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Gender differences across racial and ethnic groups in the quality of care for acute myocardial infarction and heart failure associated with comorbidities.
Womens Health Issues. 2006 Mar-Apr; 16(2):44-55.WH

Abstract

This paper provides important insights on gender differences across racial and ethnic groups in a Medicare population in terms of the quality of care received for acute myocardial infarction (AMI) and congestive heart failure (CHF) in association with diabetes or hypertension/end-stage renal disease (ESRD). Both race/ethnicity and gender are associated with differences in the diagnostic evaluation and treatment of Medicare recipients with these conditions. In the AMI group, non-Hispanic Black and Hispanic patients of both genders were less likely to receive aspirin or beta-blockers than non-Hispanic Whites. These differences persisted for Hispanic women and men even when they presented with ESRD or diabetes. Rates for smoking cessation counseling were among the lowest among non-Hispanic Blacks and Hispanics with AMI-diabetes and non-Hispanic blacks with AMI-hypertension/ESRD. Gender comparisons within racial groups for the AMI and AMI-diabetes groups show that among non-Hispanic Whites, women were less likely to receive aspirin and beta-blockers. No gender differences were noted among non-Hispanic Black and Hispanic Medicare recipients. In the CHF group, Hispanics were the racial/ethnic group least likely to have an assessment of left ventricular function (LVF), even if they had diabetes and had lower rates of angiotensin-converting enzyme inhibitor therapy or even if they had combined CHF-hypertension/ESRD. Gender comparisons in both the CHF and CHF-hypertension/ESRD groups show that non-Hispanic White women were less likely to have an LVF assessment than non-Hispanic White men. Among all subjects, having comorbidities with AMI was not associated with higher markers of quality cardiovascular care. Closing the many gaps in cardiovascular care must target the specific needs of women and men across racial and ethnic groups.

Authors+Show Affiliations

Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA. Rcorrea@ahrq.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16638521

Citation

Correa-de-Araujo, Rosaly, et al. "Gender Differences Across Racial and Ethnic Groups in the Quality of Care for Acute Myocardial Infarction and Heart Failure Associated With Comorbidities." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 16, no. 2, 2006, pp. 44-55.
Correa-de-Araujo R, Stevens B, Moy E, et al. Gender differences across racial and ethnic groups in the quality of care for acute myocardial infarction and heart failure associated with comorbidities. Womens Health Issues. 2006;16(2):44-55.
Correa-de-Araujo, R., Stevens, B., Moy, E., Nilasena, D., Chesley, F., & McDermott, K. (2006). Gender differences across racial and ethnic groups in the quality of care for acute myocardial infarction and heart failure associated with comorbidities. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 16(2), 44-55.
Correa-de-Araujo R, et al. Gender Differences Across Racial and Ethnic Groups in the Quality of Care for Acute Myocardial Infarction and Heart Failure Associated With Comorbidities. Womens Health Issues. 2006 Mar-Apr;16(2):44-55. PubMed PMID: 16638521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gender differences across racial and ethnic groups in the quality of care for acute myocardial infarction and heart failure associated with comorbidities. AU - Correa-de-Araujo,Rosaly, AU - Stevens,Beth, AU - Moy,Ernest, AU - Nilasena,David, AU - Chesley,Francis, AU - McDermott,Kelly, PY - 2004/10/04/received PY - 2005/02/24/revised PY - 2005/04/18/accepted PY - 2006/4/28/pubmed PY - 2006/6/23/medline PY - 2006/4/28/entrez SP - 44 EP - 55 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 16 IS - 2 N2 - This paper provides important insights on gender differences across racial and ethnic groups in a Medicare population in terms of the quality of care received for acute myocardial infarction (AMI) and congestive heart failure (CHF) in association with diabetes or hypertension/end-stage renal disease (ESRD). Both race/ethnicity and gender are associated with differences in the diagnostic evaluation and treatment of Medicare recipients with these conditions. In the AMI group, non-Hispanic Black and Hispanic patients of both genders were less likely to receive aspirin or beta-blockers than non-Hispanic Whites. These differences persisted for Hispanic women and men even when they presented with ESRD or diabetes. Rates for smoking cessation counseling were among the lowest among non-Hispanic Blacks and Hispanics with AMI-diabetes and non-Hispanic blacks with AMI-hypertension/ESRD. Gender comparisons within racial groups for the AMI and AMI-diabetes groups show that among non-Hispanic Whites, women were less likely to receive aspirin and beta-blockers. No gender differences were noted among non-Hispanic Black and Hispanic Medicare recipients. In the CHF group, Hispanics were the racial/ethnic group least likely to have an assessment of left ventricular function (LVF), even if they had diabetes and had lower rates of angiotensin-converting enzyme inhibitor therapy or even if they had combined CHF-hypertension/ESRD. Gender comparisons in both the CHF and CHF-hypertension/ESRD groups show that non-Hispanic White women were less likely to have an LVF assessment than non-Hispanic White men. Among all subjects, having comorbidities with AMI was not associated with higher markers of quality cardiovascular care. Closing the many gaps in cardiovascular care must target the specific needs of women and men across racial and ethnic groups. SN - 1049-3867 UR - https://www.unboundmedicine.com/medline/citation/16638521/Gender_differences_across_racial_and_ethnic_groups_in_the_quality_of_care_for_acute_myocardial_infarction_and_heart_failure_associated_with_comorbidities_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(05)00061-7 DB - PRIME DP - Unbound Medicine ER -