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Coronary disease mortality and risk factors in black and white men. Results from the combined Charleston, SC, and Evans County, Georgia, heart studies.
Arch Intern Med 1995; 155(14):1521-7AI

Abstract

BACKGROUND

Epidemiologic studies begun in the southeastern United States in the 1960s indicated that the prevalence of coronary disease was two to three times greater among white men than black men and also showed an excess incidence of coronary disease among white men, although hypertension was twice as prevalent among blacks. This study was conducted to determine if racial differences exist in coronary heart disease mortality and coronary risk factors.

METHODS

Data from the two population-based cohorts of the Charleston, SC, and Evans County, Georgia, Heart Studies were pooled to make comparisons of coronary disease mortality and its risk factors. A total of 726 black men and 1346 white men aged 35 years or older in 1960 in the combined cohort were followed up for 30 years.

RESULTS

There were 125 deaths among the black men and 323 deaths among the white men attributable to coronary disease; the age-adjusted rates were 5.0 per 1000 person-years in the black men and 6.5 per 1000 person-years in white men. Black-white coronary mortality risk ratios were 0.8 when age adjusted and 0.7 when also adjusted for other cardiovascular risk factors. Elevated systolic blood pressure and cigarette smoking were significant predictors of coronary mortality in black and white men. Serum total cholesterol level was a statistically significant risk factor only in white men. Higher education level was significantly protective in black and white men.

CONCLUSIONS

Black men experienced significantly less coronary disease mortality than white men. Except for cholesterol level, the risk factors for coronary mortality in black and white men were similar.

Authors+Show Affiliations

Department of Biometry, Medical University of South Carolina, Charleston, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

7605154

Citation

Keil, J E., et al. "Coronary Disease Mortality and Risk Factors in Black and White Men. Results From the Combined Charleston, SC, and Evans County, Georgia, Heart Studies." Archives of Internal Medicine, vol. 155, no. 14, 1995, pp. 1521-7.
Keil JE, Sutherland SE, Hames CG, et al. Coronary disease mortality and risk factors in black and white men. Results from the combined Charleston, SC, and Evans County, Georgia, heart studies. Arch Intern Med. 1995;155(14):1521-7.
Keil, J. E., Sutherland, S. E., Hames, C. G., Lackland, D. T., Gazes, P. C., Knapp, R. G., & Tyroler, H. A. (1995). Coronary disease mortality and risk factors in black and white men. Results from the combined Charleston, SC, and Evans County, Georgia, heart studies. Archives of Internal Medicine, 155(14), pp. 1521-7.
Keil JE, et al. Coronary Disease Mortality and Risk Factors in Black and White Men. Results From the Combined Charleston, SC, and Evans County, Georgia, Heart Studies. Arch Intern Med. 1995 Jul 24;155(14):1521-7. PubMed PMID: 7605154.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coronary disease mortality and risk factors in black and white men. Results from the combined Charleston, SC, and Evans County, Georgia, heart studies. AU - Keil,J E, AU - Sutherland,S E, AU - Hames,C G, AU - Lackland,D T, AU - Gazes,P C, AU - Knapp,R G, AU - Tyroler,H A, PY - 1995/7/24/pubmed PY - 1995/7/24/medline PY - 1995/7/24/entrez SP - 1521 EP - 7 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 155 IS - 14 N2 - BACKGROUND: Epidemiologic studies begun in the southeastern United States in the 1960s indicated that the prevalence of coronary disease was two to three times greater among white men than black men and also showed an excess incidence of coronary disease among white men, although hypertension was twice as prevalent among blacks. This study was conducted to determine if racial differences exist in coronary heart disease mortality and coronary risk factors. METHODS: Data from the two population-based cohorts of the Charleston, SC, and Evans County, Georgia, Heart Studies were pooled to make comparisons of coronary disease mortality and its risk factors. A total of 726 black men and 1346 white men aged 35 years or older in 1960 in the combined cohort were followed up for 30 years. RESULTS: There were 125 deaths among the black men and 323 deaths among the white men attributable to coronary disease; the age-adjusted rates were 5.0 per 1000 person-years in the black men and 6.5 per 1000 person-years in white men. Black-white coronary mortality risk ratios were 0.8 when age adjusted and 0.7 when also adjusted for other cardiovascular risk factors. Elevated systolic blood pressure and cigarette smoking were significant predictors of coronary mortality in black and white men. Serum total cholesterol level was a statistically significant risk factor only in white men. Higher education level was significantly protective in black and white men. CONCLUSIONS: Black men experienced significantly less coronary disease mortality than white men. Except for cholesterol level, the risk factors for coronary mortality in black and white men were similar. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/7605154/Coronary_disease_mortality_and_risk_factors_in_black_and_white_men__Results_from_the_combined_Charleston_SC_and_Evans_County_Georgia_heart_studies_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/155/pg/1521 DB - PRIME DP - Unbound Medicine ER -