Design and rationale of the social determinants of the risk of hypertension in women of reproductive age (SAFE HEART) study: An American Heart Association research goes red initiative

IF 3.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS American heart journal Pub Date : 2024-06-09 DOI:10.1016/j.ahj.2024.05.016
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Abstract

Background

Cardiovascular health literacy (CVHL) and social determinants of health (SDoH) play interconnected and critical roles in shaping cardiovascular health (CVH) outcomes. However, awareness of CVH risk has declined markedly, from 65% of women being aware that cardiovascular disease (CVD) is the leading cause of death for women in 2009 to just 44% being aware in 2019. The American Heart Association Research Goes Red (RGR) initiative seeks to develop an open-source, longitudinal, dynamic registry that will help women to be aware of and participate in research studies, and to learn about CVD prevention. We proposed to leverage this platform, particularly among Black and Hispanic women of reproductive age, to address CVHL gaps and advance health equity.

Methods

The primary objective of the study is to evaluate the cross-sectional association of CVHL, SDoH using a polysocial score, and CVH in women of reproductive age at increased risk of developing hypertension (HTN). To achieve this we will use a cross-sectional study design, that engages women already enrolled in the RGR registry (registry-enrolled). To enhance the racial and ethnic/social economic diversity of the cohort, we will additionally enroll 300 women from the Baltimore and Washington D.C. community into the Social Determinants of the Risk of Hypertension in Women of Reproductive Age (SAFE HEART) Study. Community-enrolled and registry-enrolled women will undergo baseline social phenotyping including detailed SDoH questionnaire, CVH metrics assessment, and CVHL assessment. The secondary objective is to assess whether a 4-month active health education intervention will result in a change in CVHL in the 300 community-enrolled women.

Discussion

The SAFE HEART study examines the association between CVHL, SDoH, and CVH, with a focus on racial and ethnic minority groups and socioeconomically disadvantaged women of reproductive age, and the ability to improve these parameters by an educational intervention. These findings will inform the future development of community-engaged strategies that address CVHL and SDoH among women of reproductive age.

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育龄妇女高血压风险的社会决定因素(SAFE HEART)研究的设计与原理:美国心脏协会 "红色研究 "计划。
背景:心血管健康知识(CVHL)和健康的社会决定因素(SDoH)在塑造心血管健康(CVH)结果方面发挥着相互关联的关键作用。然而,人们对心血管健康风险的认识却明显下降,从 2009 年 65% 的女性意识到心血管疾病(CVD)是导致女性死亡的主要原因,到 2019 年仅有 44% 的女性意识到这一点。美国心脏协会 "红色研究"(RGR)计划旨在开发一个开源、纵向、动态的登记册,帮助女性了解和参与研究,并学习心血管疾病的预防知识。我们建议利用这一平台,特别是在黑人和西班牙裔育龄妇女中,解决心血管疾病和慢性心血管疾病的差距,促进健康公平:本研究的主要目的是评估心血管健康素养(CVHL)、使用多元社会评分的 SDoH 以及高血压(HTN)发病风险增加的育龄妇女的心血管健康素养之间的横向联系。为此,我们将采用横断面研究设计,让已加入 RGR 注册表(注册表已注册)的妇女参与其中。为了增强队列的种族和民族/社会经济多样性,我们还将从巴尔的摩和华盛顿特区社区招募 300 名妇女参加 "育龄妇女高血压风险的社会决定因素(SAFE HEART)研究"。社区注册和注册妇女将接受基线社会表型分析,包括详细的 SDoH 问卷、CVH 指标评估和 CVHL 评估。次要目标是评估为期 4 个月的积极健康教育干预是否会导致 300 名社区登记妇女的 CVHL 发生变化:讨论:SAFE HEART 研究探讨了 CVHL、SDoH 和 CVH 之间的关联,重点关注少数民族群体和社会经济条件较差的育龄妇女,以及通过教育干预改善这些参数的能力。这些发现将为今后制定社区参与战略,解决育龄妇女的 CVHL 和 SDoH 问题提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American heart journal
American heart journal 医学-心血管系统
CiteScore
8.20
自引率
2.10%
发文量
214
审稿时长
38 days
期刊介绍: The American Heart Journal will consider for publication suitable articles on topics pertaining to the broad discipline of cardiovascular disease. Our goal is to provide the reader primary investigation, scholarly review, and opinion concerning the practice of cardiovascular medicine. We especially encourage submission of 3 types of reports that are not frequently seen in cardiovascular journals: negative clinical studies, reports on study designs, and studies involving the organization of medical care. The Journal does not accept individual case reports or original articles involving bench laboratory or animal research.
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