Am J Epidemiol 2002; 156:919-928.
Copyright © 2002 by Johns
Hopkins Bloomberg School of Public Health
ORIGINAL CONTRIBUTIONS |
Cardiovascular Disease Mortality in Hispanics and Non-Hispanic Whites
1 Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, CO.
2 Miami-Dade County Health Department, Miami, FL.
3 Barbara Davis Center for Childhood Diabetes, Denver, CO.
4 Department of Medicine, Divisions of Geriatrics and Cardiology, Section of Vascular Medicine and the Colorado Prevention Center, University of Colorado Health Sciences Center, Denver, CO.
Despite a worse cardiovascular disease (CVD) risk profile, Hispanics have lower CVD mortality than non-Hispanic Whites in studies based on death certificates. This study examined 310 deaths that occurred between 1984 and 1998 among 1,862 Hispanic and non-Hispanic White participants in the San Luis Valley Diabetes Study, using medical records to classify cause of death. Among persons without diabetes, the age-adjusted all-cause mortality rate was 6.1/1,000 person-years in non-Hispanic Whites and 7.4/1,000 person-years in Hispanics. Among persons with diabetes, it was 24.3/1,000 person-years in non-Hispanic Whites and 21.9/1,000 person-years in Hispanics. Among nondiabetics, the age-adjusted CVD mortality rate was 2.5/1,000 person-years in non-Hispanic Whites and 1.6/1,000 person-years in Hispanics. Among diabetics, it was 12.9/1,000 person-years in non-Hispanic Whites and 8.8/1,000 person-years in Hispanics. Among nondiabetics, the adjusted hazard ratio for CVD death in Hispanics compared with non-Hispanic Whites was 0.65 (95% confidence interval (CI): 0.34, 1.23). The hazard ratio for coronary heart disease death was 0.95 (95% CI: 0.35, 2.59). Among diabetics, the hazard ratio for CVD death, after adjustment for conventional and diabetes risk factors, was 0.44 (95% CI: 0.26, 0.74), and for coronary heart disease death it was 0.43 (95% CI: 0.21, 0.91). A statistically significant decreased risk of CVD death was observed only in male Hispanics with diabetes. Competing mortality or factors that interact with diabetes may explain these differences.
cardiovascular diseases; diabetes mellitus; Hispanic Americans; mortality; risk factors
Abbreviations: Abbreviations: CI, confidence interval; HDL, high density lipoprotein; ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification; LDL, low density lipoprotein.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  R. P. Vivo, S. R. Krim, C. Cevik, and R. M. Witteles Heart failure in hispanics. J. Am. Coll. Cardiol., April 7, 2009; 53(14): 1167 - 1175. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. L. Akerblom, R. Costa, J. A. Luchsinger, J. J. Manly, M.-X. Tang, J. H Lee, R. Mayeux, and N. Schupf Relation of plasma lipids to all-cause mortality in Caucasian, African-American and Hispanic elders Age Ageing, March 1, 2008; 37(2): 207 - 213. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. A. Kronmal, R. L. McClelland, R. Detrano, S. Shea, J. A. Lima, M. Cushman, D. E. Bild, and G. L. Burke Risk Factors for the Progression of Coronary Artery Calcification in Asymptomatic Subjects: Results From the Multi-Ethnic Study of Atherosclerosis (MESA) Circulation, May 29, 2007; 115(21): 2722 - 2730. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Peralta, M. G. Shlipak, D. Fan, J. Ordonez, J. P. Lash, G. M. Chertow, and A. S. Go Risks for End-Stage Renal Disease, Cardiovascular Events, and Death in Hispanic versus Non-Hispanic White Adults with Chronic Kidney Disease J. Am. Soc. Nephrol., October 1, 2006; 17(10): 2892 - 2899. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. R. Williams The Health of U.S. Racial and Ethnic Populations J. Gerontol. B. Psychol. Sci. Soc. Sci., October 1, 2005; 60(suppl_Special_Issue_2): S53 - S62. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Thomas, L. E. Eberly, J. D. Neaton, G. D. Smith, and for the Multiple Risk Factor Intervention Trial Re Latino Risk-adjusted Mortality in the Men Screened for the Multiple Risk Factor Intervention Trial Am. J. Epidemiol., September 15, 2005; 162(6): 569 - 578. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. D. Reaven and J. Sacks Reduced Coronary Artery and Abdominal Aortic Calcification in Hispanics With Type 2 Diabetes Diabetes Care, May 1, 2004; 27(5): 1115 - 1120. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. J. Hunt, R. G. Resendez, K. Williams, S. M. Haffner, M. P. Stern, and H. P. Hazuda All-Cause and Cardiovascular Mortality among Mexican-American and Non-Hispanic White Older Participants in the San Antonio Heart Study-- Evidence against the "Hispanic Paradox" Am. J. Epidemiol., December 1, 2003; 158(11): 1048 - 1057. [Abstract] [Full Text] [PDF]
|
|