TY - JOUR
T1 - Cardiovascular Disease Mortality Among Hispanic Versus Non-Hispanic White Adults in the United States, 1999 to 2018
AU - Khan, Safi U.
AU - Lone, Ahmad N.
AU - Yedlapati, Siva H.
AU - Dani, Sourbha S.
AU - Khan, Muhammad Zia
AU - Watson, Karol E.
AU - Parwani, Purvi
AU - Rodriguez, Fatima
AU - Cainzos-Achirica, Miguel
AU - Michos, Erin D.
N1 - Funding Information:
Dr Michos is supported by the Amato Fund for Women’s Cardiovascular Health research at Johns Hopkins University. Dr Michos is additionally supported by the American Heart Association Strategic Focused Research Network grant 20SFRN35380046. Dr Rodriguez is supported by the National Heart, Lung, and Blood Institite K01 HL 144607 (FRR) and the American Heart Association/Robert Wood Johnson Harold Amos Medical Faculty Development Program.
Publisher Copyright:
© 2022 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
PY - 2022/4/5
Y1 - 2022/4/5
N2 - BACKGROUND: Life expectancy has been higher for Hispanic versus non-Hispanic White (NHW) individuals; however, data are limited on cardiovascular disease (CVD) mortality. METHOD AND RESULTS: Using the Centers for Disease Control and Prevention’s Wide-Ranging Online Data for Epidemiologic Research death certificate database (1999–2018), we compared age-adjusted mortality rates for total CVD and its subtypes (ischemic heart disease, stroke, heart failure, hypertensive heart disease, other CVD), and average annual percentage changes among Hispanic and NHW adults. The age-adjusted mortality rate per 100 000 was lower for Hispanic than NHW adults for total CVD (186.4 versus 254.6; P<0.001) and its subtypes. Between 1999 and 2018, mortality decline was higher in Hispanic than NHW adults for total CVD (average annual percentage change [AAPC], −2.90 versus −2.41) and ischemic heart disease (AAPC: −4.44 versus −3.82) (P<0.001). In contrast, stroke mortality decline was slower in Hispanic versus NHW adults (AAPC: −2.05 versus −2.60; P<0.05). Stroke mortality increased in Hispanic but stalled in NHW adults since 2011 (AAPC: 0.79 versus −0.09). For ischemic heart disease (AAPC: −0.80 versus −1.85) and stroke (AAPC: −1.32 versus −1.43) mortality decline decelerated more for Hispanic than NHW adults aged <45 years (P<0.05). For heart failure, Hispanic adults aged <45 (3.55 versus 2.16) and 45 to 64 (1.88 versus 1.54) showed greater rise in age-adjusted mortality rate than NHW individuals (P<0.05). Age-adjusted heart failure mortality rate also accelerated in Hispanic versus NHW men (1.00 versus 0.67; P<0.001). CONCLUSIONS: Disaggregating data by CVD subtype and demographics unmasked heterogeneities in CVD mortality between Hispanic and NHW adults. NHW adults had greater CVD mortality rates and slower decline than Hispanic adults, whereas marked demographic differences in mortality signaled concerning trends among the Hispanic versus NHW population.
AB - BACKGROUND: Life expectancy has been higher for Hispanic versus non-Hispanic White (NHW) individuals; however, data are limited on cardiovascular disease (CVD) mortality. METHOD AND RESULTS: Using the Centers for Disease Control and Prevention’s Wide-Ranging Online Data for Epidemiologic Research death certificate database (1999–2018), we compared age-adjusted mortality rates for total CVD and its subtypes (ischemic heart disease, stroke, heart failure, hypertensive heart disease, other CVD), and average annual percentage changes among Hispanic and NHW adults. The age-adjusted mortality rate per 100 000 was lower for Hispanic than NHW adults for total CVD (186.4 versus 254.6; P<0.001) and its subtypes. Between 1999 and 2018, mortality decline was higher in Hispanic than NHW adults for total CVD (average annual percentage change [AAPC], −2.90 versus −2.41) and ischemic heart disease (AAPC: −4.44 versus −3.82) (P<0.001). In contrast, stroke mortality decline was slower in Hispanic versus NHW adults (AAPC: −2.05 versus −2.60; P<0.05). Stroke mortality increased in Hispanic but stalled in NHW adults since 2011 (AAPC: 0.79 versus −0.09). For ischemic heart disease (AAPC: −0.80 versus −1.85) and stroke (AAPC: −1.32 versus −1.43) mortality decline decelerated more for Hispanic than NHW adults aged <45 years (P<0.05). For heart failure, Hispanic adults aged <45 (3.55 versus 2.16) and 45 to 64 (1.88 versus 1.54) showed greater rise in age-adjusted mortality rate than NHW individuals (P<0.05). Age-adjusted heart failure mortality rate also accelerated in Hispanic versus NHW men (1.00 versus 0.67; P<0.001). CONCLUSIONS: Disaggregating data by CVD subtype and demographics unmasked heterogeneities in CVD mortality between Hispanic and NHW adults. NHW adults had greater CVD mortality rates and slower decline than Hispanic adults, whereas marked demographic differences in mortality signaled concerning trends among the Hispanic versus NHW population.
KW - Hispanics
KW - cardiovascular mortality
KW - epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85128245435&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85128245435&partnerID=8YFLogxK
U2 - 10.1161/JAHA.121.022857
DO - 10.1161/JAHA.121.022857
M3 - Article
C2 - 35362334
AN - SCOPUS:85128245435
VL - 11
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
SN - 2047-9980
IS - 7
M1 - e022857
ER -