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Review
. 2020 Mar-Apr;63(2):142-148.
doi: 10.1016/j.pcad.2020.02.006. Epub 2020 Feb 11.

Prevention of cardiovascular disease for historically marginalized racial and ethnic groups living with HIV: A narrative review of the literature

Charles Muiruri  1 , Chris T Longenecker  2 , Eric G Meissner  3 , Nwora Lance Okeke  4 , April C Pettit  5 , Kevin Thomas  6 , Eric Velazquez  7 , Gerald S Bloomfield  8
Affiliations
Review

Prevention of cardiovascular disease for historically marginalized racial and ethnic groups living with HIV: A narrative review of the literature

Charles Muiruri et al. Prog Cardiovasc Dis. 2020 Mar-Apr.

Abstract

Despite developments to improve health in the United States, racial and ethnic disparities persist. These disparities have profound impact on the wellbeing of historically marginalized racial and ethnic groups. This narrative review explores disparities by race in people living with cardiovascular disease (CVD) and the Human Immunodeficiency Virus (HIV). We discuss selected common social determinants of health for both of these conditions which include; regional historical policies, incarceration, and neighborhood effects. Data on racial disparities for persons living with comorbid HIV and CVD are lacking. We found few published articles (n = 7) describing racial disparities for persons living with both comorbid HIV and CVD. Efforts to reduce CVD morbidity in historically marginalized racial and ethnic groups with HIV must address participation in clinical research, social determinants of health and translation of research into clinical practice.

Keywords: Cardiovascular disease; HIV; Historically marginalized racial and ethnic groups; People living with HIV; Racial disparities.

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Conflict of interest statement

Conflicts of Interest:

Dr. Longenecker reports research grants Gilead Sciences and served on an advisory board for Esperion Therapeutics. Dr. Meissner reports research support from Viiv Healthcare. The remaining authors declare that they have no conflicts or competing interests.

Figures

Figure 1.
Figure 1.
Race distribution in Selected Studies Reporting Myocardial Infarction Rates in People Living with HIV and Uninfected Controls
Figure 2.
Figure 2.
Studies identified by literature search and reasons for exclusion to arrive at 7 studies that were included in the review
See this image and copyright information in PMC

References

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    1. Feinstein MJ, Hsue PY, Benjamin LA et al. Characteristics, Prevention, and Management of Cardiovascular Disease in People Living With HIV: A Scientific Statement From the American Heart Association. Circulation 2019;140:e98–e124. - PMC - PubMed
    1. CDC:. Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (Preliminary). HIV Surveillance Report, 2019.

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