This review highlights significant cardiovascular health disparities between African-Americans and whites and outlines promising strategies for community-based risk reduction programs.
Disparities warrant targeted risk reduction efforts in African-American populations; leaves open validation of promising approaches through rigorous studies.
BACKGROUND: This article reviews the literature of African-American risk and identifies the disparity in cardiovascular health status, particularly hypertension, hypercholesterolemia, and cigarette smoking, and mortality rates between African-Americans and whites. METHODS: Data on African-Americans' knowledge and attitudes toward preventing hypertension and heart disease are summarized and compared to that of whites. RESULTS: Program implementation details such as communication channels, activities, and health outcomes in cardiovascular risk reduction programs in African-American communities are summarized. DISCUSSION: Promising approaches to program planning and implementation for cardiovascular risk reduction among African-Americans are recommended.
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Marcia H. Magnus (1991) studied this question.