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Health Disparities and Cardiovascular Diseases

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Handbook of Cardiovascular Behavioral Medicine

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Abstract

Disparities in cardiovascular disease risk and outcomes by race/ethnicity, age, sex, and social position are long-standing and well documented, particularly in the public health sector. It is only relatively recently that the discipline of behavioral medicine has turned attention to this critical issue. This chapter reviews the extant epidemiologic evidence on disparities in cardiovascular health and healthcare, including initiatives and recommendations that have been implemented to address disparities, briefly outlines a conceptual framework for health disparities research, and then discusses important factors—from traditional cardiovascular risk factors to psychosocial factors and geographic patterning of cardiovascular risk—that contribute to cardiovascular health disparities. We argue that behavioral medicine, with its biopsychosocial perspective, is ideally positioned to advance our understanding of health disparities but, in particular, offers unique opportunities to develop methods and means of ameliorating health disparities. The chapter closes with recommendations for behavioral medicine investigators to reduce and ultimately eliminate disparities in cardiovascular health.

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References

  1. Adler NE, Rehkopf DH (2008) U.S. disparities in health: descriptions, causes, and mechanisms. Annu Rev Public Health 29:235–252

    Article  PubMed  Google Scholar 

  2. Adler NE, Boyce T, Chesney MA, Cohen S, Folkman S, Kahn RL, Syme SL (1994) Socioeconomic status and health. The challenge of the gradient. Am Psychol 49:15–24

    Article  PubMed  Google Scholar 

  3. Ahmed AT, Mohammed SA, Williams DR (2007) Racial discrimination & health: pathways & evidence. Indian J Med Res 126:318–327

    PubMed  Google Scholar 

  4. AHRQ (2008) 2007 National Healthcare Disparities Report. U.S. Department of Health and Human Services. Agency for Healthcare Research and Quality, Rockville

    Google Scholar 

  5. Anda RF, Williamson DF, Escobedo LG, Mast EE, Giovino GA, Remington PL (1990) Depression and the dynamics of smoking. A national perspective. JAMA 264:1541–1545

    Article  PubMed  Google Scholar 

  6. Arnett DK, Baird AE, Barkley RA, Basson CT, Boerwinkle E, Ganesh SK, Herrington DM, Hong Y, Jaquish C, McDermott DA, O’Donnell CJ (2007) Relevance of genetics and genomics for prevention and treatment of cardiovascular disease: a scientific statement from the American Heart Association Council on Epidemiology and Prevention, the Stroke Council, and the Functional Genomics and Translational Biology Interdisciplinary Working Group. Circulation 115:2878–2901

    Article  PubMed  Google Scholar 

  7. Barnes PM, Adams PF, Powell-Griner E (2010) Health characteristics of the American Indian or Alaska Native adult population: United States, 2004–2008. Natl Health Stat Rep 20:1–22

    Google Scholar 

  8. Bell CN, Thorpe RJ Jr, Laveist TA (2010) Race/Ethnicity and hypertension: the role of social support. Am J Hypertens 23:534–540

    Article  PubMed  Google Scholar 

  9. Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd (2003) Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep 118:293–302

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bibbins-Domingo K, Pletcher MJ, Lin F, Vittinghoff E, Gardin JM, Arynchyn A, Lewis CE, Williams OD, Hulley SB (2009) Racial differences in incident heart failure among young adults. N Engl J Med 360:1179–1190

    Article  PubMed  PubMed Central  Google Scholar 

  11. Borhani NO (1965) Changes and geographic distribution of mortality from cerebrovascular disease. Am J Public Health 55:673–681

    Article  Google Scholar 

  12. Borrell LN, Roux AV, Jacobs DR Jr, Shea S, Jackson SA, Shrager S, Blumenthal RS (2010) Perceived racial/ethnic discrimination, smoking and alcohol consumption in the Multi-Ethnic Study of Atherosclerosis (MESA). Prev Med 51:307–312

    Article  PubMed  PubMed Central  Google Scholar 

  13. Brach C, Fraser I (2000) Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev 57:181–217

    Article  PubMed  PubMed Central  Google Scholar 

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

    Article  PubMed  PubMed Central  Google Scholar 

  15. Casper ML, Wing S, Anda RF, Knowles M, Pollard RA (1995) The shifting stroke belt. Changes in the geographic pattern of stroke mortality in the United States, 1962 to 1988. Stroke 26:755–760

