Author + information
- Fatima Rodriguez,
- Katherine Hastings,
- Jiaqi Hu,
- Robert Harrington and
- Latha Palaniappan
Background: Hispanics face a disproportionate burden of cardiovascular disease (CVD) risk factors, yet paradoxically experience lower CVD mortality rates, compared non-Hispanic whites (NHWs). It is unknown if these patterns will vary by CVD subtype and nativity status (foreign vs. U.S.-born).
Methods: We used the National Center for Health Statistics Mortality file to compare Hispanic (n=1,258,229) and NHW (n=18,149,774) adult (aged ≥25 years) deaths from 2003 to 2012. We identified all CVD deaths and by subtype (i.e. ischemic or cerebrovascular,) using the underlying cause of death (ICD-10: I00-I78, I20-I25, I60-I69 respectively). Race/ethnicity and nativity status were recorded on death certificates by the funeral director using state guidelines. Population estimates were calculated using linear interpolation from 2000 and 2010 U.S. Census.
Results: CVD accounted for 31% of all deaths. Fifty-eight percent of Hispanics were foreign-born. Overall, Hispanics had lower age-adjusted CVD mortality rates compared to NHWs (Figure). U.S.-born Hispanics had lower mortality rates than foreign-born Hispanics, (16.6% lower for CVD, 24.2% lower for ischemic heart disease, and 9.6% lower for cerebrovascular disease).
Conclusions: Mortality rates for total CVD, ischemic disease and cerebrovascular disease are lower among U.S.-born Hispanics, compared to foreign-born Hispanics. These findings suggest the importance of disaggregating CVD mortality by disease subtype and nativity status.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Current Issues in Cardiovascular Epidemiology, Disparities, and Safety
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1148-062
- 2017 American College of Cardiology Foundation