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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Public Health 1/2015

Disparities in cardiovascular disease among Caribbean populations: a systematic literature review

Zeitschrift:
BMC Public Health > Ausgabe 1/2015
Autoren:
Damian K. Francis, Nadia R. Bennett, Trevor S. Ferguson, Anselm JM Hennis, Rainford J. Wilks, E. Nigel Harris, Marlene MY MacLeish, Louis W. Sullivan, On behalf of the U.S. Caribbean Alliance for Health Disparities Research Group (USCAHDR)
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-015-2166-7) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

DKF: Developed the protocol; conducted screening and data extraction; led analysis and interpretation of data; drafted manuscript, critically revising for intellectual content and approved final version. NRB: Developed the protocol; conducted screening and data extraction; revised draft manuscript for intellectual content and approved final version. TSF: Developed the protocol; participated in analysis and interpretation of data; critically revised for intellectual content and approved final version. RJW: Conceptualized the project; developed the protocol; participated in analysis and interpretation of data; critically revised for intellectual content and approved final version. AJH: Conceptualized the project; developed the protocol; participated in analysis and interpretation of data; critically revised for intellectual content and approved final version. ENH: Conceptualized the project; critically revising for intellectual content, approved final version. MYM: Conceptualized the project; critically revising for intellectual content, approved final version. LWS: Conceptualized the project; critically revising for intellectual content; approved final version. Members of the USCAHDR Group (AB, IH, CH, AH, LW, NYC): Contributed to the development of the protocol, critically revising for intellectual content, approved final version. All authors read and approved the final manuscript.

Authors’ information

Members of the USCAHDR Group are: Bennett NR, Bidulescu A, Ferguson TS, Francis DK, Hambleton IR, Harris EN, Hassell C, Hennis AJM, MacLeish MY, Sullivan LW, Wilks RJ, Williams L, and Younger-Coleman NO.

Abstract

Background

Cardiovascular diseases (CVD) are the predominant cause of death globally. The large health disparities in the distribution of the burden of disease seen in developed and developing countries are of growing concern. Central to this concern is the poor outcome which is seen disproportionately in socially disadvantaged groups and racial/ethnic minorities. The aim of the study was to conduct a systematic literature review to investigate the nature of cardiovascular disease health disparities among Afro-Caribbean origin populations and identify current knowledge gaps.

Methods

A systematic literature review including a detailed search strategy was developed to search MEDLINE and other research databases. Using an a priori protocol peer-reviewed publications and grey literature articles were retrieved and screened and relevant data extracted by two independent review authors. Thematic analysis was done according to CVD outcomes and measures of disparity including age, sex, ethnicity and socioeconomic status.

Results

The search retrieved 665 articles of which 22 met the inclusion criteria. Most studies were conducted in the United Kingdom and centered on the prevalence of CVD by ethnicity, age and sex. An important sub-theme identified was the disparities in health service utilization/hospital admission. Coronary Heart Disease (CHD) and Peripheral Arterial Disease (PAD) were less prevalent among Afro-Caribbeans compared to Caucasian and South East Asian ethnic groups. The prevalence of CHD ranged from 0–7 % in Afro-Caribbean to 2–22 % in Caucasians. Strokes were more common among Afro-Caribbeans. There are inadequate data on morbidity and mortality from CVD, particularly across the socio-economic gradient, in Afro-Caribbean populations.

Conclusions

There are important differences in morbidity and mortality from CVD across ethnic groups. Important knowledge gaps remain in understanding the social determinants of these disparities in CVD. More research exploring these gaps by varying disparity indicators needs to be undertaken.
Zusatzmaterial
Additional file 1: Search strategy. A detailed description of the search strategy and databases searched to identify relevant papers for inclusion in this systematic literature review. (DOCX 21 kb)
12889_2015_2166_MOESM1_ESM.docx
Additional file 2: Data extraction domains. (DOCX 21 kb)
12889_2015_2166_MOESM2_ESM.docx
Additional file 3: Table outlining the components of the data extraction form to which information was abstracted from included studies for this systematic literature review. (DOCX 24 kb)
12889_2015_2166_MOESM3_ESM.docx
Literatur
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