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Racial/ethnic disparities in coronary heart disease risk factors among WISEWOMAN enrollees.
J Womens Health (Larchmt). 2004 Jun; 13(5):503-18.JW

Abstract

BACKGROUND

We used the baseline data collected for the Well-integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) participants to provide a snapshot of cardiovascular disease (CVD) risk on enrollment and to address racial/ethnic disparities in the following CVD risk factors: body mass index (BMI), systolic and diastolic blood pressure, high-density lipoprotein (HDL) and total cholesterol, diabetes and smoking prevalence, 10-year coronary heart disease (CHD) risk, and treatment and awareness of high cholesterol, hypertension, and diabetes.

METHODS

We used linear regression analysis to (1) assess the presence of racial/ethnic disparities and test whether existing disparities can be explained by (2) differences in individual characteristics or by (3) differences in individual and community characteristics.

RESULTS

Our results reveal a high degree of CVD risk among the WISEWOMAN participants and statistically significant racial/ethnic disparities in risk factors. Black participants were at the greatest risk of CVD, and Hispanic and Alaska Native participants were healthier in terms of CVD risk than white participants. Some racial/ethnic disparities were explained by differences in individual and community characteristics, but other disparities persisted even after controlling for these factors.

CONCLUSIONS

Because differences in community characteristics explain many of the racial/ethnic disparities in CVD risk factors, eliminating disparities may require community-wide interventions. Successful WISEWOMAN projects are likely to not only reduce CVD risk factors overall but also to lessen racial/ethnic disparities in these risk factors.

Authors+Show Affiliations

RTI International, Health, Social and Economics Research, Research Triangle Park, North Carolina 27709, USA. finkelse@rti.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15257843

Citation

Finkelstein, Eric A., et al. "Racial/ethnic Disparities in Coronary Heart Disease Risk Factors Among WISEWOMAN Enrollees." Journal of Women's Health (2002), vol. 13, no. 5, 2004, pp. 503-18.
Finkelstein EA, Khavjou OA, Mobley LR, et al. Racial/ethnic disparities in coronary heart disease risk factors among WISEWOMAN enrollees. J Womens Health (Larchmt). 2004;13(5):503-18.
Finkelstein, E. A., Khavjou, O. A., Mobley, L. R., Haney, D. M., & Will, J. C. (2004). Racial/ethnic disparities in coronary heart disease risk factors among WISEWOMAN enrollees. Journal of Women's Health (2002), 13(5), 503-18.
Finkelstein EA, et al. Racial/ethnic Disparities in Coronary Heart Disease Risk Factors Among WISEWOMAN Enrollees. J Womens Health (Larchmt). 2004;13(5):503-18. PubMed PMID: 15257843.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial/ethnic disparities in coronary heart disease risk factors among WISEWOMAN enrollees. AU - Finkelstein,Eric A, AU - Khavjou,Olga A, AU - Mobley,Lee R, AU - Haney,Dawn M, AU - Will,Julie C, PY - 2004/7/20/pubmed PY - 2004/8/28/medline PY - 2004/7/20/entrez SP - 503 EP - 18 JF - Journal of women's health (2002) JO - J Womens Health (Larchmt) VL - 13 IS - 5 N2 - BACKGROUND: We used the baseline data collected for the Well-integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) participants to provide a snapshot of cardiovascular disease (CVD) risk on enrollment and to address racial/ethnic disparities in the following CVD risk factors: body mass index (BMI), systolic and diastolic blood pressure, high-density lipoprotein (HDL) and total cholesterol, diabetes and smoking prevalence, 10-year coronary heart disease (CHD) risk, and treatment and awareness of high cholesterol, hypertension, and diabetes. METHODS: We used linear regression analysis to (1) assess the presence of racial/ethnic disparities and test whether existing disparities can be explained by (2) differences in individual characteristics or by (3) differences in individual and community characteristics. RESULTS: Our results reveal a high degree of CVD risk among the WISEWOMAN participants and statistically significant racial/ethnic disparities in risk factors. Black participants were at the greatest risk of CVD, and Hispanic and Alaska Native participants were healthier in terms of CVD risk than white participants. Some racial/ethnic disparities were explained by differences in individual and community characteristics, but other disparities persisted even after controlling for these factors. CONCLUSIONS: Because differences in community characteristics explain many of the racial/ethnic disparities in CVD risk factors, eliminating disparities may require community-wide interventions. Successful WISEWOMAN projects are likely to not only reduce CVD risk factors overall but also to lessen racial/ethnic disparities in these risk factors. SN - 1540-9996 UR - https://www.unboundmedicine.com/medline/citation/15257843/Racial/ethnic_disparities_in_coronary_heart_disease_risk_factors_among_WISEWOMAN_enrollees_ L2 - https://www.liebertpub.com/doi/10.1089/1540999041280963?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -