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Unmasking Racial/Ethnic Disparities in Cardiovascular Disease: Nutritional, Socioeconomic, Cultural, and Health-Care-Related Contributions

  • Chapter
Cardiovascular Disease in Racial and Ethnic Minorities

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

The cardiovascular disease (CVD) burden and disparities within the general population are largely determined by environmental, dietary, and other lifestyle factors. Minority groups have higher rates of morbidity and mortality than do their white counterparts for many diseases, including CVD. Overall, social and environmental factors seem to be more explanatory and influential than genetic factors in explaining the population disease burden of chronic CVD and racial/ethnic differences in the same. When addressing both the risk factors and the health challenges of CVD, it is critical that health-care providers make efforts to understand how racial and ethnic minorities define health, their health beliefs, and health seeking behaviors, as well as how their attitudes, behaviors, and beliefs influence health outcomes. Effective efforts in improving modifiable, lifestyle factors, and deleterious chronic exposures (e.g., positive energy balance) are perhaps the major venue for improving the population CVD burden; and emphasizing cultural competence and raising quality of medical care will be very effective means for reducing disparities in care provision and clinical outcomes in health systems.

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References

  1. National Center for Health Statistics (NCHS), 2005. http://www.statisticstop10.com/Causes_of_Death_in_US.html

  2. Mensah GA, Brown DW. An overview of cardiovascular disease burden in the United States. Health Affairs 2007; 26(1):38–48.

    Article  PubMed  Google Scholar 

  3. National Heart Lung and Blood Institute (NHLBI), 2007. http://www.nhlbi.nih.gov/about/factbook/chapter4.htm

  4. Center for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Tobacco Use Among Adults–U.S., 2005. Vol. 42(42); 1145–1145, Oct. 2006. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5542a1.htm. Accessed on 9/9/08.

  5. Mensah GA, Mokdad AH, Ford ES, Greenlund KJ, Croft JB. State of disparities in cardiovascular health in the United States. Circulation 2005; 111:1233–1241.

    Article  PubMed  Google Scholar 

  6. Pierce JP, Fiore MC, Novotny TE, Hatziandreu EJ, Davis RM. Trends in cigarette smoking in the United States. Projections to the year 2000. JAMA 1989; 261(1): 61–65.

    Article  CAS  PubMed  Google Scholar 

  7. Winkleby MA, Kraemer HC, Ahn DK, Varady AN. Ethnic and socioeconomic differences in cardiovascular disease risk factors. Findings for Women from the Third National Health and Nutrition Examination Survey, 1988-1994. JAMA 1998; 280(4):356–362.

    Article  CAS  PubMed  Google Scholar 

  8. Luepker RV, Rosamond WD, Murphy R, Sprafka JM, Folsom AR, McGovern PG, et al. Socioeconomic status and coronary heart disease risk factor trends. The Minnesota Heart Survey. Circulation 1993; 88(5 Pt 1):2172–2179.

    Article  CAS  PubMed  Google Scholar 

  9. Reynes JF, Lasater TM, Feldman H, Assaf AR, Carleton RA. Education and risk factors for coronary heart disease: results from a New England community. Am J Prev Med 1993; 9(6):365–371.

    CAS  PubMed  Google Scholar 

  10. Sinclair S, Hayes-Reams P, Myers HF, Allen W, Hawes-Dawson J, Kington R. Recruiting African-Americans for health studies: lessons from the Drew-RAND Center on Health and Aging. J Mental Health Aging 2002; 6:39–51.

    Article  Google Scholar 

  11. Federal Interagency Forum on Aging-Related Statistics. Older American 2004: Key Indicators of Well-Being. Federal Interagency Forum on Aging Related Statistics. 2004.

    Google Scholar 

  12. Frist WH. Overcoming disparities in U.S. Health Care. Health Affairs 2005; 24: 445–451.

    Article  PubMed  Google Scholar 

  13. Ong KL, Cheung BM, Man YB, Lau CP, Lam KS. Prevalence, awareness, treatment, and control of hypertension among United States adults 1999-2004. Hypertension 2007; 49(1):69–75.

    Article  CAS  PubMed  Google Scholar 

  14. de Rekeneire N, Rooks RN, Simonsick EM, Shorr RI, Kuller LH, Schwartz AV, Harris TB. Racial differences in glycemic control in a well-functioning older diabetic population: findings from the Health, Aging and Body Composition Study. Diabet Care 2003; 26:1986–1992.