    Article  PubMed  Google Scholar 

  16. Casper ML, Barnett E, Williams GI Jr, Halverson JA, Braham VE, Greenlund KJ (2003) Atlas of stroke mortality: racial, ethnic, and geographic disparities in the United States. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta

    Google Scholar 

  17. CDC (2005) Disparities in screening for and awareness of high blood cholesterol – United States, 1999–2002. Morb Mortal Wkly Rep 54:117–119

    Google Scholar 

  18. CDC (2009) Estimated county-level prevalence of diabetes and obesity – United States, 2007. Morb Mortal Wkly Rep 58:1259–1263

    Google Scholar 

  19. CDC (2010) Tobacco control state highlights, 2010. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta

    Google Scholar 

  20. CensusBureau (2008) Statistical Abstract of the United States: 2009, 128th edn. U.S. Census Bureau, Washington, DC

    Google Scholar 

  21. Chae DH, Lincoln KD, Adler NE, Syme SL (2010) Do experiences of racial discrimination predict cardiovascular disease among African American men? The moderating role of internalized negative racial group attitudes. Soc Sci Med 71:1182–1188

    Article  PubMed  PubMed Central  Google Scholar 

  22. Chen PG, Diaz N, Lucas G, Rosenthal MS (2010) Dissemination of results in community-based participatory research. Am J Prev Med 39:372–378

    Article  PubMed  Google Scholar 

  23. Christian AH, Rosamond W, White AR, Mosca L (2007) Nine-year trends and racial and ethnic disparities in women’s awareness of heart disease and stroke: an American Heart Association national study. J Womens Health 16:68–81

    Article  Google Scholar 

  24. Clark R, Anderson NB, Clark VR, Williams DR (1999) Racism as a stressor for African Americans – a biopsychosocial model. Am Psychol 54:805–816

    Article  PubMed  Google Scholar 

  25. Cohen JJ, Gabriel BA, Terrell C (2002) The case for diversity in the health care workforce. Health Aff (Millwood) 21:90–102

    Article  Google Scholar 

  26. Cohen MG, Fonarow GC, Peterson ED, Moscucci M, Dai D, Hernandez AF, Bonow RO, Smith SC Jr (2010) Racial and ethnic differences in the treatment of acute myocardial infarction: findings from the Get With the Guidelines-Coronary Artery Disease program. Circulation 121:2294–2301

    Article  PubMed  Google Scholar 

  27. Comstock GW (1957) An epidemiologic study of blood pressure levels in a biracial community in the Southern United States. Am J Hyg 65:271–315

    PubMed  Google Scholar 

  28. Cooper LA, Hill MN, Powe NR (2002) Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. J Gen Intern Med 17(6):477–486

    Article  PubMed  PubMed Central  Google Scholar 

  29. Cossrow N, Falkner B (2004) Race/ethnic issues in obesity and obesity-related comorbidities. J Clin Endocrinol Metab 89:2590–2594

    Article  PubMed  Google Scholar 

  30. Crimmins EM, Kim JK, Alley DE, Karlamangla A, Seeman T (2007) Hispanic paradox in biological risk profiles. Am J Public Health 97:1305–1310

    Article  PubMed  PubMed Central  Google Scholar 

  31. DeNavas-Walt C, Proctor BD, Smith JC (2010) Current Population Reports, P60-238, income, povery, and health insurance coverage in the United States: 2009. U.S. Census Bureau, Washington, DC

    Google Scholar 

  32. Everson SA, Lynch JW, Chesney MA, Kaplan GA, Goldberg DE, Shade SB, Cohen RD, Salonen R, Salonen JT (1997) Interaction of workplace demands and cardiovascular reactivity in progression of carotid atherosclerosis: population based study. BMJ 314:553–558

    Article  PubMed  PubMed Central  Google Scholar 

  33. Everson SA, Goldberg DE, Kaplan GA, Julkunen J, Salonen JT (1998) Anger expression and incident hypertension. Psychosom Med 60:730–735

