Tags

Type your tag names separated by a space and hit enter

Ischemic heart disease and stroke mortality in African-American, Hispanic, and non-Hispanic white men and women, 1985 to 1991.
West J Med. 1998 Sep; 169(3):139-45.WJ

Abstract

We compare recent trends in ischemic heart disease (IHD) and stroke mortality in California among the 6 major sex-racial or -ethnic groups. Rates of age-specific and -adjusted mortality were calculated for persons aged 35 and older during the years 1985 to 1991. Log-linear regression modeling was performed to estimate the average annual percentage change in mortality. During 1985 through 1991, the mortality for IHD and stroke was generally highest for African Americans, intermediate for non-Hispanic whites, and lowest for Hispanics. Age-adjusted mortality for IHD declined significantly in all sex-racial or -ethnic groups except African-American women, and stroke rates declined significantly in all groups except African-American and Hispanic men. African Americans had excess IHD mortality relative to non-Hispanic whites until late in life, after which mortality of non-Hispanic whites was higher. Similarly, African Americans and Hispanics had excess stroke mortality relative to non-Hispanic whites early in life, whereas stroke mortality in non-Hispanic whites was higher at older ages. The lower IHD and stroke mortality among Hispanics was paradoxical, given the generally adverse risk profile and socioeconomic status observed among Hispanics. An alarmingly high prevalence of self-reported cardiovascular disease risk factors in 1994 to 1996, particularly hypertension, leisure-time sedentary lifestyle, and obesity, is a serious public health concern, with implications for future trends in cardiovascular disease mortality. Of particular concern was the growing disparities in stroke and IHD mortality among younger-aged African Americans relative to Hispanics and non-Hispanic whites.

Authors+Show Affiliations

Division of Research, Kaiser Permanente, Northern California Region, Oakland. ajk@dor.kaiser.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

9771151

Citation

Karter, A J., et al. "Ischemic Heart Disease and Stroke Mortality in African-American, Hispanic, and non-Hispanic White Men and Women, 1985 to 1991." The Western Journal of Medicine, vol. 169, no. 3, 1998, pp. 139-45.
Karter AJ, Gazzaniga JM, Cohen RD, et al. Ischemic heart disease and stroke mortality in African-American, Hispanic, and non-Hispanic white men and women, 1985 to 1991. West J Med. 1998;169(3):139-45.
Karter, A. J., Gazzaniga, J. M., Cohen, R. D., Casper, M. L., Davis, B. D., & Kaplan, G. A. (1998). Ischemic heart disease and stroke mortality in African-American, Hispanic, and non-Hispanic white men and women, 1985 to 1991. The Western Journal of Medicine, 169(3), 139-45.
Karter AJ, et al. Ischemic Heart Disease and Stroke Mortality in African-American, Hispanic, and non-Hispanic White Men and Women, 1985 to 1991. West J Med. 1998;169(3):139-45. PubMed PMID: 9771151.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ischemic heart disease and stroke mortality in African-American, Hispanic, and non-Hispanic white men and women, 1985 to 1991. AU - Karter,A J, AU - Gazzaniga,J M, AU - Cohen,R D, AU - Casper,M L, AU - Davis,B D, AU - Kaplan,G A, PY - 1998/10/15/pubmed PY - 1998/10/15/medline PY - 1998/10/15/entrez SP - 139 EP - 45 JF - The Western journal of medicine JO - West. J. Med. VL - 169 IS - 3 N2 - We compare recent trends in ischemic heart disease (IHD) and stroke mortality in California among the 6 major sex-racial or -ethnic groups. Rates of age-specific and -adjusted mortality were calculated for persons aged 35 and older during the years 1985 to 1991. Log-linear regression modeling was performed to estimate the average annual percentage change in mortality. During 1985 through 1991, the mortality for IHD and stroke was generally highest for African Americans, intermediate for non-Hispanic whites, and lowest for Hispanics. Age-adjusted mortality for IHD declined significantly in all sex-racial or -ethnic groups except African-American women, and stroke rates declined significantly in all groups except African-American and Hispanic men. African Americans had excess IHD mortality relative to non-Hispanic whites until late in life, after which mortality of non-Hispanic whites was higher. Similarly, African Americans and Hispanics had excess stroke mortality relative to non-Hispanic whites early in life, whereas stroke mortality in non-Hispanic whites was higher at older ages. The lower IHD and stroke mortality among Hispanics was paradoxical, given the generally adverse risk profile and socioeconomic status observed among Hispanics. An alarmingly high prevalence of self-reported cardiovascular disease risk factors in 1994 to 1996, particularly hypertension, leisure-time sedentary lifestyle, and obesity, is a serious public health concern, with implications for future trends in cardiovascular disease mortality. Of particular concern was the growing disparities in stroke and IHD mortality among younger-aged African Americans relative to Hispanics and non-Hispanic whites. SN - 0093-0415 UR - https://www.unboundmedicine.com/medline/citation/9771151/Ischemic_heart_disease_and_stroke_mortality_in_African_American_Hispanic_and_non_Hispanic_white_men_and_women_1985_to_1991_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/9771151/ DB - PRIME DP - Unbound Medicine ER -