    Article  Google Scholar 

  15. Bromberger JT, Harlow S, Avis N, Kravitz HM, Cordal A. Racial/ethnic differences in the prevalence of depressive symptoms among middle-aged women: The Study of Women’s Health across the Nation. Am J Public Health 2004; 94: 1378–1385.

    Article  PubMed  Google Scholar 

  16. Mayberry RM, Mili F, and Ofili E. Racial and ethnic differences in the access of medical care. MedCare Res Rev 2000; 57:108–145.

    Google Scholar 

  17. Kressin NR, Petersen LA. Racial differences in the use of invasive cardiovascular procedures: review of the literature and prescription for future research. Ann Intern Med 2001; 135:352–366.

    CAS  PubMed  Google Scholar 

  18. Jorde LB, Wooding SP. Genetic variation, classification and ‘race’. Nat Genet 2004; 36(Suppl):S28–S33.

    Article  CAS  PubMed  Google Scholar 

  19. Shriver MD, Kittles RA. Genetic ancestry and the search for personalized genetic histories. Nat Rev Genet 2004; 5(8):611–618.

    Article  CAS  PubMed  Google Scholar 

  20. Bamshad MJ, Wooding S, Watkins WS, Ostler CT, Batzer MA, Jorde LB. Human population genetic structure and inference of group membership. Am J Hum Genet 2003; 72(3):578–589.

    Article  CAS  PubMed  Google Scholar 

  21. Feldman MW, Lewontin RC, King MC. Race: a genetic melting-pot. Nature 2003; 424(6947):374.

    Article  CAS  PubMed  Google Scholar 

  22. Cooper RS, Wolf-Maier K, Luke A, et al. An international comparison study of blood pressure in populations of European versus African descent. BMC Med 2005; 3:22.

    Article  Google Scholar 

  23. Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense H, Joffres M, et al. Hypertension prevalence and blood pressure levels in 6 European Countries, Canada, and the United States. JAMA2003; 289:2363–2369.

    Article  PubMed  Google Scholar 

  24. Klag MJ, Whelton PK, Coresh J, Grim C, Kuller H. The association of skin color with blood pressure in US blacks with low socioeconomic status. JAMA 1991; 265:599–602.

    Article  CAS  PubMed  Google Scholar 

  25. Zittermann A, Tenderich G, Berthold HK, Korfer R, Stehle P. Low vitamin D status: a contributing factor in the pathogenesis of congestive heart failure? J Am Coll Cardiol 2003; 41:105–112.

    Article  CAS  PubMed  Google Scholar 

  26. Chiu KC, Chu A, Go VL, Saad MF. Hypovitaminosis D is associated with insulin resistance and β cell dysfunction. Am J Clin Nutr 2004; 79:820–825.

    CAS  PubMed  Google Scholar 

  27. Hermann M, Ruschitzka F. Vitamin D and hypertension. Curr Hypertens Rep 2008; 10(1):49–51.

    Article  PubMed  Google Scholar 

  28. Scragg R, Sowers M, Bell C. Serum 25-hydroxyvitamin D, ethnicity, and blood pressure in the Third National Health and Nutrition Examination Survey. Am J Hypertens 2007; 20(7):713–719.

    Article  CAS  Google Scholar 

  29. Judd SE, Nanes MS, Ziegler TR, Wilson PW, Tangpricha V., Optimal vitamin D status attenuates the age-associated increase in systolic blood pressure in white Americans: results from the third National Health and Nutrition Examination Survey. Am J Clin Nutr 2008; 87(1):136–141.

    CAS  PubMed  Google Scholar 

  30. Giovannucci E, Liu Y, Hollis BW, Rimm EB. 25-hydroxyvitamin D and risk of myocardial infarction in men: a prospective study. Arch Intern Med 2008; 168(11):1174–1180.

    Article  CAS  PubMed  Google Scholar 

  31. Alemzadeh R, Kichler J, Babar G, Calhoun M. Hypovitaminosis D in obese children and adolescents: relationship with adiposity, insulin sensitivity, ethnicity, and season. Metabolism 2008; 57(2):183–91.

    Article  CAS  PubMed  Google Scholar 

  32. Ybarra J, Sánchez-Hernández J, Pérez A. Hypovitaminosis D and morbid obesity. Nurs Clin North Am 2007; 42(1):19–27.

    Article  PubMed  Google Scholar 

  33. Lips P. Vitamin D physiology. Prog Biophys Mol Biol 2006; 92(1):4–8.

    Article  CAS  PubMed  Google Scholar 

  34. Rocchini AP. Obesity hypertension, salt sensitivity and insulin resistance. Nutr Metab Cardiovasc Dis 2000; 10(5):287.