    Article  PubMed  Google Scholar 

  34. Everson-Rose SA, Lewis TT (2005) Psychosocial factors and cardiovascular diseases. Annu Rev Public Health 26:469–500

    Article  PubMed  Google Scholar 

  35. Everson-Rose SA, Meyer PM, Powell LH, Pandey D, Torrens JI, Kravitz HM, Bromberger JT, Matthews KA (2004) Depressive symptoms, insulin resistance, and risk of diabetes in women at midlife. Diabetes Care 27:2856–2862

    Article  PubMed  Google Scholar 

  36. Everson-Rose SA, Lutsey PL, Roetker NS, Lewis TT, Kershaw KN, Alonso A, Diez Roux AV (2015) Perceived discrimination and incident cardiovascular events: the Multi-Ethnic Study of Atherosclerosis. Am J Epidemiol 182:225–234

    Article  PubMed  PubMed Central  Google Scholar 

  37. Farmer MM, Ferraro KF (2005) Are racial disparities in health conditional on socioeconomic status? Soc Sci Med 60:191–204

    Article  PubMed  Google Scholar 

  38. Finkelstein EA, Khavjou OA, Mobley LR, Haney DM, Will JC (2004) Racial/ethnic disparities in coronary heart disease risk factors among WISEWOMAN enrollees. J Womens Health 13:503–518

    Article  Google Scholar 

  39. Fryar CD, Hirsch R, Eberhardt MS, Yoon SS, Wright JD (2010) Hypertension, high serum total cholesterol, and diabetes: racial and ethnic prevalence differences in U.S. adults, 1999–2006. NCHS Data Brief 36:1–8

    Google Scholar 

  40. Fuchs FD, Chambless LE, Whelton PK, Nieto FJ, Heiss G (2001) Alcohol consumption and the incidence of hypertension: the Atherosclerosis Risk in Communities Study. Hypertension 37:1242–1250

    Article  PubMed  Google Scholar 

  41. Gallo LC, Matthews KA (2003) Understanding the association between socioeconomic status and physical health: do negative emotions play a role? Psychol Bull 129:10–51

    Article  PubMed  Google Scholar 

  42. Gallo LC, Bogart LM, Vranceanu AM, Matthews KA (2005) Socioeconomic status, resources, psychological experiences, and emotional responses: a test of the reserve capacity model. J Pers Soc Psychol 88:386–399

    Article  PubMed  Google Scholar 

  43. Groeneveld PW, Kruse GB, Chen Z, Asch DA (2007) Variation in cardiac procedure use and racial disparity among Veterans Affairs Hospitals. Am Heart J 153:320–327

    Article  PubMed  Google Scholar 

  44. Hasin DS, Goodwin RD, Stinson FS, Grant BF (2005) Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry 62:1097–1106

    Article  PubMed  Google Scholar 

  45. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM (2004) Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 291:2847–2850

    Article  PubMed  Google Scholar 

  46. Hofrichter R (2006) Tackling health inequities through public health practice: a handbook for action, vol 12. National Association of County and City Health Officials, Washington, DC

    Google Scholar 

  47. Howard G, Howard VJ (2001) Ethnic disparities in stroke: the scope of the problem. Ethn Dis 11:761–768

    PubMed  Google Scholar 

  48. Hughes JW, Sherwood A, Blumenthal JA, Suarez EC, Hinderliter AL (2003) Hostility, social support, and adrenergic receptor responsiveness among African-American and white men and women. Psychosom Med 65:582–587

    Article  PubMed  Google Scholar 

  49. Jackson JS, Brown TN, Williams DR, Torres M, Sellers SL, Brown K (1996) Racism and the physical and mental health status of African Americans: a thirteen year national panel study. Ethn Dis 6:132–147

    PubMed  Google Scholar 

  50. Jackson-Triche ME, Greer Sullivan J, Wells KB, Rogers W, Camp P, Mazel R (2000) Depression and health-related quality of life in ethnic minorities seeking care in general medical settings. J Affect Disord 58:89–97

    Article  PubMed  Google Scholar 

  51. Johnson RL, Roter D, Powe NR, Cooper LA (2004) Patient race/ethnicity and quality of patient-physician communication during medical visits. Am J Public Health 94:2084–2090

