Community-Based Interventions to Address Disparities in Cardiometabolic Diseases Among Minoritized Racial and Ethnic Groups.

Victoria E Thomas, Faith E Metlock, Anika L Hines, Yvonne Commodore-Mensah, LaPrincess C Brewer
Author Information
  1. Victoria E Thomas: Division of Cardiovascular Medicine, Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
  2. Faith E Metlock: John Hopkins University School of Nursing, Baltimore, MD, USA.
  3. Anika L Hines: Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA, USA.
  4. Yvonne Commodore-Mensah: John Hopkins University School of Nursing, Baltimore, MD, USA.
  5. LaPrincess C Brewer: Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN, 55905, USA. brewer.laprincess@mayo.edu. ORCID

Abstract

PURPOSE OF REVIEW: Cardiometabolic diseases (CMDs) are leading causes of death and disproportionally impact historically marginalized racial/ethnic groups in the United States. The American Heart Association developed the Life's Essential 8 (LE8) to promote optimal cardiovascular health (CVH) through eight health behaviors and health factors. The purpose of this review is to summarize contemporary community-engaged research (CER) studies incorporating the LE8 framework among racial/ethnic groups.
REVIEW OF FINDINGS: Limited studies focused on the interface of CER and LE8. Based on synthesis of articles in this review, the application of CER to individual/collective LE8 metrics may improve CVH and reduce CMDs at the population level. Effective strategies include integration of technology, group activities, cultural/faith-based practices, social support, and structural/environmental changes. CER studies addressing LE8 factors in racial/ethnic groups play an essential role in improving CVH. Future studies should focus on broader scalability and health policy interventions to advance health equity.