    CAS  PubMed  Google Scholar 

  35. Hall JE, Henegar JR, Dwyer TM, et al. Is obesity a major cause of chronic kidney disease? Adv Ren Replace Ther 2004; 11:41.

    Article  PubMed  Google Scholar 

  36. Flack JM, Grimm RH Jr, Staffileno BA, et al. New salt-sensitivity metrics: variability-adjusted blood pressure change and the urinary sodium-to creatinine ratio. Ethn Dis. 2002 Winter; 12(1):10.

    PubMed  Google Scholar 

  37. Rocchini AP, Key J, Bondie D, et al. The effect of weight loss on the sensitivity of blood pressure to sodium in obese adolescents. N Engl J Med 1989; 321(9):580.

    Article  CAS  PubMed  Google Scholar 

  38. Kopkan L, Majid DS. Superoxide contributes to development of salt sensitivity and hypertension induced by nitric oxide deficiency. Hypertension 2005; 46(4):1026.

    Article  CAS  PubMed  Google Scholar 

  39. Alvarez G, Osuna A, Wangensteen R, Vargas F. Interaction between nitric oxide and mineralocorticoids in the long-term control of blood pressure. Hypertension 2000; 35(3):752.

    Article  CAS  PubMed  Google Scholar 

  40. Flack JM, Wiist WH. Epidemiology of hypertension and hypertensive target-organ damage in the United States. J Assoc Acad Minor Phys 1991; 2(4):143–150.

    CAS  PubMed  Google Scholar 

  41. Wilson DK, Sica DA, Miller SB. Effects of potassium on blood pressure in salt-sensitive and salt-resistant black adolescents. Hypertension 1999; 34(2):181.

    Article  CAS  PubMed  Google Scholar 

  42. Coruzzi P, Brambilla L, Brambilla V, et al. Potassium depletion and salt sensitivity in essential hypertension. J Clin Endocrinol Metab 2001; 86(6):2857.

    Article  CAS  PubMed  Google Scholar 

  43. Peters RM, Flack JM. Salt sensitivity and hypertension in African Americans: implications for cardiovascular nurses. Prog Cardiovasc Nurs 2000; 15(4):138.

    Article  CAS  PubMed  Google Scholar 

  44. Wright JT Jr, Rahman M, Scarpa A, et al. Determinants of salt sensitivity in black and white normotensive and hypertensive women. Hypertension 2003; 42(6):1087.

    Article  CAS  PubMed  Google Scholar 

  45. Sullivan JM, Prewitt RL, Ratts TE. Sodium sensitivity in normotensive and borderline hypertensive humans. Am J Med Sci 1988; 295(4):370.

    Article  CAS  PubMed  Google Scholar 

  46. Centers for Disease Control and Prevention (National Center for Health Statistics). Births and deaths: preliminary data for 1998. 1999. National Vital Statistics Reports. Washington, DC: Department of Health and Human Services.

    Google Scholar 

  47. Douglas-Denton RN, McNamara BJ, Hoy WE, Hughson MD, Bertram JF. Does nephron number matter in the development of kidney disease? Ethn Dis 2006 Spring; 16(2 Suppl 2):S2-40-5.

    Google Scholar 

  48. Luyckx VA, Brenner BM. Low birth weight, nephron number, and kidney disease. Kidney Int Suppl. 2005; (97):S68–77.

    Google Scholar 

  49. Boddi M, Poggesi L, Coppo M, et al. Human vascular renin-angiotensin system and its functional changes in relation to different sodium intakes. Hypertension 1998; 31(3):836.

    Article  CAS  PubMed  Google Scholar 

  50. Cubeddu LX, Alfieri AB, Hoffmann IS, et al. Nitric oxide and salt sensitivity. Am J Hypertens 2000; 13:973.

    Article  CAS  PubMed  Google Scholar 

  51. Zhou MS, Adam AG, Jaimes EA. In salt-sensitive hypertension, increased superoxide production is linked to functional upregulation of angiotensin II. Hypertension 2003; 42(5):945–951.

    Article  CAS  PubMed  Google Scholar 

  52. Fang Y, Mu JJ, He LC, Wang SC, Liu ZQ. Salt loading on plasma asymmetrical dimethylarginine and the protective role of potassium supplement in normotensive salt-sensitive Asians. Hypertension 2006; 48(4):724–729.

