 |
 |
|
Home |
Current Issue |
Past Issues |
In the Clinic |
ACP Journal Club |
CME |
Collections |
Audio/Video |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
15 July 1997 | Volume 127 Issue 2 | Pages 111-118
Background: Relatively few data are available on risk for or survival with coronary heart disease in African-American persons.
Objective: To determine whether incidence of coronary heart disease, rate of survival with the disease, and rate of coronary surgery differ between ethnic groups.
Design: Prospective cohort study.
Setting: United States.
Participants: Persons who responded to the National Health and Nutrition Examination Survey (NHANES) I Epidemiologic Follow-up Study. Included in this analysis were 11 406 white persons and African-American persons aged 25 to 74 years who had no history of coronary heart disease. Average follow-up for survivors was 19 years (maximum, 22 years).
Measurements: Incident coronary heart disease.
Results: Compared with that in white persons, the age-adjusted risk for coronary heart disease was higher in African-American women aged 25 to 54 years (relative risk, 1.76 [95% CI, 1.36 to 2.29]) but was lower in African-American men within each age subgroup. The age-adjusted risk was lower in African-American men for all ages combined (25 to 74 years) (relative risk, 0.78 [CI, 0.65 to 0.93] for coronary heart disease and 0.62 [CI, 0.42 to 0.92] for acute myocardial infarction). The higher rate in African-American women aged 25 to 54 years could be explained statistically by the higher risk factor levels in these women. Ethnic groups did not significantly differ in survival after the first hospitalization for coronary heart disease. However, the incidence of coronary procedures after hospitalization for coronary heart disease was markedly lower in African-American persons than in white persons (age- and sex-adjusted relative risk, 0.40 [CI, 0.16 to 0.99]).
Conclusions: Total incidence of coronary heart disease is higher in African-American women aged 25 to 54 years than in white women of the same ages and is lower in African-American men aged 25 to 74 years than in white men of the same ages.
Author and Article Information
From the Centers for Disease Control and Prevention, Hyattsville, Maryland.
ARTICLE
Coronary Heart Disease Incidence and Survival in African-American Women and Men: The NHANES I Epidemiologic Follow-up Study
Acknowledgments: The NHANES I Epidemiologic Follow-up Study has been developed and funded by the National Center for Health Statistics; National Institute on Aging; National Cancer Institute; National Institute of Child Health and Human Development; National Heart, Lung, and Blood Institute; National Institute of Mental Health; National Institute of Diabetes and Digestive and Kidney Diseases; National Institute of Arthritis and Musculoskeletal and Skin Diseases; National Institute of Allergy and Infectious Diseases; National Institute of Neurological and Communicative Disorders and Stroke; Centers for Disease Control and Prevention; and U.S. Department of Agriculture. The field work was conducted by Westat, Inc. (contract numbers 233-80-2049 and 282-84-2111).
Requests for Reprints: Richard F. Gillum, MD, Office of Analysis, Epidemiology, and Health Promotion, Centers for Disease Control and Prevention, National Center for Health Statistics, 6525 Belcrest Road, Room 730, Hyattsville, MD 20782.
Current Author Addresses: Dr. Gillum and Mr. Mussolino: Office of Analysis, Epidemiology, and Health Promotion, Centers for Disease Control and Prevention, National Center for Health Statistics, 6525 Belcrest Road, Room 730, Hyattsville, MD 20782.
This article has been cited by other articles:
|
|
 |
|
  N. Volkova, W. McClellan, J. M. Soucie, and A. Schoolwerth Racial disparities in the prevalence of cardiovascular disease among incident end-stage renal disease patients Nephrol. Dial. Transplant., August 1, 2006; 21(8): 2202 - 2209. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Whittle, N. R. Kressin, E. D. Peterson, M. B. Orner, M. Glickman, M. Mazzella, and L. A. Petersen Racial Differences in Prevalence of Coronary Obstructions Among Men With Positive Nuclear Imaging Studies J. Am. Coll. Cardiol., May 16, 2006; 47(10): 2034 - 2041. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. T. Lewis, S. A. Everson-Rose, L. H. Powell, K. A. Matthews, C. Brown, K. Karavolos, K. Sutton-Tyrrell, E. Jacobs, and D. Wesley Chronic Exposure to Everyday Discrimination and Coronary Artery Calcification in African-American Women: The SWAN Heart Study Psychosom Med, May 1, 2006; 68(3): 362 - 368. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. A. Quyyumi Women and Ischemic Heart Disease: Pathophysiologic Implications From the Women's Ischemia Syndrome Evaluation (WISE) Study and Future Research Steps J. Am. Coll. Cardiol., February 7, 2006; 47(3_Suppl_S): S66 - S71. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. K Kirk, R. A Bell, A. G Bertoni, T. A Arcury, S. A Quandt, D. C Goff Jr., and K M V. Narayan Ethnic Disparities: Control of Glycemia, Blood Pressure, and LDL Cholesterol Among US Adults with Type 2 Diabetes Ann. Pharmacother., September 1, 2005; 39(9): 1489 - 1501. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Brown, P. J. Geiselman, A. L. Copeland, C. Gordon, M. Dudley, T. Manogin, C. Backstedt, C. Pourciau, and G. Ghebretatios Cardiac assessment risk evaluation (CARE study) of African American college women Health Education Journal, January 1, 2005; 64(1): 13 - 30. [Abstract] [PDF]