Keywords

References

  1. Am J Public Health. 2023 Jan;113(1):70-78 [PMID: 36516389]
  2. J Health Care Poor Underserved. 2009 Nov;20(4):1079-94 [PMID: 20168020]
  3. Circulation. 2015 Sep 1;132(9):873-98 [PMID: 26240271]
  4. Transl Behav Med. 2021 Jun 17;11(6):1235-1243 [PMID: 33823050]
  5. Health Educ Behav. 2008 Oct;35(5):634-50 [PMID: 17200103]
  6. PLoS One. 2020 Sep 1;15(9):e0238374 [PMID: 32870944]
  7. Hawaii J Health Soc Welf. 2019 Nov;78(11):332-337 [PMID: 31723940]
  8. Int J Environ Res Public Health. 2019 Oct 18;16(20): [PMID: 31635232]
  9. JMIR Form Res. 2023 Jun 16;7:e45061 [PMID: 37115658]
  10. Int J Environ Res Public Health. 2022 Sep 23;19(19): [PMID: 36231354]
  11. Circ Cardiovasc Qual Outcomes. 2022 Nov;15(11):e009519 [PMID: 36378771]
  12. Prog Community Health Partnersh. 2019;13(1):19-30 [PMID: 30956244]
  13. ABNF J. 2004 Jan-Feb;15(1):3-9 [PMID: 15067791]
  14. J Natl Med Assoc. 2011 Mar;103(3):194-202 [PMID: 21671523]
  15. J Gen Intern Med. 2020 Jan;35(1):142-152 [PMID: 31705466]
  16. J Community Health. 2019 Oct;44(5):921-931 [PMID: 30843139]
  17. Ann Epidemiol. 2022 Jan;65:120.e1-120.e10 [PMID: 33285258]
  18. Am J Public Health. 2005 Sep;95(9):1552-60 [PMID: 16051927]
  19. BMJ Health Care Inform. 2020 Aug;27(3): [PMID: 32830106]
  20. Am J Public Health. 2019 Jan;109(1):132-139 [PMID: 30495999]
  21. Diabetes Spectr. 2020 May;33(2):156-164 [PMID: 32425453]
  22. Circ Cardiovasc Qual Outcomes. 2018 Oct;11(10):e004691 [PMID: 30354579]
  23. Circulation. 2022 Aug 2;146(5):e18-e43 [PMID: 35766027]
  24. Circ Cardiovasc Qual Outcomes. 2014 Jul;7(4):524-31 [PMID: 25006187]
  25. Health Promot Pract. 2021 Nov;22(6):796-805 [PMID: 32912007]
  26. J Racial Ethn Health Disparities. 2017 Apr;4(2):269-281 [PMID: 27059054]
  27. Nurs Inq. 2010 Dec;17(4):359-72 [PMID: 21059153]
  28. Health Educ Behav. 2015 Jun;42(3):380-92 [PMID: 25819980]
  29. Circulation. 2023 Feb 21;147(8):e93-e621 [PMID: 36695182]
  30. Am J Health Promot. 2019 May;33(4):586-596 [PMID: 30474376]
  31. J Public Health Manag Pract. 2021 Nov-Dec 01;27(Suppl 6):S249-S257 [PMID: 33729197]
  32. J Nutr Educ Behav. 2019 Mar;51(3):268-276 [PMID: 30851840]
  33. Health Promot Pract. 2006 Jul;7(3):312-23 [PMID: 16760238]
  34. Sleep Health. 2021 Aug;7(4):429-435 [PMID: 34217696]
  35. Hisp Health Care Int. 2020 Jun;18(2):98-104 [PMID: 31722557]
  36. Glob Heart. 2019 Sep;14(3):241-250 [PMID: 31196828]
  37. Am J Prev Med. 2020 Mar;58(3):361-369 [PMID: 31866211]
  38. Nutr Metab Cardiovasc Dis. 2020 Sep 24;30(10):1785-1794 [PMID: 32605881]
  39. Circulation. 2022 Jul 19;146(3):175-190 [PMID: 35861762]
  40. J Racial Ethn Health Disparities. 2020 Dec;7(6):1160-1171 [PMID: 32329033]
  41. Curr Epidemiol Rep. 2022;9(3):212-221 [PMID: 36003088]
  42. Am J Prev Med. 2016 Nov;51(5):743-751 [PMID: 27436332]
  43. Am J Public Health. 2011 Dec;101(12):2253-60 [PMID: 21680932]
  44. Prog Community Health Partnersh. 2019;13(4):385-396 [PMID: 31866593]
  45. Circulation. 2010 Feb 2;121(4):586-613 [PMID: 20089546]
  46. Diabet Med. 2020 Feb;37(2):319-325 [PMID: 31769619]
  47. Obesity (Silver Spring). 2020 Mar;28(3):510-520 [PMID: 31984668]
  48. JMIR Form Res. 2019 Jan 04;3(1):e10944 [PMID: 30684422]
  49. Prog Community Health Partnersh. 2007 Spring;1(1):49-60 [PMID: 20208274]
  50. J Relig Health. 2019 Jun;58(3):977-991 [PMID: 29411234]
  51. Int J Cardiol. 2013 Oct 30;169(2):126-32 [PMID: 24075574]
  52. Am J Prev Cardiol. 2022 Jan 13;9:100315 [PMID: 35146467]
  53. Am J Health Promot. 2021 Feb;35(2):202-213 [PMID: 32945175]
  54. J Racial Ethn Health Disparities. 2019 Apr;6(2):254-264 [PMID: 30120736]
  55. JMIR Mhealth Uhealth. 2021 Nov 12;9(11):e28024 [PMID: 34766917]
  56. Circulation. 2020 Dec 15;142(24):e454-e468 [PMID: 33170755]
  57. Res Nurs Health. 2007 Feb;30(1):45-60 [PMID: 17243107]
  58. N Engl J Med. 2018 Apr 05;378(14):1291-1301 [PMID: 29527973]
  59. Int J Environ Res Public Health. 2020 Dec 12;17(24): [PMID: 33322686]
  60. Int J Environ Res Public Health. 2019 Oct 28;16(21): [PMID: 31661826]
  61. Heart Lung. 2010 Jan-Feb;39(1):50-63 [PMID: 20109986]
  62. Annu Rev Public Health. 1998;19:173-202 [PMID: 9611617]
  63. Transl Behav Med. 2019 Nov 25;9(6):1151-1156 [PMID: 31162592]
  64. J Gen Intern Med. 2019 Aug;34(8):1376-1378 [PMID: 30887434]
  65. J Safety Res. 2017 Feb;60:17-20 [PMID: 28160808]
  66. J Community Health. 2020 Jun;45(3):526-533 [PMID: 31773565]
  67. Behav Med. 2020 Jul-Sep;46(3-4):353-365 [PMID: 32787720]
  68. Prog Community Health Partnersh. 2021;15(1):3-14 [PMID: 33775957]
  69. Health Educ Behav. 2019 Dec;46(6):1073-1082 [PMID: 31441328]
  70. Nutrients. 2021 Jul 09;13(7): [PMID: 34371862]
  71. J Rural Health. 2019 Jun;35(3):374-384 [PMID: 30353951]
  72. J Community Health. 2020 Jun;45(3):458-464 [PMID: 32060672]
  73. Am J Prev Cardiol. 2021 Sep 20;8:100254 [PMID: 34632436]
  74. Am J Health Behav. 2019 May 1;43(3):490-497 [PMID: 31046880]

Grants

  1. 5P50MD017348-02-8183/NIMHD NIH HHS
  2. CDC-DP18-1817/CDC HHS
  3. T32 NR020315/NINR NIH HHS
  4. T32NR020315/NINR NIH HHS
  5. K01 HL152011/NHLBI NIH HHS
  6. 19AMFDP35040005/American Heart Association-American Stroke Association

MeSH Term

Humans
United States
Ethnicity
Racial Groups
Health Behavior
Cardiovascular Diseases

Word Cloud

Created with Highcharts 10.0.0healthLE8groupsCERstudiesCardiometabolicracial/ethnicCVHresearchOFCMDsEssential8factorsreviewRacialCommunity-basedPURPOSEREVIEW:diseasesleadingcausesdeathdisproportionallyimpacthistoricallymarginalizedUnitedStatesAmericanHeartAssociationdevelopedLife'spromoteoptimalcardiovasculareightbehaviorspurposesummarizecontemporarycommunity-engagedincorporatingframeworkamongREVIEWFINDINGS:LimitedfocusedinterfaceBasedsynthesisarticlesapplicationindividual/collectivemetricsmayimprovereducepopulationlevelEffectivestrategiesincludeintegrationtechnologygroupactivitiescultural/faith-basedpracticessocialsupportstructural/environmentalchangesaddressingplayessentialroleimprovingFuturefocusbroaderscalabilitypolicyinterventionsadvanceequityCommunity-BasedInterventionsAddressDisparitiesDiseasesAmongMinoritizedEthnicGroupsdiseaseparticipatoryLife���sethnicminoritySocialdeterminants

Similar Articles

Cited By (8)