    Article  CAS  PubMed  Google Scholar 

  53. Morris RC Jr, Sebastian A, Forman A, Tanaka M, Schmidlin O. Normotensive salt sensitivity: effects of race and dietary potassium. Hypertension 1999; 33(1):18–23.

    Article  CAS  PubMed  Google Scholar 

  54. Grubbs RD, Maguire ME. Magnesium as a regulatory cation: criteria and evaluation. Magnesium 1987; 6:113–127.

    CAS  PubMed  Google Scholar 

  55. Beyenbach KW. Transport of magnesium across biological membranes. Magnes Trace Elem 1990; 9:233–254.

    CAS  PubMed  Google Scholar 

  56. Arsenian M. Magnesium and cardiovascular disease. Prog Cardiovasc Dis 1993; 35:271–310.

    Article  CAS  PubMed  Google Scholar 

  57. Altura BM, Altura BT. Role of magnesium in the pathogenesis of hypertension updated: relationship to its action on cardiac, vascular smooth muscle, and endothelial cells. In: Larargh J, Brenner BM, editors, Hypertension: pathophysiology, diagnosis, and management. 2nd ed. New York: Raven Press; 1995:1212–1242.

    Google Scholar 

  58. van Dam RM, Hu FB, Rosenberg L, Krishnan S, Palmer JR. Dietary calcium and magnesium, major food sources, and risk of type 2 diabetes in U.S. black women. Diabet Care 2006; 29: 2238–2243.

    Article  CAS  Google Scholar 

  59. Sontia B, Touyz RM. Role of magnesium in hypertension. Arch Biochem Biophys 2007; 458(1):33–39.

    Article  CAS  PubMed  Google Scholar 

  60. Fung TT, Manson JE, Solomon CG, Liu S, Willett WC, Hu FB. The association between magnesium intake and fasting insulin concentration in healthy middle-aged women. J Am Coll Nutr 2003; 22:533–538.

    CAS  PubMed  Google Scholar 

  61. Song Y, Ridker PM, Manson JE, Cook NR, Buring JE, Liu S. Magnesium intake, C-reactive protein, and the prevalence of metabolic syndrome in middle-aged and older U.S. women. Diabet Care 2005; 28:1438–1444.

    Article  CAS  Google Scholar 

  62. Ford ES, Mokdad AH. Dietary magnesium intake in a national sample of US adults. J Nutr 2003; 133(9):2879–2882.

    CAS  PubMed  Google Scholar 

  63. Jen KL, Brogan K, Washington OG, Flack JM, Artinian NT. Poor nutrient intake and high obese rate in an urban African American population with hypertension. J Am Coll Nutr 2007; 26(1):57–65.

    CAS  PubMed  Google Scholar 

  64. Altura BM, Altura BT. Cardiovascular risk factors and magnesium: relationships to atherosclerosis, ischemic heart disease and hypertension. Magnes Trace Elem 1991; 10:182–192.

    CAS  PubMed  Google Scholar 

  65. USDA. Continuing survey of food intake by individuals. Washington, DC: USDA, 1990.

    Google Scholar 

  66. Fulgoni V III, Nicholls J, Reed A, Buckley R, Kafer K, Huth P, Dirienzo D, Miller G. Dairy consumption and related nutrient intake in African-American adults and children in the United States: continuing survey of food intakes by individuals 1994–1996, 1998, and the National Health and Nutrition Examination Survey 1999–2000. J Am Diet Assoc 2007; 107(2):256–264

    Article  CAS  PubMed  Google Scholar 

  67. Crespo CJ, Keteyian SJ, Heath GW, Sempos CT. Leisure-time physical activity among US adults. Results from the Third National Health and Nutrition Examination Survey. Arch Intern Med 1996; 156(1):93.

    Article  CAS  PubMed  Google Scholar 

  68. Crespo CJ, Smit E, Andersen RE, et al. Race/ethnicity, social class and their relation to physical inactivity during leisure time: results from the Third National Health and Nutrition Examination Survey, 1988–1994. Am J Prev Med 2000; 18(1):46.

    Article  CAS  PubMed  Google Scholar 

  69. Moran A, Diez Rouz AV, Jackson SA, Kramer H, Manolio TA, Sharager S, Shea S. Acculturation is associated with hypertension in a multiethnic sample. Am J Hypertens 2007; 20: 354–363.

    Article  PubMed  Google Scholar 

  70. Bell AC, Adair LS, Poplin BM. Understanding the role of mediating risk factors and proxy effects in the association between socioeconomic status and untreated hypertension. Soc Sci Med 2003; 59:275–283.

