Current Cardiovascular Risk Reports

, Volume 7, Issue 5, pp 364–367 | Cite as

Meeting Disparities Where they Reside: The Geography of Racial and Ethnic Health Disparities in Cardiovascular Health

Race and Ethnicity Disparities (M Albert, Section Editor)
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Abstract

Despite the Institute of Medicine report on racial and ethnic disparities in health care outcomes that was published more than 10 years ago, disparities in health outcomes including cardiovascular disease outcomes persist. The recent literature on racial and ethnic disparities in cardiovascular disease outcomes incorporates geospatial-mapping analyses in order to shed light on the ways in which disparities vary by location, highlighting variability in access to health care. In addition the problem of access to health care, the quality of the health care that is available to minority communities has also been scrutinized, underscoring the potential of quality improvement interventions to reduce existing disparities in cardiovascular outcomes. Targeted interventions to expand health education, expand access to primary and tertiary care and improve the quality of the health care received by racial and ethnic minorities could reduce disparities in cardiovascular outcomes.

Keywords

Cardiovascular disease Health status disparities Residence characteristics Quality improvement 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Melissa Burroughs Peña declares no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    •• Nelson A. Unequal treatment: confronting racial and ethnic disparities in health care. J Nat Med Assoc. 2002;94:666–8.Google Scholar
  2. 2.
    Wong MD, Shapiro MF, Boscardin WJ, Ettner SL. Contribution of major diseases to disparities in mortality. New Engl J Med. 2002;347:1585–92.PubMedCrossRefGoogle Scholar
  3. 3.
    Harper S, Lynch J, Burris S, Davey SG. Trends in the black-white life expectancy gap in the United States, 1983–2003. JAMA. 2007;297:1224–32.PubMedCrossRefGoogle Scholar
  4. 4.
    •• Gebreab SY, Diez Roux AV. Exploring racial disparities in CHD mortality between blacks and whites across the United States: a geographically weighted regression approach. Health Place. 2012;18:1006–14.PubMedCrossRefGoogle Scholar
  5. 5.
    Goodney PP, Travis LL, Nallamothu BK, et al. Variation in the use of lower extremity vascular procedures for critical limb ischemia. Circ Cardiovasc Qual Outcomes. 2012;5:94–102.PubMedCrossRefGoogle Scholar
  6. 6.
    Jones WS, Patel MR, Dai D, et al. Temporal trends and geographic variation of lower-extremity amputation in patients with peripheral artery disease: results from U.S. Medicare 2000–2008. J Am Coll Cardiol. 2012;60:2230–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Clark CR, Ommerborn MJ, Hickson DA, et al. Neighborhood disadvantage, neighborhood safety and cardiometabolic risk factors in african americans: biosocial associations in the jackson heart study. PloS one. 2013;8:e63254.PubMedCrossRefGoogle Scholar
  8. 8.
    Rose KM, Foraker RE, Heiss G, Rosamond WD, Suchindran CM, Whitsel EA. Neighborhood socioeconomic and racial disparities in angiography and coronary revascularization: the ARIC surveillance study. Ann Epidemiol. 2012;22:623–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Foraker RE, Patel MD, Whitsel EA, Suchindran CM, Heiss G, Rose KM. Neighborhood socioeconomic disparities and 1-year case fatality after incident myocardial infarction: the Atherosclerosis Risk in Communities (ARIC) Community Surveillance (1992–2002). Am Heart J. 2013;165:102–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Winkleby M, Sundquist K, Cubbin C. Inequities in CHD incidence and case fatality by neighborhood deprivation. Am J Prevent Med. 2007;32:97–106.CrossRefGoogle Scholar
  11. 11.
    Chaix B, Rosvall M, Merlo J. Neighborhood socioeconomic deprivation and residential instability: effects on incidence of ischemic heart disease and survival after myocardial infarction. Epidemiology. 2007;18:104–11.PubMedCrossRefGoogle Scholar
  12. 12.
    Wen M, Christakis NA. Neighborhood effects on posthospitalization mortality: a population-based cohort study of the elderly in Chicago. Health Serv Res. 2005;40:1108–27.PubMedCrossRefGoogle Scholar
  13. 13.
    Koch CG, Li L, Kaplan GA, et al. Socioeconomic position, not race, is linked to death after cardiac surgery. Circ Cardiovasc Qual Outcomes. 2010;3:267–76.PubMedCrossRefGoogle Scholar
  14. 14.
    •• Sasson C, Magid DJ, Chan P, et al. Association of neighborhood characteristics with bystander-initiated CPR. New Engl J Med. 2012;367:1607–15.PubMedCrossRefGoogle Scholar
  15. 15.
    Popescu I, Cram P, Vaughan-Sarrazin MS. Differences in admitting hospital characteristics for black and white Medicare beneficiaries with acute myocardial infarction. Circulation. 2011;123:2710–6.PubMedCrossRefGoogle Scholar
  16. 16.
    Rothenberg BM, Pearson T, Zwanziger J, Mukamel D. Explaining disparities in access to high-quality cardiac surgeons. Ann Thoracic Surgery. 2004;78:18–24. discussion −5.CrossRefGoogle Scholar
  17. 17.
    • Cohen MG, Fonarow GC, Peterson ED, et al. Racial and ethnic differences in the treatment of acute myocardial infarction: findings from the Get With the Guidelines-Coronary Artery Disease program. Circulation. 2010;121:2294–301.PubMedCrossRefGoogle Scholar
  18. 18.
    Al-Khatib SM, Hellkamp AS, Hernandez AF, et al. Trends in use of implantable cardioverter-defibrillator therapy among patients hospitalized for heart failure: have the previously observed sex and racial disparities changed over time? Circulation. 2012;125:1094–101.PubMedCrossRefGoogle Scholar
  19. 19.
    Singh TP, Almond C, Givertz MM, Piercey G, Gauvreau K. Improved survival in heart transplant recipients in the United States: racial differences in era effect. Circ Heart Fail. 2011;4:153–60.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Division of Cardiology, Department of MedicineDuke University Medical Center, Duke Clinical Research Institute, Duke Global Health InstituteDurhamUSA

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