Health Literacy, Individual and Community Engagement, and Cardiovascular Risks and Disparities

IF 12 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Jacc: Cardiooncology Pub Date : 2024-06-01 DOI:10.1016/j.jaccao.2024.03.010
Lauren L. Taylor MD , Arthur S. Hong MD, MPH , Kristine Hahm MPP , Dohyeong Kim PhD , Carolyn Smith-Morris PhD , Vlad G. Zaha MD, PhD
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Abstract

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.

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健康知识普及、个人和社区参与以及心血管风险和差异
心血管病和癌症的治疗效果在心肿瘤科幸存者护理领域相互交织,其特点是不同民族、种族、社会和地域之间存在差异。尽管临床界越来越意识到这一复杂问题,但有效的解决方案却遥遥无期。为了对公共健康产生重大影响,癌症类型检查和心血管风险缓解需要采取互补的方法,从患者的角度出发,将其扩展到人群层面,并重点关注可操作的人群健康干预措施。采用这种多学科方法将加深我们对患者意识、动机、健康知识和社区资源的了解,以应对心血管肿瘤学的独特挑战。地理空间分析有助于在更细和更广的范围内确定有需要的关键社区。在本综述中,我们勾勒出了一条从个人到社区的障碍路径。从这些角度收集到的数据对于为干预措施提供信息至关重要,这些干预措施可增强不同社区中个人的能力并改善心脏肿瘤学幸存者的生存状况。
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来源期刊
CiteScore
12.50
自引率
6.30%
发文量
106
期刊介绍: JACC: CardioOncology is a specialized journal that belongs to the esteemed Journal of the American College of Cardiology (JACC) family. Its purpose is to enhance cardiovascular care for cancer patients by publishing high-quality, innovative scientific research and sharing evidence-based knowledge. The journal aims to revolutionize the field of cardio-oncology and actively involve and educate professionals in both cardiovascular and oncology fields. It covers a wide range of topics including pre-clinical, translational, and clinical research, as well as best practices in cardio-oncology. Key areas of focus include understanding disease mechanisms, utilizing in vitro and in vivo models, exploring novel and traditional therapeutics (across Phase I-IV trials), studying epidemiology, employing precision medicine, and investigating primary and secondary prevention. Amyloidosis, cardiovascular risk factors, heart failure, and vascular disease are some examples of the disease states that are of particular interest to the journal. However, it welcomes research on other relevant conditions as well.
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