    Article  Google Scholar 

  71. Morenoff JD, House JS, Hansen BB, Williams DR, Kaplan GA, Hunte HE. Understanding social disparities in hypertension prevalence, awareness, treatment, and control: The role of neighborhood context. Soc Sci Med 2007; 65(9):1853–1866.

    Article  PubMed  Google Scholar 

  72. Harburg E, Erfurt JC, Hauenstein L.S, Chape C, Schull WJ, Schork MA. 1973. Socioecological stress, suppressed hostility, skin color, and black-white male blood pressure: Detroit. Psychosom Med 1973; 35: 276–296.

    CAS  PubMed  Google Scholar 

  73. Harburg E, Erfurt JC, Chape C. Socioecological stress, smoking, skin color, and black-white blood pressure: Detroit. Paper delivered at Michigan Cardiovascular Research Forum, Detroit, Michigan; 1971.

    Google Scholar 

  74. Wilson DK, Kirtland KA, Ainsworth BE, Addy CL. Socioeconomic status and perceptions of access and safety for physical activity. Ann Behav Med 2004; 28: 20–28.

    Article  PubMed  Google Scholar 

  75. Wilson DK, Kliewer,W, Sica DA. The relationship between exposure to violence and blood pressure mechanisms. Curr Hypertens Rep 2004; 6:321–326.

    Article  PubMed  Google Scholar 

  76. Wilson DK, Kliewer W, Teasley N, Plybon L, Sica DA. Violence exposure, catecholamine excretion, and blood pressure nondipping status in African American male versus female adolescents. Psychosom Med 2002; 64:906–915.

    Article  CAS  PubMed  Google Scholar 

  77. Anderson NB, McNeilly M, Myers HF. Toward understanding race difference in autonomic reactivity: a proposed contextual model. In Individual differences in cardiovascular response to stress. Turner JR, Sherwood A, Light KC (eds.). New York: Plenum; 1992:125–145.

    Google Scholar 

  78. Centers for Disease Control and Prevention (CDC). Racial/ethnic and socioeconomic disparities in multiple risk factors for heart disease and stroke—United States, 2003. MMWR Morb Mortal Wkly Rep 2005; 54(5):113–117.

    Google Scholar 

  79. Barnhart JM, Fang J, Alderman MH. Differential use of coronary revascularization and hospital mortality following acute myocardial infarction. J Am Soc Nephrol 2003; 163(4):461–466.

    Google Scholar 

  80. Popescu I, Vaughan-Sarrazin MS, Rosenthal GE. Differences in mortality and use of revascularization in black and white patients with acute MI admitted to hospitals with and without revascularization services. JAMA 2007; 297(22):2489–2495.

    Article  CAS  PubMed  Google Scholar 

  81. Kressin NR, Petersen LA. Racial differences in the use of invasive cardiovascular procedures: review of the literature and prescription for future research. Ann Intern Med 2001; 135(5):352–366.

    CAS  PubMed  Google Scholar 

  82. Ibrahim SA, Whittle J, Bean-Mayberry B, Kelley ME, Good C, Conigliaro J. Racial/ethnic variations in physician recommendations for cardiac revascularization. Am J Public Health 2003; 93(10):1689–1693.

    Article  PubMed  Google Scholar 

  83. Callier JG, Brown SC, Parsons S, Ardoin PJ, Cruise P. The effect of race and gender on invasive treatment for cardiovascular disease. J Cult Divers 2004; 11(3):80–87.

    PubMed  Google Scholar 

  84. Jha AK, Staiger DO, Lucas FL, Chandra A. Do race-specific models explain disparities in treatments after acute myocardial infarction? Am Heart J 2007; 153(5):785–791.

    Article  PubMed  Google Scholar 

  85. Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians’ recommendations for cardiac catheterization. N Engl J Med 1999; 340(8): 618–626.

    Article  CAS  PubMed  Google Scholar 

  86. Sonel AF, Good CB, Mulgund J, et al. Racial variations in treatment and outcomes of black and white patients with high-risk non-ST-elevation acute coronary syndromes: insights from CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the ACC/AHA Guidelines?). Circulation 2005; 111(10):1225–1232.

    Article  PubMed  Google Scholar 

  87. Kressin NR, Glickman ME, Peterson ED, Whittle J, Orner MB, Petersen LA. Functional status outcomes among white and African-American cardiac patients in an equal access system. Am Heart J 2007; 153(3):418–425.

