HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sempos, C Articles by McMillen, M Search for Related Content PubMed PubMed Citation Articles by Sempos, C Articles by McMillen, M

Divergence of the recent trends in coronary mortality for the four major race-sex groups in the United States.

C Sempos, R Cooper, M G Kovar and M McMillen

Nutrition Branch, National Center for Health Statistics, Hyattsville, MD 20782.

Since 1976 there has been a leveling off or slowdown in the rate of decline in coronary heart disease (CHD) mortality. The age-adjusted absolute annual rate of decline in CHD mortality rates during 1968-75 (delta rate/100,000 population/year) was virtually identical for White males (-7.54), Black males (-7.85), and Black females (-7.20), and somewhat lower for White females (-4.25). During 1976-85, however, the secular trends diverged considerably. Age-adjusted rates continued to decline at the same annual rate for White males, while the decline was approximately half as steep for the other three race-sex groups. During 1976-85 there was also a leveling off in the average annual per cent change in age-adjusted CHD mortality for Black males and females and White females when compared to 1968-75, while there was no change for White males. As a result, more than 40,000 White and Black females and Black males died of CHD in 1985 than would have died if CHD rates would have continued to decline at the 1968-75 trends. All comparisons were based on a reclassification of cause-of-death codes to maximize comparability between the 8th and 9th Revisions of the International Classification of Disease. These results suggest that the factors which have led to the continued decline in coronary heart disease may not have influenced all the demographic groups in this country equally over the last decade.

This article has been cited by other articles:

				H. Taylor, J. Liu, G. Wilson, S. H. Golden, E. Crook, C. D. Brunson, M. Steffes, W. D. Johnson, and J. H. Sung Distinct Component Profiles and High Risk Among African Americans With Metabolic Syndrome: The Jackson Heart Study Diabetes Care, June 1, 2008; 31(6): 1248 - 1253. [Abstract] [Full Text] [PDF]

				S. Harper, J. Lynch, S. Burris, and G. Davey Smith Trends in the Black-White Life Expectancy Gap in the United States, 1983-2003 JAMA, March 21, 2007; 297(11): 1224 - 1232. [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. Liu, C. Sempos, R. P. Donahue, J. Dorn, M. Trevisan, and S. M. Grundy Joint Distribution of Non-HDL and LDL Cholesterol and Coronary Heart Disease Risk Prediction Among Individuals With and Without Diabetes Diabetes Care, August 1, 2005; 28(8): 1916 - 1921. [Abstract] [Full Text] [PDF]

				H. Kramer, R. Toto, R. Peshock, R. Cooper, and R. Victor Association between Chronic Kidney Disease and Coronary Artery Calcification: The Dallas Heart Study J. Am. Soc. Nephrol., February 1, 2005; 16(2): 507 - 513. [Abstract] [Full Text] [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]

				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]

				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]

				K. Nelson, K. Norris, and C. M. Mangione Disparities in the Diagnosis and Pharmacologic Treatment of High Serum Cholesterol by Race and Ethnicity: Data From the Third National Health and Nutrition Examination Survey Arch Intern Med, April 22, 2002; 162(8): 929 - 935. [Abstract] [Full Text] [PDF]

				S. Yusuf, S. Reddy, S. Ounpuu, and S. Anand Global Burden of Cardiovascular Diseases: Part II: Variations in Cardiovascular Disease by Specific Ethnic Groups and Geographic Regions and Prevention Strategies Circulation, December 4, 2001; 104(23): 2855 - 2864. [Abstract] [Full Text] [PDF]

				S. Okelo, A. L. Taylor, J. T. Wright Jr, N. Gordon, G. Mohan, and E. Lesnefsky Race and the decision to refer for coronary revascularization: The effect of physician awareness of patient ethnicity J. Am. Coll. Cardiol., September 1, 2001; 38(3): 698 - 704. [Abstract] [Full Text] [PDF]

