While there have been significant advances made towards controlling cardiovascular disease (CVD) morbidity and mortality in recent decades, African- Americans continue to experience a markedly elevated burden of CVD. Multiple factors have contributed to this major public health crisis, including medication adherence, racial inequities in diagnosis and treatment, lack of culturally competent care, and disparities in healthcare access. Historical approaches to reduce this burden are targeted towards community outreach by recruiting community partners and healthcare providers to disseminate health information on CVD awareness and prevention. Current community-based approaches, such as the barbershop and faith-based programs, have built upon previous approaches and incorporated novel ideas to increase community engagement in risk factor and disease reduction. Based on these models, future directions point to an increased usage of community partners, alongside health information technology and healthy behavior patient education, to reduce risk factors and prevalence of CVD in an ethnically vulnerable community.

中文翻译：

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非裔美国人的高血压：社区宣传和公共卫生方法的进步。

尽管最近几十年来在控制心血管疾病（CVD）发病率和死亡率方面取得了重大进展，但非裔美国人继续承受着明显增加的CVD负担。导致这一重大公共卫生危机的因素很多，包括药物依从性，诊断和治疗中的种族不平等，缺乏具有文化背景的护理以及医疗保健机会不均。减轻这种负担的历史方法旨在通过招募社区合作伙伴和医疗保健提供者来传播有关CVD意识和预防的健康信息，从而实现社区宣传。当前基于社区的方法，例如理发店和基于信仰的计划，在以前的方法的基础上并结合了新颖的想法，以增加社区对风险因素和疾病减少的参与。在这些模型的基础上，未来的发展方向表明，除了健康信息技术和健康行为患者教育之外，社区合作伙伴的使用也将越来越多，以减少种族弱势社区中的CVD危险因素和患病率。