Racial and ethnic disparities in cardiovascular disease - analysis across major US national databases

Authors

Abdul Mannan Khan Minhas, University of Mississippi Medical Center, USA.
Khawaja M. Talha, University of Mississippi Medical Center, USA.
Dmitry Abramov, Loma Linda University Health, USA.
Heather M. Johnson, Baptist Health South Florida, USA.
Steve Antoine, Baylor College of Medicine, USA.
Fatima Rodriguez, Stanford University, USA.
Marat Fudim, Duke University School of Medicine, USA
Erin D. Michos, Johns Hopkins University School of Medicine, USA.
Arunima Misra, Baylor College of Medicine, USA.
Salim S. Virani, Aga Khan UniversityFollow

Document Type

Article

Department

Cardiology; Office of the Provost

Abstract

Background: There are several studies that have analyzed disparities in cardiovascular disease (CVD) health using a variety of different administrative databases; however, a unified analysis of major databases does not exist. In this analysis of multiple publicly available datasets, we sought to examine racial and ethnic disparities in different aspects of CVD, CVD-related risk factors, CVD-related morbidity and mortality, and CVD trainee representation in the US.
Methods: We used National Health and Nutrition Examination Survey, National Ambulatory Medical Care Survey, National Inpatient Sample, Centers for Disease Control and Prevention Wide-Ranging OnLine Data for Epidemiologic Research, United Network for Organ Sharing, and American Commission for Graduate Medical Education data to evaluate CVD-related disparities among Non-Hispanic (NH) White, NH Black and Hispanic populations.
Results: The prevalence of most CVDs and associated risk factors was higher in NH Black adults compared to NH White adults, except for dyslipidemia and ischemic heart disease (IHD). Statins were underutilized in IHD in NH Black and Hispanic patients. Hospitalizations for HF and stroke were higher among Black patients compared to White patients. All-cause, CVD, heart failure, acute myocardial infarction, IHD, diabetes mellitus, hypertension and cerebrovascular disease related mortality was highest in NH Black or African American individuals. The number of NH Black and Hispanic trainees in adult general CVD fellowship programs was disproportionately lower than NH White trainees.
Conclusion: Racial disparities are pervasive across the spectrum of CVDs with NH Black adults at a significant disadvantage compared to NH White adults for most CVDs.

Comments

Volume, issue and pagination are not provided by the author/publisher.

Publication (Name of Journal)

Journal of the National Medical Association

DOI

10.1016/j.jnma.2024.01.022

Recommended Citation

Minhas, A. K., Talha, K. M., Abramov, D., Johnson, H. M., Antoine, S., Rodriguez, F., Fudim, M., Michos, E. D., Misra, A., Virani, S. S. (2024). Racial and ethnic disparities in cardiovascular disease - analysis across major US national databases. Journal of the National Medical Association.
Available at: https://ecommons.aku.edu/provost_office/501