Impacts of Coronary Heart Disease on Black Community

Impacts of Coronary Heart Disease on Black Community

Coronary heart disease, the leading cause of death worldwide, has mainly affected the black community. Coronary artery disease (CAD) is the most common heart disease, and it rises from a buildup of plaque in the arterial walls, which causes the walls of the arteries to shrink and block blood flow. The symptoms include chest pains, weakness, dizziness, breathing difficulties, and weak heart muscles, which further lead to heart failure. CAD mainly affects people with obesity, diabetes, and hypertension. Even though anyone can develop coronary heart disease, the black community is at a higher risk, primarily influenced by socioeconomic disparities, lack of access to healthcare, and medical discrimination.


How do cardiovascular system disorders impact African Americans?

The social and economic of a community can significantly impact people’s well-being. According to Schultz et al. (2018), the socioeconomic status of a community contributes to the development of coronary heart disease. Unemployment and lack of income contribute highly to heart disease as most families do not have access to healthy diets or medical facilities. Additionally, the lack of education in black communities has contributed to an increase in coronary heart disease. Most educated people know about healthy lifestyles and how to prevent coronary heart disease. Research by the American Heart Association News (2019) shows that people with a lower education level are at a higher risk of CAD than those with a higher education. With education, people in the black community can distinguish between healthy habits and diets and indulge more in wellness by exercising. Therefore, the socioeconomic status in black communities may contribute highly to the risk of coronary heart disease.

Lack of access to healthcare is a contributing factor to CAD. The World Health Organization (2018) claims that progress in improving healthcare quality is evident, but it is slow in some developing areas. People with high blood pressure, diabetes, and obesity need to visit healthcare centres occasionally to check their health and avoid heart disease risk. In most black communities, people live far from the health centres, hence a need for close patient care access. Nonetheless, in cases where the black community has access to medical facilities, some people may face medical racism and discrimination. Hamed et al. (2022) claim that racism is a significant barrier to receiving quality healthcare. Medical racism may prevent the black community from getting treatment, leading to high mortality. Conclusively, healthcare disparities, medical racism, and discrimination have created treatment barriers in the black community, contributing to a high mortality rate.

Disparities in socioeconomic status, healthcare, and discrimination in healthcare facilities have increased the risk of coronary artery disease in the black community. People’s employment and education level can either enhance or drag the economic status of a community. However, even with a vast knowledge of control measures for heart diseases, mortality cases may increase due to a lack of healthcare access or medical discrimination. Therefore, to improve the health status of the black community, the government needs to create more effective strategies to reduce the disparities. More educational programs will also help create awareness of coronary heart disease and prevention measures. A strong relationship between the communities and healthcare practitioners will ultimately improve healthcare quality and reduce discrimination.






American Heart Association News. (2019, September 3). Education level may predict the risk of dying for people with heart disease. American Heart Association.

Hamed, S., Bradby, H., Ahlberg, B., and Thapar-Bjorkert, S. (2022). Racism in healthcare: a scoping review. BMC Public Health, 22(1), 988.

Khera, A. V., Emdin, C. A., Drake, I., Natarajan, P., Bick, A., Cook, N., Chasman, D., Baber, U., Mehran, R., Rader, D., Fuster, V., Boerwinkle, E., Melander, O., Orho-Melander, M., Ridker, P., and Kathiresan, S. (2016). Genetic risk, adherence to a healthy lifestyle, and coronary disease. The New England Journal of Medicine, 375(24), 2349-2358.

Schultz, W., Kelli, H., Lisko, J. Varghese, T., Shen, J., Sandesara, P., Quyyumi, A., Taylor, H., Gulati, M., Harold, J., Mieres, J., Ferdinand, K., Mensah, G., and Sperling, L. (2018).  Socioeconomic status and cardiovascular outcomes: challenges and interventions. Circulation, 137, 2166-2178.

World Health Organization. (2018). Delivering quality health services: A global imperative. OECD Publishing.


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