Predictors and Barriers to Timely Medical Follow-Up after Cardiovascular Disease Risk Factor Screening According to Race/Ethnicity
作者： Dana J. Edelman , Qian Gao , Lori Mosca
DOI: 10.1016/S0027-9684(15)31299-2
关键词: Prehypertension 、 Risk assessment 、 Ethnic origin 、 Pediatrics 、 Risk factor 、 Mass screening 、 Public health 、 Prospective cohort study 、 Epidemiology 、 Medicine
摘要: Background The purpose of this study was to assess follow-up practices among individuals found have elevated cardiovascular disease (CVD) risk factors in a screening and educational outreach. Methods Participants the National Heart, Lung Blood Institute Family Intervention Trial for Heart Health (FIT Heart) who were hypertension, prehypertension, sub-optimal lipids and/or abnormal blood glucose included (N=214, mean age 49 ± 13, 64% female, 33% non-white). Contact made at two weeks, six weeks three months determine if medical initiated. Barriers nonadherence assessed. Results After significantly more whites had follow up compared nonwhites (34% vs. 20%, p=0.04). Racial/ethnic minorities likely report that not having doctor barrier (30% 11%, p=0.02). Non-whites return staff rather than an outside physician (32% 15%, p=0.001). Conclusion with CVD may delayed whites, be attributable lack access doctor. These data suggest improving care reduce racial/ethnic disparities factor management outcomes.
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