American Journal of Epidemiology Vol. 129, No. 4: 669-686
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health
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ROSE QUESTIONNAIRE ANGINA AMONG UNITED STATES BLACK, WHITE, AND MEXICAN-AMERICAN WOMEN AND MEN PREVALENCE AND CORRELATES FROM THE SECOND NATIONAL AND HISPANIC HEALTH AND NUTRITION EXAMINATION SURVEYS
1National Institute on Aging, Epidemiology, Demography, and Biometry Program Bethesda, MD
2National Cancer Institute Silver Spring, MD
3National Center for Health Statistics Hyattsville, MD
Reprint requests to Dr. Andrea Z. LaCroix, National Institute on Aging, Epidemiology, Demography, and Biometry Program, Federal Building, Room 612, 7550 Wisconsin Avenue, Bethesda, MD 20892
The prevalence of Rose Questionnaire angina and its association with coronary heart disease risk factors and manifestations were investigated in representative samples of the US population. The study populations included 1, 135 black and 8, 323 white subjects aged 25–74 years examined in the Second National Health and Nutrition Examination Survey, 1976–1980, and 2, 775 Mexican-American subjects aged 25–74 years examined in the Hispanic Health and Nutrition Examination Survey, Mexican-American portion, 1982–1983. Age-adjusted prevalence rates of Rose angina were similar among black, white, and Mexican-American women (6.8%, 6.3%, and 5.4%, respectively). An excess in the prevalence of Rose angina was observed in women compared with men for white and Mexican-American persons under age 55 years, but not for those over age 55. Electrocardiographic evidence of myocardlal infarction and self-reported heart attack were strongly associated with prevalent Rose angina among white men and women aged 55 years and over, but not among those below age 55. Serum cholesterol, body mass index (weight (kg)/helght (m)2), current cigarette smoking, and dyspnea were independently associated with an increased risk of prevalent angina in multivarlate logistic models for white women, excluding those with a prior heart attack. Because many younger women with chest pain who may consult physicians are likely to have elevations in cardiovascular risk factors, their self- reported chest pain can be used as an opportunity to intervene and reduce their future risk of cardiovascular disease.
angina pectons; body weight; cholesterol; coronary disease; dyspnea; smoking
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