    Article  PubMed  PubMed Central  Google Scholar 

  52. Kaplan G, Keil J (1993) Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 88:1973–1998

    Article  PubMed  Google Scholar 

  53. Kaplan GA, Everson SA, Lynch JW (2000) The contribution of social and behavioral research to an understanding of the distribution of disease: a multilevel approach. In: Smedley BD, Syme SL (eds) Promoting health: intervention strategies from social and behavioral research. National Academy Press, Washington, DC, pp 37–80

    Google Scholar 

  54. Karlamangla AS, Merkin SS, Crimmins EM, Seeman TE (2010) Socioeconomic and ethnic disparities in cardiovascular risk in the United States, 2001–2006. Ann Epidemiol 20:617–628

    Article  PubMed  PubMed Central  Google Scholar 

  55. Kawachi I, Daniels N, Robinson DE (2005) Health disparities by race and class: why both matter. Health Aff (Millwood) 24:343–352

    Article  Google Scholar 

  56. Kissela B, Schneider A, Kleindorfer D, Khoury J, Miller R, Alwell K, Woo D, Szaflarski J, Gebel J, Moomaw C, Pancioli A, Jauch E, Shukla R, Broderick J (2004) Stroke in a biracial population: the excess burden of stroke among blacks. Stroke 35(2):426–431

    Article  PubMed  Google Scholar 

  57. Kleindorfer D (2009) Sociodemographic groups at risk: race/ethnicity. Stroke 40:S75–S78

    Article  PubMed  Google Scholar 

  58. Koh HK (2010) A 2020 vision for healthy people. N Engl J Med 362:1653–1656

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  60. Kurian AK, Cardarelli KM (2007) Racial and ethnic differences in cardiovascular disease risk factors: a systematic review. Ethn Dis 17:143–152

    PubMed  Google Scholar 

  61. Lanska DJ (1993) Geographic distribution of stroke mortality in the United States: 1939–1941 to 1979–1981. Neurology 43:1839–1851

    Article  PubMed  Google Scholar 

  62. Lantz PM, House JS, Lepkowski JM, Williams DR, Mero RP, Chen J (1998) Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of US adults. JAMA 279:1703–1708

    Article  PubMed  Google Scholar 

  63. Lantz PM, Lynch JW, House JS, Lepkowski JM, Mero RP, Musick MA, Williams DR (2001) Socioeconomic disparities in health change in a longitudinal study of US adults: the role of health-risk behaviors. Soc Sci Med 53:29–40

    Article  PubMed  Google Scholar 

  64. Larson NI, Story MT, Nelson MC (2009) Neighborhood environments: disparities in access to healthy foods in the U.S. Am J Prev Med 36:74–81

    Article  PubMed  Google Scholar 

  65. Leung MW, Yen IH, Minkler M (2004) Community based participatory research: a promising approach for increasing epidemiology’s relevance in the 21st century. Int J Epidemiol 33:499–506

    Article  PubMed  Google Scholar 

  66. Lewis TT, Everson-Rose SA, Powell LH, Matthews KA, Brown C, Karavolos K, Sutton-Tyrrell K, Jacobs E, Wesley D (2006) Chronic exposure to everyday discrimination and coronary artery calcification in African-American women: the SWAN Heart Study. Psychosom Med 68:362–368

    Article  PubMed  Google Scholar 

  67. Lewis TT, Everson-Rose SA, Colvin A, Matthews K, Bromberger JT, Sutton-Tyrrell K (2009) Interactive effects of race and depressive symptoms on calcification in African American and white women. Psychosom Med 71:163–170

    Article  PubMed  PubMed Central  Google Scholar 

  68. Lewis TT, Guo H, Lunos S, Mendes de Leon CF, Skarupski KA, Evans DA, Everson-Rose SA (2011) Depressive symptoms and cardiovascular mortality in older black and white adults: evidence for a differential association by race. Circ Cardiovasc Qual Outcomes 4:293–299

    Article  PubMed  PubMed Central  Google Scholar 

  69. Lillie-Blanton M, Rushing OE, Ruiz S, Mayberry R, Boone L (2002) Racial/ethnic differences in cardiac care: the weight of the evidence. Henry J Kaiser Family Foundation, American College of Cardiology Foundation, Washington, DC

    Google Scholar 

  70. Lloyd-Jones D, Nam BH, D’Agostino RB, Levy D, Murabito JM, Wang TJ, Wilson PWF, O’Donnell CJ (2004) Parental cardiovascular disease as a risk factor for cardiovascular disease in middle-aged adults – a prospective study of parents and offspring. JAMA 291:2204–2211