    Article  PubMed  Google Scholar 

  88. Carlisle DM, Leake BD, Shapiro MF. Racial and ethnic disparities in the use of cardiovascular procedures: associations with type of health insurance. Am J Public Health 1997; 87(2):263–267.

    Article  CAS  PubMed  Google Scholar 

  89. Bypass Angioplasty Revascularization Investigation (BARI) Investigators. The final 10-year follow-up results from the BARI randomized trial. J Am Coll Cardiol 2007; 49(15):1600–1606.

    Google Scholar 

  90. Minutello RM, Chou ET, Hong MK, Wong SC. Impact of race and ethnicity on inhospital outcomes after percutaneous coronary intervention (report from the 2000, 2001 New York State Angioplasty Registry). Am Heart J 2006; 151(1):164–167.

    Article  PubMed  Google Scholar 

  91. Lucas FL, Stukel TA, Morris AM, Siewers AE, Birkmeyer JD. Race and surgical mortality in the United States. Ann Surg 2006; 243(2):281–286.

    Article  CAS  PubMed  Google Scholar 

  92. Bosworth HB, Dudley T, Olsen MK, et al. Racial differences in blood pressure control: potential explanatory factors. Am J Med 2006; 119(1):70–15.

    Article  PubMed  Google Scholar 

  93. Litaker D, Koroukian S, Frolkis JP, Aron DC. Disparities among the disadvantaged: variation in lipid management in the Ohio Medicaid program. Prev Med 2006; 42(4):313–315.

    Article  PubMed  Google Scholar 

  94. Lopez-Quintero C, Crum RM, Neumark YD. Racial/ethnic disparities in report of physician-provided smoking cessation advice: analysis of the 2000 National Health Interview Survey. Am J Public Health 2006; 96(12):2235–2239.

    Article  PubMed  Google Scholar 

  95. Shenkman HJ, Pampati V, Khandelwal AK, et al. Congestive heart failure and QRS duration: establishing prognosis study. Chest 2002; 122(2):528–534.

    Article  PubMed  Google Scholar 

  96. Stanley A, DeLia D, Cantor JC. Racial disparity and technology diffusion: the case of cardioverter defibrillator implants, 1996–2001. J Natl Med Assoc 2007; 99(3): 201–207.

    PubMed  Google Scholar 

  97. Alexander M, Grumbach K, Remy L, Rowell R, Massie BM. Congestive heart failure hospitalizations and survival in California: patterns according to race/ethnicity. Am Heart J 1999; 137(5):919–927.

    Article  CAS  PubMed  Google Scholar 

  98. Deswal A, Petersen NJ, Urbauer DL, Wright SM, Beyth R. Racial variations in quality of care and outcomes in an ambulatory heart failure cohort. Am Heart J 2006; 152(2):348–354.

    Article  PubMed  Google Scholar 

  99. Rathore SS, Foody JM, Wang Y, et al. Race, quality of care, and outcomes of elderly patients hospitalized with heart failure. JAMA 2003; 289(19):2517–2524.

    Article  PubMed  Google Scholar 

  100. Fincher C, Williams JE, MacLean V, Allison JJ, Kiefe CI, Canto J. Racial disparities in coronary heart disease: a sociological view of the medical literature on physician bias. 2004; 14(3):360–371.

    Google Scholar 

  101. Lurie N, Fremont A, Jain AK, et al. Racial and ethnic disparities in care: the perspectives of cardiologists. Circulation 2005; 111(10):1264–1269.

    Article  PubMed  Google Scholar 

  102. Burgess DJ, Fu SS, van RM. Why do providers contribute to disparities and what can be done about it? J Gen Intern Med 2004; 19(11):1154–1159.

    Article  PubMed  Google Scholar 

  103. Lutfey KE, Ketcham JD. Patient and provider assessments of adherence and the sources of disparities: evidence from diabetes care. Health Serv Res 2005; 40(6 Pt 1): 1803–1817.

    Article  PubMed  Google Scholar 

  104. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. J Am Soc Nephrol 1999; 159(9):997–1004.

    CAS  Google Scholar 

  105. Gordon HS, Street RL, Jr., Sharf BF, Souchek J. Racial differences in doctors’ information-giving and patients’ participation. Cancer 2006; 107(6):1313–1320.

    Article  PubMed  Google Scholar 

  106. Blanchard J, Nayar S, Lurie N. Patient-provider and patient-staff racial concordance and perceptions of mistreatment in the health care setting. J Gen Intern Med 2007; 22(8):1184–1189.

