| Disparities in the receipt of cardiac revascularization procedures between blacks and whites: an analysis of secular trends. | |
| | |
MedLine Citation:
|
PMID: 18646331 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Mortality rates for coronary heart disease (CHD) have declined markedly since the early 1970s. However, CHD remains the number one cause of death in the United States. The decline in mortality has been attributed to declines in CHD risk factors (tobacco use, hypertension) and the increase in protective behaviors (exercise, weight control). Medical interventions may have also contributed to the decline in mortality. Despite these declines in mortality, racial disparities persist between Blacks and Whites. The purpose of this study was to examine the differences in receipt of cardiac catheterization, percutaneous transluminal coronary angioplasty, and coronary artery bypass graft. METHODS: Data from the National Hospital Discharge Survey were used for the analysis. Patients who were Black or White and > or = 40 years of age were included. Independent variables included age at discharge, sex, race, and insurance coverage. Multivariate logistic regression was used to derive odds ratios for the receipt of the three procedures by age group, sex, insurance type, and race. RESULTS: Significant differences (P < .05) in the odds of receipt of all of cardiac catheterization, percutaneous transluminal coronary angioplasty, and coronary artery bypass graft were found by age group, insurance type, sex, and race. While the disparities persisted from 1979 to 2004, the magnitude of the differences decreased during this time period. CONCLUSION: Disparities by race, sex, and insurance type existed in the receipt of three cardiac procedures. Although differences are narrowing over time, further in-depth studies are needed to elucidate the patient, physician, and healthcare system factors associated with the disparity in receipt of these beneficial procedures. |
| | |
Authors:
|
C Perry Brown; Levi Ross; Ivette Lopez; Angela Thornton; Gebre-Egziabher Kiros |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
|
Title: Ethnicity & disease Volume: 18 ISSN: 1049-510X ISO Abbreviation: Ethn Dis Publication Date: 2008 |
Date Detail:
|
Created Date: 2008-07-22 Completed Date: 2008-09-23 Revised Date: 2013-06-05 |
Medline Journal Info:
|
Nlm Unique ID: 9109034 Medline TA: Ethn Dis Country: United States |
Other Details:
|
Languages: eng Pagination: S2-112-7 Citation Subset: IM |
Affiliation:
|
Institute of Public Health, Division of Pharmacy Practice (AT), College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Tallahassee, Florida, USA. perry.brown@famu.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult African Continental Ancestry Group / statistics & numerical data* Aged Angioplasty, Balloon, Coronary / utilization* Coronary Artery Bypass / utilization* Coronary Disease / mortality, therapy* European Continental Ancestry Group / statistics & numerical data* Female Healthcare Disparities* Humans Logistic Models Male Middle Aged Risk Factors United States / epidemiology Utilization Review |
| Grant Support | |
ID/Acronym/Agency:
|
1 P20 MD 000501-04/MD/NIMHD NIH HHS; G12 RR0 3020/RR/NCRR NIH HHS; G12 RR003020-200024/RR/NCRR NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Correlates of self-diagnosis of chronic medical and mental health conditions in under-served African...
Next Document: Comparison of postdischarge growth in adequate for gestational age and small for gestational age ver...