Age, race and car diovascular outcomes in african American vetera ns

Keith C. Norris, George A. Mensah, Leigh Boulware, Jun L. Lu, Jennie Z. Ma, Elani Streja, Miklos Z. Molnar, Kamyar Kalantar-Zadeh, Csaba P. Kovesdy

Research output: Contribution to journalArticle

Abstract

Background: In the general population, compared wtih their White peers, African Americans suffer premature all-cause and cardiovascular (CV) deaths, attributed in part to reduced access to care and lower socioeconomic status. Prior reports indicated younger (aged 35 to 44 years) African Americans had a signficantly greater age-adjusted risk of death. Recent studies suggest that in a more egalitarian health care structure than typical United States (US) health care structures, African Americans may have similar or even better CV outcomes, but the impact of age is less well-known. Methods: We examined age stratified all-cause mortality, and incident coronary heart disease (CHD) and ischemic stroke in 3,072,966 patients (547,441 African American and 2,525,525 White) with an estimated glomerular filtration rate (EGFR)>60 mL/min/1.73m2 receiving care from the US Veterans Health Administration. Outcomes were examined in Cox models adjusted for demographics, comorbidities, kidney function, blood pressure, socioeconomics and indicators of the quality of health care delivery. Results: African Americans had an overall 30% lower all-cause mortality (P

Original languageEnglish (US)
Pages (from-to)305-314
Number of pages10
JournalEthnicity and Disease
Volume26
Issue number3
DOIs
StatePublished - Jun 1 2016
Externally publishedYes

Fingerprint

African Americans
Delivery of Health Care
Veterans Health
United States Department of Veterans Affairs
Mortality
Glomerular Filtration Rate
Proportional Hazards Models
Social Class
Coronary Disease
Comorbidity
Cause of Death
Stroke
Demography
Blood Pressure
Kidney
Population

Keywords

  • African American
  • Age
  • Chronic Kidney Disease
  • Coronary Heart Disease
  • Incidence
  • Mortality
  • Race
  • Stroke

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

Cite this

Norris, K. C., Mensah, G. A., Boulware, L., Lu, J. L., Ma, J. Z., Streja, E., ... Kovesdy, C. P. (2016). Age, race and car diovascular outcomes in african American vetera ns. Ethnicity and Disease, 26(3), 305-314. https://doi.org/10.18865/ed.26.3.305

Age, race and car diovascular outcomes in african American vetera ns. / Norris, Keith C.; Mensah, George A.; Boulware, Leigh; Lu, Jun L.; Ma, Jennie Z.; Streja, Elani; Molnar, Miklos Z.; Kalantar-Zadeh, Kamyar; Kovesdy, Csaba P.

In: Ethnicity and Disease, Vol. 26, No. 3, 01.06.2016, p. 305-314.

Research output: Contribution to journalArticle

Norris, KC, Mensah, GA, Boulware, L, Lu, JL, Ma, JZ, Streja, E, Molnar, MZ, Kalantar-Zadeh, K & Kovesdy, CP 2016, 'Age, race and car diovascular outcomes in african American vetera ns', Ethnicity and Disease, vol. 26, no. 3, pp. 305-314. https://doi.org/10.18865/ed.26.3.305
Norris, Keith C. ; Mensah, George A. ; Boulware, Leigh ; Lu, Jun L. ; Ma, Jennie Z. ; Streja, Elani ; Molnar, Miklos Z. ; Kalantar-Zadeh, Kamyar ; Kovesdy, Csaba P. / Age, race and car diovascular outcomes in african American vetera ns. In: Ethnicity and Disease. 2016 ; Vol. 26, No. 3. pp. 305-314.
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