Existing health disparities in congenital heart disease: the path forward to achieving health equity—A scientific statement of the European Association of Preventive Cardiology of the ESC

European Heart Journal - Quality of Care and Clinical Outcomes

25 June 2025
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ESC Journals OTHER European Society of Cardiology

Abstract

Abstract

There is increasing recognition that social determinants of health affect outcomes in individuals with congenital heart disease and cause health disparities. This scientific statement from the European Association of Preventive Cardiology of the European Society of Cardiology provides an outline of the existing disparities from a global perspective in this population. We review the current knowledge on racial and ethnic patterns and the role of deprivation status, food insecurity, built environment, financial strain, psychological health and parental distress and education and literacy in creating inequities. Finally, we provide future directions for policy, research, and clinical practice in achieving health equity in the congenital heart disease population.

Contributors

Aparna Kulkarni
Aparna Kulkarni

Author

Cohen Children's Medical Center New Hyde Park , United States of America

Eva Goossens
Eva Goossens

Author

University of Antwerp Antwerp , Belgium

Maria Simonenko
Maria Simonenko

Author

Almazov National Medical Research Centre Saint Petersburg , Russian Federation

Monica Tiberi
Monica Tiberi

Author

Sports Medicine Azienda Sanitaria Territoriale Pesaro-Urbino (AST PU) Pesaro , Italy

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