				E. Barnett and J. Halverson Local Increases in Coronary Heart Disease Mortality Among Blacks and Whites in the United States, 1985-1995 Am J Public Health, September 1, 2001; 91(9): 1499 - 1506. [Abstract] [Full Text] [PDF]

				R. Cooper, J. Cutler, P. Desvigne-Nickens, S. P. Fortmann, L. Friedman, R. Havlik, G. Hogelin, J. Marler, P. McGovern, G. Morosco, et al. Trends and Disparities in Coronary Heart Disease, Stroke, and Other Cardiovascular Diseases in the United States : Findings of the National Conference on Cardiovascular Disease Prevention Circulation, December 19, 2000; 102(25): 3137 - 3147. [Abstract] [Full Text] [PDF]

				R. F. Gillum Stroke Mortality in Blacks : Disturbing Trends Stroke, August 1, 1999; 30(8): 1711 - 1715. [Abstract] [Full Text] [PDF]

				V V. Roger, S J Jacobsen, S A Weston, and S E Gabriel Sex differences in the epidemiology and outcomes of heart disease: population-based trends Lupus, June 1, 1999; 8(5): 346 - 350. [Abstract] [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]

				V. L. Roger, S. J. Jacobsen, P. A. Pellikka, T. D. Miller, K. R. Bailey, and B. J. Gersh Gender differences in use of stress testing and coronary heart disease mortality: a population-based study in Olmsted County, Minnesota J. Am. Coll. Cardiol., August 1, 1998; 32(2): 345 - 352. [Abstract] [Full Text] [PDF]

				A. Onwuanyi, D. Hodges, A. Avancha, L. Weiss, D. Rabinowitz, S. Shea, and C. K. Francis Hypertensive Vascular Disease as a Cause of Death in Blacks Versus Whites : Autopsy Findings in 587 Adults Hypertension, May 1, 1998; 31(5): 1070 - 1076. [Abstract] [Full Text] [PDF]

				R. F. Gillum and C. T. Sempos The End of the Long-term Decline in Stroke Mortality in the United States? Stroke, August 1, 1997; 28(8): 1527 - 1529. [Full Text]

				J. Shannon, B. Kirkley, A. Ammerman, T. Keyserling, K. Kelsey, R. DeVellis, and R. J. Simpson Jr. Self-Efficacy as a Predictor of Dietary Change in a Low-Socioeconomic-Status Southern Adult Population Health Educ Behav, June 1, 1997; 24(3): 357 - 368. [Abstract] [PDF]

				J. L. Houghton, V. E. Smith, D. S. Strogatz, N. L. Henches, W. M. Breisblatt, and A. A. Carr Effect of African-American Race and Hypertensive Left Ventricular Hypertrophy on Coronary Vascular Reactivity and Endothelial Function Hypertension, March 1, 1997; 29(3): 706 - 714. [Abstract] [Full Text]

				K.M.A. Hussain, L. Gould, B. Sosler, T. Bharathan, and C.V.R. Reddy Clinical Science Review: Current Aspects of Thrombolytic Therapy in Women with Acute Myocardial Infarction Angiology, January 1, 1996; 47(1): 23 - 33. [Abstract] [PDF]

				R. J. Havel and E. Rapaport Management of Primary Hyperlipidemia N. Engl. J. Med., June 1, 1995; 332(22): 1491 - 1498. [Full Text] [PDF]

				D. A. Bertram A Pilot Study To Estimate the Cost of a Telephone Survey of Rare Populations: African Americans and Persons with Angina Eval Rev, December 1, 1994; 18(6): 718 - 729. [Abstract] [PDF]

				V. P. Hamm, M. Bazargan, and A. R. Barbre Life-Style and Cardiovascular Health Among Urban Black Elderly Journal of Applied Gerontology, June 1, 1993; 12(2): 155 - 169. [Abstract] [PDF]