Heart Disease and Prevention
Race and Age Differences in Heart Disease Prevention, Treatment, and Mortality
Bibliographic Data
| ID | 9097447 |
|---|---|
| Authors | Julia S Holmes (Centers for Disease Control and Prevention, corresponding author), Irma E Arispe (National Center for Health Statistics, corresponding author), Ernest Moy (0000-0002-0681-6866, Agency for Healthcare Research and Quality) |
| Year | 2005 |
| Volume | 43 |
| Issue | Supplement |
| Pages | I-33-I-41 |
| Publication date | 2005-03-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-200503001-00006 |
| PMID | 15746589 |
| OpenAlex | W2062202748 |
| Language | EN |
| Citations received | 7 |
| References cited | 18 |
OBJECTIVE: The objective of this study was to analyze race and age differences in the distribution of health promotion and cardiovascular screening tests, and the prevalence of serious heart disease and cardiovascular mortality in the United States. DATA SOURCES/STUDY POPULATION: Data are from 7 federal datasets represented in the first National Healthcare Quality Report and the National Healthcare Disparities Report, and include surveys, administrative and vital statistics data systems. The study analyzes blacks and whites. MEASURES: Counseling on diet and nutrition, exercise, and tobacco during an outpatient visit indicate the availability of health promotion services, and screening for high blood pressure and cholesterol represent preventive services. Hospitalizations for heart-related conditions and use of certain cardiac procedures identify serious heart disease. Deaths from coronary artery disease and stroke are the heart-related mortality measures. PRINCIPAL FINDINGS: Counseling and education services tend to occur more on outpatient visits by individuals aged 45 to 64 years than in younger age groups. Screening rates among individuals aged 45 to 64 years of approximately 90% for hypertension and 80% for high cholesterol suggest progress in early detection of cardiac risk factors. However, blacks aged 45 to 64 years are 5.6 times more likely than their white counterparts to be hospitalized for hypertension, approximately one third less likely to receive a cardiac procedure, and almost twice as likely to die of coronary heart disease. CONCLUSIONS: Although findings indicate few racial differences in health promotion services in ambulatory care or screening for cardiac risk factors, the prevalence of serious cardiovascular disease, use of cardiac procedures, and heart-related mortality suggest continuing racial disparities in heart disease
Ambulatory · Ambulatory care · Blood pressure · Coronary artery disease · Disease · Environmental health · Health care · Health promotion · Heart disease · Population · Public health · Stroke (engine) · Acute Myocardial Infarction Research · Cardiovascular Health and Risk Factors · Emergency Medicine · Health Promotion and Cardiovascular Prevention · Internal Medicine · Medicine · Gerontology
Expanding the Chronic Care Framework to Improve Diabetes Management
The quality of preventive health care delivered to adults
Clinical life
Modeling coronary heart disease prevalence in regional and sociodemographic contexts
Is Minority Status a More Consistent Predictor of Disability Than Socioeconomic Status
Risk, life extension and the pursuit of medical possibility
Physician Cognitive Processing as a Source of Diagnostic and Treatment Disparities in Coronary Heart Disease
The Case For More Active Policy Attention To Health Promotion
The Effects Of Obesity, Smoking, And Drinking On Medical Problems And Costs
The Effect of Race and Sex on Physicians' Recommendations for Cardiac Catheterization
Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization
Preparing the National Healthcare Disparities Report
The National Healthcare Quality and Disparities Reports
Access to Coronary Artery Bypass Surgery by Race/Ethnicity and Gender Among Patients Who Are Appropriate for Surgery
How Valid Are Medical Records and Patient Questionnaires for Physician Profiling and Health Services Research
| Citations per year | 0.35 |
|---|---|
| Citation span | 2006 - 2010 (5) |
| Highly cited | No |