|
|
|
|
 |
|
 U. Campia, C. Cardillo, and J. A. Panza Ethnic Differences in the Vasoconstrictor Activity of Endogenous Endothelin-1 in Hypertensive Patients Circulation, June 29, 2004; 109(25): 3191 - 3195. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G A Lanza Ethnic variations in acute coronary syndromes Heart, June 1, 2004; 90(6): 595 - 597. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. R. Bridges Cardiac surgery in African Americans Ann. Thorac. Surg., October 1, 2003; 76(4): S1356 - 1362. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. L. Houghton, D. S. Strogatz, M. T. Torosoff, V. E. Smith, S. A. Fein, P. A. Kuhner, E. F. Philbin, and A. A. Carr African Americans With LVH Demonstrate Depressed Sensitivity of the Coronary Microcirculation to Stimulated Relaxation Hypertension, September 1, 2003; 42(3): 269 - 276. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Detrano The ethnic-specific natureof mechanisms forcoronary heart disease J. Am. Coll. Cardiol., January 1, 2003; 41(1): 45 - 46. [Full Text] [PDF]
|
|
|
|
 |
|
 D. W. Jones, L. E. Chambless, A. R. Folsom, G. Heiss, R. G. Hutchinson, A. R. Sharrett, M. Szklo, and H. A. Taylor Jr Risk Factors for Coronary Heart Disease in African Americans: The Atherosclerosis Risk in Communities Study, 1987-1997 Arch Intern Med, December 9, 2002; 162(22): 2565 - 2571. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. E. Bild, D. A. Bluemke, G. L. Burke, R. Detrano, A. V. Diez Roux, A. R. Folsom, P. Greenland, D. R. JacobsJr., R. Kronmal, K. Liu, et al. Multi-Ethnic Study of Atherosclerosis: Objectives and Design Am. J. Epidemiol., November 1, 2002; 156(9): 871 - 881. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Campia, W. K. Choucair, M. B. Bryant, M. A. Waclawiw, C. Cardillo, and J. A. Panza Reduced endothelium-dependent and -independent dilation of conductance arteries in African Americans J. Am. Coll. Cardiol., August 21, 2002; 40(4): 754 - 760. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Budoff, T. P. Yang, R. M. Shavelle, D. H. Lamont, and B. H. Brundage Ethnic differences in coronary atherosclerosis J. Am. Coll. Cardiol., February 6, 2002; 39(3): 408 - 412. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. D.L. Fisher, S. Hurwitz, X. Jeunemaitre, D. A. Price, G. H. Williams, and N. K. Hollenberg Adrenal Response to Angiotensin II in Black Hypertension: Lack of Sexual Dimorphism Hypertension, September 1, 2001; 38(3): 373 - 378. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. E. Bild, A. R. Folsom, L. P. Lowe, S. Sidney, C. Kiefe, A. O. Westfall, Z.-J. Zheng, and J. Rumberger Prevalence and Correlates of Coronary Calcification in Black and White Young Adults : The Coronary Artery Risk Development in Young Adults (CARDIA) Study Arterioscler. Thromb. Vasc. Biol., May 1, 2001; 21(5): 852 - 857. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. R. Bridges, F. H. Edwards, E. D. Peterson, and L. P. Coombs The effect of race on coronary bypass operative mortality J. Am. Coll. Cardiol., November 15, 2000; 36(6): 1870 - 1876. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. A. Fonseca Risk Factors for Coronary Heart Disease in Diabetes Ann Intern Med, July 18, 2000; 133(2): 154 - 156. [Full Text] [PDF]
|
|
|
|
|
|
M. H. Alderman, H. W. Cohen, and S. Madhavan Myocardial Infarction in Treated Hypertensive Patients : The Paradox of Lower Incidence but Higher Mortality in Young Blacks Compared With Whites Circulation, March 14, 2000; 101(10): 1109 - 1114. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Falkner, K. Sherif, A. E. Sumner, and H. Kushner Blood Pressure Increase With Impaired Glucose Tolerance in Young Adult American Blacks Hypertension, November 1, 1999; 34(5): 1086 - 1090. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Pahor, M. B. Elam, R. J. Garrison, S. B. Kritchevsky, and W. B. Applegate Emerging Noninvasive Biochemical Measures to Predict Cardiovascular Risk Arch Intern Med, February 8, 1999; 159(3): 237 - 245. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. L. Daumit, J. A. Hermann, J. Coresh, and N. R. Powe Use of Cardiovascular Procedures among Black Persons and White Persons: A 7-Year Nationwide Study in Patients with Renal Disease Ann Intern Med, February 2, 1999; 130(3): 173 - 182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Enas, J. S. Forrester, and P. K. Shah Testing the Efficacy of Lipid-Lowering Therapy Versus Revascularization: The Time Has Come, or Is It Past Due? • Response Circulation, June 30, 1998; 97(25): 2584 - 2586. [Full Text]
|
|
|
|
 |
|
 CHD Incidence in Blacks Journal Watch Cardiology, August 18, 1997; 1997(818): 11 - 11. [Full Text]
|
|
Article
