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    Cardiovascular Health in American Indians and Alaska Natives: A Scientific Statement From the American Heart Association

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    Name:
    Cardiovascular_Health_in_Ameri ...
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    Final Accepted Manuscript
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    Author
    Breathett, Khadijah
    Sims, Mario
    Gross, Marie
    Jackson, Elizabeth A
    Jones, Emily J
    Navas-Acien, Ana
    Taylor, Herman
    Thomas, Kevin L
    Howard, Barbara V
    Affiliation
    Univ Arizona
    Issue Date
    2020-06-23
    Keywords
    AHA Scientific Statements
    Alaska Natives
    American Indians
    cardiovascular disease
    coronary heart disease
    Healthcare disparities
    
    Metadata
    Show full item record
    Publisher
    LIPPINCOTT WILLIAMS & WILKINS
    Citation
    Breathett, K., Sims, M., Gross, M., Jackson, E. A., Jones, E. J., Navas-Acien, A., ... & American Heart Association Council on Epidemiology and Prevention; Council on Quality of Care and Outcomes Research; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Lifestyle and Cardiometabolic Health. (2020). Cardiovascular Health in American Indians and Alaska Natives: A Scientific Statement From the American Heart Association. Circulation, CIR-0000000000000773. https://doi.org/10.1161/CIR.0000000000000773
    Journal
    CIRCULATION
    Rights
    © 2020 American Heart Association, Inc.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background: Cardiovascular disease (CVD) is the leading cause of death among American Indians and Alaska Natives. Over the past 50 years, the prevalence of CVD has been rising among American Indians and Alaska Natives. The objective of this statement is to summarize population-level risk factors and management techniques tailored for the American Indian and Alaska Native populations. Methods: PubMed/MEDLINE, the Centers for Disease Control and Prevention, and the annual Heart Disease and Stroke Statistics report from the American Heart Association were used to identify risk factors and interventions specific to American Indians and Alaska Natives. Results: Diabetes mellitus is a major contributor to disproportionately higher rates of coronary heart disease among American Indians and Alaska Natives compared with other racial and ethnic groups. Additional risk factors for CVD include low-density lipoprotein cholesterol levels, hypertension, renal disease, age, and sex. Smoking and exposure to toxic metals are risk factors for some subpopulations. A quarter of American Indians live below the federal poverty line, and thus, low socioeconomic status is an important social determinant of cardiovascular health. Community-based interventions have reduced CVD risk in American Indians and Alaska Natives. Underreporting of American Indian and Alaska Native race could underestimate the extent of CVD in this population. Conclusions: Prevention and treatment of CVD in American Indians and Alaska Natives should focus on control of risk factors and community-based interventions that address social determinants of health, particularly among individuals with diabetes mellitus. Accurate reporting of race/ethnicity is encouraged to address race-specific risk factors.
    Note
    12 month embargo; published online: 28 May 2020
    ISSN
    0009-7322
    EISSN
    1524-4539
    PubMed ID
    32460555
    DOI
    10.1161/CIR.0000000000000773
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1161/CIR.0000000000000773
    Scopus Count
    Collections
    UA Faculty Publications

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