Heart Disease and Kidney Failure in the Black Community I n the United States, Black Americans suffer from a disproportionately high prevalence of cardiometabolic disorders including cardiovascular disease (CVD) and chronic kidney disease/end-stage kidney disease (CKD/ESKD) compared with their White peers. 1, 2 The reasons for these disparities are multifactorial. These disparities are primarily driven by societal factors, racial-and ethnic-based inequities in the allocation of health-affirming

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... resources and opportunities, which is commonly termed structural racism. 3 This is often manifested as long-standing community-level disinvestment in support for health (eg, employment, education, neighborhood safety, physical activity, food security, environmental justice), health care (health insurance, limited access to quality care, trust/distrust of the medical system), and more that may lead to poor cardiometabolic health and other medical conditions. 4