影响非裔美国人健康差异的关键因素

Elgie McFayden
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引用次数: 9

摘要

尽管在慢性病的诊断和治疗方面取得了重大进展,但与美国其他种族和族裔群体相比,非裔美国人患高血压、糖尿病、心血管疾病和中风的比例仍然不成比例地高(Adler和Newman, 2002年)。大量文献表明,一旦非裔美国人被诊断患有慢性疾病或疾病,种族主义和/或歧视可能是误诊、延迟诊断以及治疗范围和准确性的一个促成因素(Peterson, Wright, Daley和Thibault, 1994)。此外,非裔美国人在被诊断患有慢性疾病和可治愈或至少可治疗的疾病时,死亡率高于美国白人(Hayward, Crimmins, Miles and Yu, 2000)。本文探讨了可能影响非裔美国人与美国其他种族和族裔群体之间死亡率差异的关键因素。
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Key Factors Influencing Health Disparities among African Americans
Despite significant progress in the diagnosis and treatment of chronic diseases, African Americans continue to exhibit disproportionately higher rates of hypertension, diabetes, cardiovascular disease and stroke when compared to other racial and ethnic groups in the United States (Adler and Newman 2002). A significant body of literature suggests that racism and or discrimination may be a contributing factor in the misdiagnosis, late diagnosis, as well as, the scope and veracity of treatment once African Americans are diagnosed with a chronic illness or disease (Peterson, Wright, Daley and Thibault, 1994). Additionally, African Americans have a higher mortality rate than white Americans when diagnosed with chronic illnesses and diseases which are curable or at least treatable (Hayward, Crimmins, Miles and Yu, 2000). This paper examines key factors which may impact disparities in mortality rates observed between African Americans and other racial and ethnic groups in the United States.
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