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dc.contributor.authorBreathett, Khadijah
dc.contributor.authorSims, Mario
dc.contributor.authorGross, Marie
dc.contributor.authorJackson, Elizabeth A
dc.contributor.authorJones, Emily J
dc.contributor.authorNavas-Acien, Ana
dc.contributor.authorTaylor, Herman
dc.contributor.authorThomas, Kevin L
dc.contributor.authorHoward, Barbara V
dc.date.accessioned2020-08-03T21:23:21Z
dc.date.available2020-08-03T21:23:21Z
dc.date.issued2020-06-23
dc.identifier.citationBreathett, 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.0000000000000773en_US
dc.identifier.issn0009-7322
dc.identifier.pmid32460555
dc.identifier.doi10.1161/CIR.0000000000000773
dc.identifier.urihttp://hdl.handle.net/10150/641982
dc.description.abstractBackground: 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.en_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.rights© 2020 American Heart Association, Inc.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectAHA Scientific Statementsen_US
dc.subjectAlaska Nativesen_US
dc.subjectAmerican Indiansen_US
dc.subjectcardiovascular diseaseen_US
dc.subjectcoronary heart diseaseen_US
dc.subjectHealthcare disparitiesen_US
dc.titleCardiovascular Health in American Indians and Alaska Natives: A Scientific Statement From the American Heart Associationen_US
dc.typeArticleen_US
dc.identifier.eissn1524-4539
dc.contributor.departmentUniv Arizonaen_US
dc.identifier.journalCIRCULATIONen_US
dc.description.note12 month embargo; published online: 28 May 2020en_US
dc.description.collectioninformationThis 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.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleCirculation
dc.source.volume141
dc.source.issue25
dc.source.beginpagee948
dc.source.endpagee959
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States


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