom and utilized a cross-sectional study design. Overall, studies reported a higher prevalence of hypertension among Caribbean blacks compared to West African blacks and Caucasians. Hypertension and its related complications were highest in persons with low socioeconomic status. Gap analysis showed limited research data reporting hypertension incidence by sex and socioeconomic status. No literature was found on disability status or sexual orientation as it relates to hypertension. Prevalence and morbidity were the most frequently reported outcomes.ConclusionThe literature on hypertension health disparities in Caribbean origin populations is limited. Future research should address these knowledge gaps and develop approaches to reduce them.

【 授权许可】

CC BY   
© Bidulescu et al. 2015