Dr. Taylor #ASPC20 #heartofprevention
The Heckler Report from 1985 pointed out the differences in health in Black Americans @ABCardio1
When health of white males improving...health of black males increasing or unchanged...
#healthequity @DrMarthaGulati @DrMichaelShapir

Repeating something like the Framingham Heart Study in American was challenged by the transgenerational racism and violation of trust in the Black community by medicine
#ASPC20 #heartofprevention #TuskegeeSyphilisStudy

As a result, health research was not seen to benefit Black Americans
-Uncertainty of intentions by Black Community
#ASPC20 #heartofprevention

The launch of the Jackson Heart Study in 2000 by @NIH
it was needed to study the population to know what was needed
challenges as above existed
ambitious goals
#aspc20 #heartofprevention @NIHDirector @NHLBI_Translate

The Jackson Heart Study: Impressive data collection
5.5 hours of data collection including psycho-social data
Exam 1/2/3
88% came back for Exam 2
#ASPC20 #heartofprevention @ABCardio1

One important finding by Jackson Heart Study:
By age 60, 80% of African Americans have HTN
SES matters (more likely nocturnal dip)
Education matters (nocturnal dip)
Speaks to the importance of hypertension in Blacks
#ASPC20 #Heartofprevention

#ASPC20 #Heartofprevention #JacksonHeartStudy
Masked HTN increased CVD risk
More risk factors, greater risk

Important finding of JHS:
In those with Sickle trait: HbA1c may not diagnose diabetes
sickle trait present in 10% of AA so important to know for prevention
#ASPC20 #heartofprevention

Social Determinants of Health ( #SDOH) are now being considered more. And we need to discuss this more!
The impact of SDOH, including discrimination and racism, is tied to the development of Hypertension as shown by the Jackson Heart Study
#ASPC20 #heartofprevention

Dr. Herman Taylor: This are bad and are getting better very very slowly.
A Call for Strategic Transformation of Population Studies
Implementation of protocols to examine how to improve heart health
#ASPC20 #Heartofprevention

Race itself is a social construct but what is the mechanism of race impacting disease?
Racism itself can cause disease
There are disparities, they are real but people survive. And thrive. (despite the expectation of bad outcomes)
#ASPC20 @JHS_HeartStudy #heartofprevention

Onus cannot be on those who are resilient to dismantle the adversities. it is on all of us to change this
#ASPC20 #heartofprevention
Keynote lecture by Dr. Herman Taylor @JHS_HeartStudy
Heart activism
Community is key
knowledge of what is impacting AA Health