Sharon K Davis1, Yong Liu, Gary H Gibbons. 1. Morehouse School of Medicine, Social Epidemiology Research Division, Atlanta, GA 30310, USA. skdavis@msm.edu
Abstract
OBJECTIVES: We compared trends in prevalence rates of preventable cardiovascular- and diabetes-related hospitalizations between African Americans and members of other major US racial/ethnic groups. METHODS: Standardized rates for 1991 to 1998 were derived from hospital and US census data for California. RESULTS: African Americans had significantly higher hospitalization rates in 1991, and discrepancies in rates continued to widen through 1998. Overall male and female rates were approximately 3 times higher for angina, 7 times higher for hypertension, between 7 and 8 times higher for congestive heart failure, and 10 times higher for diabetes. CONCLUSIONS: Widening disparities in cardiovascular- and diabetes-related health conditions were observed in this study, possibly owing to racial inequalities in provision of effective primary care.
OBJECTIVES: We compared trends in prevalence rates of preventable cardiovascular- and diabetes-related hospitalizations between African Americans and members of other major US racial/ethnic groups. METHODS: Standardized rates for 1991 to 1998 were derived from hospital and US census data for California. RESULTS: African Americans had significantly higher hospitalization rates in 1991, and discrepancies in rates continued to widen through 1998. Overall male and female rates were approximately 3 times higher for angina, 7 times higher for hypertension, between 7 and 8 times higher for congestive heart failure, and 10 times higher for diabetes. CONCLUSIONS: Widening disparities in cardiovascular- and diabetes-related health conditions were observed in this study, possibly owing to racial inequalities in provision of effective primary care.
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