    Article  PubMed  Google Scholar 

  71. Lovejoy J, Sasagawa M (2010) Obesity, nutrition, and physical activity in blacks and whites: implications for cardiovascular disease. Curr Cardiovasc Risk Rep 4:202–208

    Article  Google Scholar 

  72. Lurie N, Fremont A, Jain AK, Taylor SL, McLaughlin R, Peterson E, Kong BW, Ferguson TB Jr (2005) Racial and ethnic disparities in care: the perspectives of cardiologists. Circulation 111:1264–1126

    Article  PubMed  Google Scholar 

  73. Lynch JW, Kaplan GA, Salonen JT (1997) Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse. Soc Sci Med 44:809–819

    Article  PubMed  Google Scholar 

  74. Marenberg ME, Risch N, Berkman LF, Floderus B, de Faire U (1994) Genetic susceptibility to death from coronary heart disease in a study of twins. N Engl J Med 330:1041–1046

    Article  PubMed  Google Scholar 

  75. Massey DS (2004) Segregation and stratification: a biosocial perspective. Du Bois Rev 1(01):7–25

    Article  Google Scholar 

  76. Matsumoto Y, Uyama O, Shimizu S, Michishita H, Mori R, Owada T, Sugita M (1993) Do anger and aggression affect carotid atherosclerosis. Stroke 24:983–986

    Article  PubMed  Google Scholar 

  77. Matthews KA, Cottington EM, Talbott E, Kuller LH, Siegel JM (1987) Stressful work conditions and diastolic blood-pressure among blue collar factory-workers. Am J Epidemiol 126:280–291

    Article  PubMed  Google Scholar 

  78. Matthews KA, Raikkonen K, Gallo L, Kuller LH (2008) Association between socioeconomic status and metabolic syndrome in women: testing the reserve capacity model. Health Psychol 27:576–583

    Article  PubMed  PubMed Central  Google Scholar 

  79. Maty SC, James SA, Kaplan GA (2009) Life-course socioeconomic position and incidence of diabetes mellitus among blacks and whites: the Alameda County Study, 1965–1999. Am J Public Health 100:137–145

    Article  Google Scholar 

  80. Mays VM, Cochran SD, Barnes NW (2007) Race, race-based discrimination, and health outcomes among African Americans. Annu Rev Psychol 58:201–225

    Article  PubMed  PubMed Central  Google Scholar 

  81. McDonough JR, Garrison GE, Hames CG (1967) Blood pressure and hypertensive disease among Negroes and Whites in Evans County, Georgia. In: Stamler J, Stamler R, Pullman TN (eds) The epidemiology of hypertension. Grune and Stratton, New York, pp 167–187

    Google Scholar 

  82. Minkler M (2005) Community-based research partnerships: challenges and opportunities. J Urban Health 82(2 Suppl 2):ii3–ii12

    PubMed  PubMed Central  Google Scholar 

  83. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, Das SR, Ferranti S, Després JP, Fullerton HJ, Howard VJ, Huffman MD, Isasi CR, Jiménez MC, Judd SE, Kissela BM, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Magid DJ, DK MG, Mohler ER III, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ CJ, Rosamond W, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Woo D, Yeh RW, Turner MB, American Heart Association Statistics Committee and Stroke Statistics Subcommittee (2016) Heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation 133:e38–e360

    PubMed  Google Scholar 

  84. Myers HF (2009) Ethnicity- and socio-economic status-related stresses in context: an integrative review and conceptual model. J Behav Med 32:9–19

    Article  PubMed  Google Scholar 

  85. Nelson A (2002) Unequal treatment: confronting racial and ethnic disparities in health care. J Natl Med Assoc 94:666–668

    PubMed  PubMed Central  Google Scholar 

  86. NHLBI (2006) Incidence and prevalence: 2006 chart book on cardiovascular and lung diseases. National Heart, Lung, and Blood Institute, Bethesda

    Google Scholar 

  87. Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM (2010) Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA 303:242–249

    Article  PubMed  Google Scholar 

  88. Otten MW Jr, Teutsch SM, Williamson DF, Marks JS (1990) The effect of known risk factors on the excess mortality of black adults in the United States. JAMA 263:845–850