    Article  PubMed  Google Scholar 

  107. Malat J, Hamilton MA. Preference for same-race health care providers and perceptions of interpersonal discrimination in health care. J Health Soc Behav 2006; 47(2): 173–187.

    Article  PubMed  Google Scholar 

  108. Cooper-Patrick L, Gallo J, Gonzales J, et al. Race, gender, and partnership in the patient-physician relationship. JAMA 1999; 282(6):583–589.

    Article  CAS  PubMed  Google Scholar 

  109. Fergusen W, Candib L. Culture, language, and the doctor-patient relationship. Fam Med 2002; 34(5):353–361.

    Google Scholar 

  110. Johnson RL, Saha S, Arbelaez JJ, Beach MC, Cooper LA. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med 2004; 19(2):101–110.

    Article  PubMed  Google Scholar 

  111. Gaskin DJ, Arbelaez JJ, Brown JR, Petras H, Wagner FA, Cooper LA. Examining racial and ethnic disparities in site of usual source of care. J Natl Med Assoc 2007; 99(1):22–30.

    PubMed  Google Scholar 

  112. Clark LT. Issues in minority health: atherosclerosis and coronary heart disease in African Americans. Med Clin North Am 2005; 89(5):977–1001, 994.

    Article  PubMed  Google Scholar 

  113. Trivedi AN, Zaslavsky AM, Schneider EC, Ayanian JZ. Trends in the quality of care and racial disparities in Medicare managed care. N Engl J Med 2005; 18;353(7):692–700.

    Article  Google Scholar 

  114. Andrade SE, Gurwitz JH, Field TS, et al. Hypertension management: the care gap between clinical guidelines and clinical practice. Am J Manag Care 2004; 10(7 Pt 2):481–486.

    PubMed  Google Scholar 

  115. Phillips LS, Branch WT, Cook CB, et al. Clinical inertia. Ann Intern Med 2001; 135(9):825–834.

    CAS  PubMed  Google Scholar 

  116. Hicks LS, Shaykevich S, Bates DW, Ayanian JZ. Determinants of racial/ethnic differences in blood pressure management among hypertensive patients. BMC Cardiovasc Disord 2005; 5(1):16.

    Article  PubMed  Google Scholar 

  117. Hendrix KH, Lackland DT, Egan BM. Cardiovascular risk factor control and treatment patterns in primary care. Manag Care Interface 2003; 16(11):21–26.

    PubMed  Google Scholar 

  118. Gray J, Millett C, Saxena S, Netuveli G, Khunti K, Majeed A. Ethnicity and quality of diabetes care in a health system with universal coverage: population-based cross-sectional survey in primary care. J Gen Intern Med 2007; 22(9):1317–1320.

    Article  PubMed  Google Scholar 

  119. Werner RM, Asch DA, Polsky D. Racial profiling: the unintended consequences of coronary artery bypass graft report cards. Circulation 2005; 111(10):1257–1263.

    Article  PubMed  Google Scholar 

  120. Fiscella K, Franks P, Gold MR, Clancy CM. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA 2000; 283(19):2579–2584.

    Article  CAS  PubMed  Google Scholar 

  121. Pamboukian SV, Costanzo MR, Meyer P, Bartlett L, McLeod M, Heroux A. Influence of race in heart failure and cardiac transplantation: mortality differences are eliminated by specialized, comprehensive care. J Card Fail 2003; 9(2):80–86.

    Article  PubMed  Google Scholar 

  122. Clemans-Cope L, Kenney G. Low income parents’ reports of communication problems with health care providers: effects of language and insurance. Public Health Rep 2007; 122(2):206–216.

    PubMed  Google Scholar 

  123. Chen FM, Fryer GE, Jr, Phillips RL, Jr, Wilson E, Pathman DE. Patients’ beliefs about racism, preferences for physician race, and satisfaction with care. Ann Fam Med 2005; 3(2):138–143.

    Article  PubMed  Google Scholar 

  124. Chassin MR. Assessing strategies for quality improvement. Health Aff (Millwood) 1997; 16(3):151–161.

    Article  CAS  Google Scholar 

  125. Institute of Medicine. Fostering Rapid Advances in Health Care: Learning from System Demonstrations. JM. Corrigan, A. Greiner, SM. Erickson, eds. Washington, DC: National Academy Press. 2003a.

    Google Scholar 

  126. Institute of Medicine. To Err Is Human: building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, eds. Washington, DC: National Academy Press. 2000.

    Google Scholar 

  127. Centers for Disease Control and Prevention (National Center for Health Statistics). Births and Deaths: preliminary data for 1998. National Vital Statistics Reports. Washington, DC: Department of Health and Human Services; 1999.

