Eliminating Disparities in Cardiovascular Disease for Black Women: JACC Review Topic of the Week

Modele O Ogunniyi; Zainab Mahmoud; Yvonne Commodore-Mensah; Jerome L Fleg; Yetunde A Fatade; Odayme Quesada; Niti R Aggarwal; Deirdre J Mattina; Glaucia Maria Moraes De Oliveira; Kathryn J Lindley; Bruce Ovbiagele; Robert O Roswell; Paul L Douglass; Dipti Itchhaporia; Sharonne N Hayes; American College of Cardiology Cardiovascular Disease in Women Committee and the American College of Cardiology Health Equity Taskforce

doi:10.1016/j.jacc.2022.08.769

Eliminating Disparities in Cardiovascular Disease for Black Women: JACC Review Topic of the Week

J Am Coll Cardiol. 2022 Nov 1;80(18):1762-1771. doi: 10.1016/j.jacc.2022.08.769.

Authors

Modele O Ogunniyi¹, Zainab Mahmoud², Yvonne Commodore-Mensah³, Jerome L Fleg⁴, Yetunde A Fatade⁵, Odayme Quesada⁶, Niti R Aggarwal⁷, Deirdre J Mattina⁸, Glaucia Maria Moraes De Oliveira⁹, Kathryn J Lindley¹⁰, Bruce Ovbiagele¹¹, Robert O Roswell¹², Paul L Douglass¹³, Dipti Itchhaporia¹⁴, Sharonne N Hayes¹⁵; American College of Cardiology Cardiovascular Disease in Women Committee and the American College of Cardiology Health Equity Taskforce

Affiliations

¹ Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA; Grady Health System, Atlanta, Georgia, USA. Electronic address: modele.ogunniyi@emory.edu.
² Division of Cardiology, Department of Medicine, Washington University in St. Louis, Missouri, USA. Electronic address: https://twitter.com/DrZMahmoud.
³ Johns Hopkins School of Nursing, Baltimore, Maryland, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Electronic address: https://twitter.com/ycommodore.
⁴ Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, Maryland, USA.
⁵ J. Willis Hurst Internal Medicine Residency, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. Electronic address: https://twitter.com/joyfuldockemi.
⁶ Women's Heart Center, The Christ Hospital Heart and Vascular Institute, Cincinnati, Ohio, USA; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio, USA. Electronic address: https://twitter.com/odayme.
⁷ Department of Cardiovascular Disease, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: https://twitter.com/NitiCardio.
⁸ Division of Regional Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: https://twitter.com/drladyheart.
⁹ Univiersidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address: https://twitter.com/glauciamoraeso1.
¹⁰ Division of Cardiology, Department of Medicine, Washington University in St. Louis, Missouri, USA. Electronic address: https://twitter.com/DrKLindley.
¹¹ Department of Neurology, University of California, San Francisco, California, USA.
¹² Department of Cardiology, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, Northwell Health, New York, New York, USA. Electronic address: https://twitter.com/DrRobRoswell.
¹³ Wellstar Center for Cardiovascular Care, Wellstar Atlanta Medical Center, Atlanta, Georgia, USA.
¹⁴ Department of Cardiology, Hoag Hospital, University of California, Irvine, California, USA. Electronic address: https://twitter.com/ditchhaporia.
¹⁵ Department of Cardiovascular Disease, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: https://twitter.com/SharonneHayes.

Abstract

Black women are disproportionately affected by cardiovascular disease with an excess burden of cardiovascular morbidity and mortality. In addition, the racialized structure of the United States shapes cardiovascular disease research and health care delivery for Black women. Given the indisputable evidence of the disparities in health care delivery, research, and cardiovascular outcomes, there is an urgent need to develop and implement effective and sustainable solutions to advance cardiovascular health equity for Black women while considering their ethnic diversity, regions of origin, and acculturation. Innovative and culturally tailored strategies that consider the differential impact of social determinants of health and the unique challenges that shape their health-seeking behaviors should be implemented. A patient-centered framework that involves collaboration among clinicians, health care systems, professional societies, and government agencies is required to improve cardiovascular outcomes for Black women. The time is "now" to achieve health equity for all Black women.

Keywords: Black women; cardiovascular disease; disparities; health equity; heterogeneity; race/ethnicity; social determinants of health.

Publication types

Review
Research Support, N.I.H., Extramural

MeSH terms

Black People
Cardiovascular Diseases* / epidemiology
Ethnicity
Female
Health Equity*
Healthcare Disparities
Humans
United States / epidemiology

Abstract

Publication types

MeSH terms

Grants and funding