Needs
Although 80% of heart diseases are preventable (American Heart Association, 2018), they remain the leading cause of death in the United States (Murphy et al., 2018).
The impact of heart disease is also significant in Texas. Heart disease causes more deaths in Texas than any other health issue, and adults living in the Dallas-Fort Worth area have some of the highest rates of heart-related death in Texas (Centers for Disease Control & Prevention [CDC], 2019).
Throughout the U.S., Black adults face significant inequities that lead to worse heart health outcomes. Black adults have the highest rate of heart disease and related death of all racial/ethnic groups (Wall et al., 2018). In the North Texas counties BHA serves, Black adults suffer higher rates of heart disease and have a heart disease-related death rate that is 14% higher than White residents and more than double the rates in Hispanic/Latinx communities (CDC, 2021).
A significant contributing factor to the poor heart health outcomes Black adults experience is limited access to quality medical care. Black adults are the most likely to be uninsured or underinsured (Kaiser Family Foundation, 2021), which greatly limits medical care access and affordability. In Texas, the percentage of Black non-elderly adults who are uninsured or underinsured is 75% higher than the rate for White non-elderly adults (Kaiser Family Foundation, 2021). Black patients are also less likely to visit medical care providers – even when insured – often due to bias and discrimination they have experienced within the healthcare system in the past (Muncan, 2018).