    Google Scholar 

  128. Clark CM, Fradkin JE, Hiss RG, Lorenz RA, Vinicor F, Warren-Boulton E. Promoting early diagnosis and treatment of type 2 diabetes: The National Diabetes Education Program. JAMA 2000; 284(3):363–365.

    Article  CAS  PubMed  Google Scholar 

  129. Legorreta AP, Liu X, Zaher CA, Jatulis DE. Variation in managing asthma: Experience at the medical group level in California. Am J Manag Care 2000; 6(4):445–453.

    CAS  PubMed  Google Scholar 

  130. McBride P, Schrott HG, Plane MB, Underbakke G, Brown RL. Primary care practice adherence to National Cholesterol Education Program guidelines for patients with coronary heart disease. Arch Intern Med 1998; 158(11):1238–1244.

    Article  CAS  PubMed  Google Scholar 

  131. Ni H, Nauman DJ, Hershberger RE. Managed care and outcomes of hospitalization among elderly patients with congestive heart failure. Arch Intern Med 1998; 158(11):1231–1236.

    Article  CAS  PubMed  Google Scholar 

  132. Perez-Stable EJ, Fuentes-Afflick E. Role of clinicians in cigarette smoking prevention. West J Med 1998; 169(1):23–29.

    CAS  PubMed  Google Scholar 

  133. Samsa GP, Matchar DB, Goldstein LB, Bonito AJ, Lux LJ, Witter DM, Bian J. Quality of anticoagulation management among patients with atrial fibrillation: Results of a review of medical records from 2 communities. Arch Intern Med 2000; 160(7): 967–973.

    Article  CAS  PubMed  Google Scholar 

  134. Young AS, Klap R, Sherbourne CD, Wells KB. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry 2001; 58(1):55–61.

    Article  CAS  PubMed  Google Scholar 

  135. Cross T, Bazron B, Dennis K, Isaacs M. Towards a culturally competent system of care, volume I. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center; 1989.

    Google Scholar 

  136. Betancourt J, Green A, Carmillo J, Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches. The Commonwealth Fund Field Report. October 2002. http//www.cmwf.org

  137. Institutes of Medicine. Guidance for the National Healthcare Disparities Report. Washington DC: National Academies Press; 2004.

    Google Scholar 

  138. Lillie-Blanton M, Maddox TM, Rushing O, et al. Disparities in cardiac care: rising to the challenge of healthy people 2010. J Am Coll Cardiol 2004; 44:503–508.

    Article  PubMed  Google Scholar 

  139. Institutes of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press; 2003.

    Google Scholar 

  140. Kleinman A. Culture, illness and cure: Clinical lesions from anthropologic and cross-cultural research. Annals Int Med 1978; 88:251–258.

    CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Clinical Epidemiology and Translational Research and Endocrinology, Metabolism and Hypertension, Department of Internal Medicine, Wayne State University School of Medicine and the Detroit Medical Center, Detroit, MI, USA

    J. M. Flack MD, MPH & S. A. Nasser PA-C, MPH

  2. Division of General Internal Medicine, Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA, USA

    A. Goel MD, FACP

  3. St. Joseph Mercy Oakland Hospital, Detroit, MI, USA

    M. “Toni” Flowers BA

  4. Michigan State University, School of Medicine, Lansing, MI, USA

    S. O’Connor BS & E. Faucett BS

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  1. J. M. Flack MD, MPH
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  2. S. A. Nasser PA-C, MPH
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  3. A. Goel MD, FACP
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  4. M. “Toni” Flowers BA
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  5. S. O’Connor BS
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  6. E. Faucett BS
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Editors and Affiliations

  1. Cardiology Division, Emory University, 5355 Hunter Road, Atlanta, GA, 30349, USA

    Keith C. Ferdinand MD

  2. Department of Internal Medicine, New Hanover Regional Medical Center, 212 Walnut Street, Wilmington, NC, 28401 #101, USA

    Annemarie Armani MD

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Flack, J.M., Nasser, S.A., Goel, A., Flowers, M.“., O’Connor, S., Faucett, E. (2009). Unmasking Racial/Ethnic Disparities in Cardiovascular Disease: Nutritional, Socioeconomic, Cultural, and Health-Care-Related Contributions. In: Ferdinand, K.C., Armani, A. (eds) Cardiovascular Disease in Racial and Ethnic Minorities. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-410-0_3

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  • DOI: https://doi.org/10.1007/978-1-59745-410-0_3

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