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Prevalence changes in modifiable cardiovascular disease risk factors in three Missouri regions, 1990-1996.
Mo Med. 1998 Dec; 95(12):654-62.MM

Abstract

OBJECTIVES

To determine the prevalence and prevalence trend of modifiable cardiovascular disease (CVD) risk factors among African Americans and whites/others from 1990-1996. We also examined differential changes between African Americans and whites/others during the same time period.

METHODS

This study used data from two special Behavioral Risk Factor Surveillance System (BRFSS) based surveys in 1990 (N = 3,000+) and one in 1996 (N = 2,095) that targeted two metropolitan and one rural region in Missouri with substantial minority populations. Risk factors included physical inactivity, obesity, hypertension, unmonitored cholesterol and smoking. The percent change in prevalence estimates and corresponding confidence intervals between survey years were calculated for each of the above risk factors.

RESULTS

When compared with Missouri BRFSS data, overall prevalence of smoking, obesity, hypertension and unmonitored cholesterol was higher in the three-region study population than the state as a whole. African-American males did not experience any statistically significant reductions in CVD risk factor prevalence rates between 1990 and 1996, while the increase in obesity was driven mostly by the African-American female subgroup. The least amount of reduction in CVD risk factors was seen in individuals aged 55 or older, with a high school education or less and/or without health insurance.

CONCLUSIONS

Individuals of African-American ethnicity, aged 55 or older, with a high school education or less and/or without health insurance need to be the focus of future public health initiatives designed to reduce the prevalence of CVD risk factors.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

9863342

Citation

Dietz, M J., et al. "Prevalence Changes in Modifiable Cardiovascular Disease Risk Factors in Three Missouri Regions, 1990-1996." Missouri Medicine, vol. 95, no. 12, 1998, pp. 654-62.
Dietz MJ, Simoes EJ, Waterman B, et al. Prevalence changes in modifiable cardiovascular disease risk factors in three Missouri regions, 1990-1996. Mo Med. 1998;95(12):654-62.
Dietz, M. J., Simoes, E. J., Waterman, B., Jackson-Thompson, J., & Murayi, T. (1998). Prevalence changes in modifiable cardiovascular disease risk factors in three Missouri regions, 1990-1996. Missouri Medicine, 95(12), 654-62.
Dietz MJ, et al. Prevalence Changes in Modifiable Cardiovascular Disease Risk Factors in Three Missouri Regions, 1990-1996. Mo Med. 1998;95(12):654-62. PubMed PMID: 9863342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence changes in modifiable cardiovascular disease risk factors in three Missouri regions, 1990-1996. AU - Dietz,M J, AU - Simoes,E J, AU - Waterman,B, AU - Jackson-Thompson,J, AU - Murayi,T, PY - 1998/12/24/pubmed PY - 1998/12/24/medline PY - 1998/12/24/entrez SP - 654 EP - 62 JF - Missouri medicine JO - Mo Med VL - 95 IS - 12 N2 - OBJECTIVES: To determine the prevalence and prevalence trend of modifiable cardiovascular disease (CVD) risk factors among African Americans and whites/others from 1990-1996. We also examined differential changes between African Americans and whites/others during the same time period. METHODS: This study used data from two special Behavioral Risk Factor Surveillance System (BRFSS) based surveys in 1990 (N = 3,000+) and one in 1996 (N = 2,095) that targeted two metropolitan and one rural region in Missouri with substantial minority populations. Risk factors included physical inactivity, obesity, hypertension, unmonitored cholesterol and smoking. The percent change in prevalence estimates and corresponding confidence intervals between survey years were calculated for each of the above risk factors. RESULTS: When compared with Missouri BRFSS data, overall prevalence of smoking, obesity, hypertension and unmonitored cholesterol was higher in the three-region study population than the state as a whole. African-American males did not experience any statistically significant reductions in CVD risk factor prevalence rates between 1990 and 1996, while the increase in obesity was driven mostly by the African-American female subgroup. The least amount of reduction in CVD risk factors was seen in individuals aged 55 or older, with a high school education or less and/or without health insurance. CONCLUSIONS: Individuals of African-American ethnicity, aged 55 or older, with a high school education or less and/or without health insurance need to be the focus of future public health initiatives designed to reduce the prevalence of CVD risk factors. SN - 0026-6620 UR - https://www.unboundmedicine.com/medline/citation/9863342/Prevalence_changes_in_modifiable_cardiovascular_disease_risk_factors_in_three_Missouri_regions_1990_1996_ L2 - https://medlineplus.gov/blackandafricanamericanhealth.html DB - PRIME DP - Unbound Medicine ER -