• Lindsay R Pool, Hongyan Ning, Donald M Lloyd-Jones, and Norrina B Allen.
• Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL lindsay.pool@northwestern.edu.
• J Am Heart Assoc. 2017 Sep 22; 6 (9).

BackgroundIn the United States, there are persistent racial and ethnic disparities in cardiovascular disease morbidity and mortality. National efforts have focused on reducing these disparities; however, little is known about the long-term trends in racial/ethnic disparities in cardiovascular health (CVH).Methods And ResultsWe included 11 285 adults aged ≥20 years from the National Health and Nutrition Examination Surveys survey cycles 1999/2000 through 2011/2012. CVH includes 7 health factors and behaviors-diet, physical activity, smoking status, body mass index, blood pressure, blood glucose, and total cholesterol-each scored as ideal (2 points), intermediate (1 point), or poor (0 points). Overall CVH is a summation of these scores (range, 0-14) points. Age-adjusted mean CVH scores were calculated by race/ethnicity (non-Hispanic black, non-Hispanic white, or Mexican American) and sex for each survey cycle. Non-Hispanic black women had significantly lower mean CVH scores as compared with non-Hispanic white women at each survey cycle (difference=0.93; P=0.001 in 2011/2012) and Mexican-American women had significantly lower mean score as compared with non-Hispanic white women at almost all survey cycles (difference=0.71; P=0.02 in 2011/2012). Differences between racial/ethnic groups were smaller for men and were mostly nonsignificant.ConclusionsFrom 1999/2000 to 2011/2012, there were enduring disparities in CVH for non-Hispanic black and Mexican-American women as compared with non-Hispanic white women. Disparities that were present in 1999/2000 were present in 2011/2012, though no racial/ethnic differences became more pronounced over time. These findings provide US nationally representative data to evaluate health factors and behaviors of particular concern regarding racial/ethnic disparities in cardiovascular health.© 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

44 keywords...

hide…