    Article  PubMed  Google Scholar 

  89. Passel JS, Cohn D (2008) U.S. population projections 2005–2050. Pew Research Center Social & Demographic Trends. Pew Research Center, Washington, DC

    Google Scholar 

  90. Pleis JR, Lucas JW, Ward BW (2009) Summary health statistics for U.S. adults: National Health Interview Survey, 2008. Vital Health Stat 10(242):1–157

    Google Scholar 

  91. Pletcher MJ, Varosy P, Kiefe CI, Lewis CE, Sidney S, Hulley SB (2005) Alcohol consumption, binge drinking, and early coronary calcification: findings from the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Epidemiol 161:423–433

    Article  PubMed  Google Scholar 

  92. Prineas R, Gillum R (1985) US epidemiology of hypertension in Blacks. In: Hall WD, Saunders E, Shulman NB (eds) Hypertension in blacks: epidimiology, pathophysiology and treatment. Year Book Medica Pubishers, Chicago, pp 17–37

    Google Scholar 

  93. Rosamond WD, Folsom AR, Chambless LE, Wang CH, McGovern PG, Howard G, Copper LS, Shahar E (1999) Stroke incidence and survival among middle-aged adults – 9-year follow-up of the Atherosclerosis Risk in Communities (ARIC) cohort. Stroke 30:736–743

    Article  PubMed  Google Scholar 

  94. Sacco RL, Boden-Albala B, Abel G, Lin IF, Elkind M, Hauser WA, Paik MC, Shea S (2001) Race-ethnic disparities in the impact of stroke risk factors: the northern Manhattan stroke study. Stroke 32:1725–1731

    Article  PubMed  Google Scholar 

  95. Sarrazin MS, Campbell ME, Richardson KK, Rosenthal GE (2009) Racial segregation and disparities in health care delivery: conceptual model and empirical assessment. Health Serv Res 44:1424–1444

    Article  PubMed  Google Scholar 

  96. Schoenborn CA, Adams PE (2010) Health behaviors of adults: United States, 2005–2007. Vital Health Stat 10(245):1–132

    Google Scholar 

  97. Schulz A, Israel B, Williams D, Parker E, Becker A, James S (2000) Social inequalities, stressors and self reported health status among African American and white women in the Detroit metropolitan area. Soc Sci Med 51:1639–1653

    Article  PubMed  Google Scholar 

  98. Schulz AJ, Kannan S, Dvonch JT, Israel BA, Allen A 3rd, James SA, House JS, Lepkowski J (2005) Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model. Environ Health Perspect 113:1817–1825

    Article  PubMed  PubMed Central  Google Scholar 

  99. Sharma S, Malarcher AM, Giles WH, Myers G (2004) Racial, ethnic and socioeconomic disparities in the clustering of cardiovascular disease risk factors. Ethn Dis 14:43–48

    PubMed  Google Scholar 

  100. Smedley BD, Stith AY, Nelson AR (2003) Unequal treatment: confronting racial and ethinic disparities in healthcare. The National Academies Press, Washington, DC

    Google Scholar 

  101. Street RL Jr, O’Malley KJ, Cooper LA, Haidet P (2008) Understanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identity. Ann Fam Med 6:198–205

    Article  PubMed  PubMed Central  Google Scholar 

  102. Sundquist J, Winkleby MA, Pudaric S (2001) Cardiovascular disease risk factors among older black, Mexican-American, and white women and men: an analysis of NHANES III, 1988–1994. Third National Health and Nutrition Examination Survey. J Am Geriatr Soc 49:109–116

    Article  PubMed  Google Scholar 

  103. Terrell C, Beaudreau J (2003) 3000 by 2000 and beyond: next steps for promoting diversity in the health professions. J Dent Educ 67:1048–1052

    Article  PubMed  Google Scholar 

  104. Troxel WM, Matthews KA, Bromberger JT, Sutton-Tyrrell K (2003) Chronic stress burden, discrimination, and subclinical carotid artery disease in African American and Caucasian women. Health Psychol 22:300–309

    Article  PubMed  Google Scholar 

  105. Wallerstein NB, Duran B (2006) Using community-based participatory research to address health disparities. Health Promot Pract 7:312–323

    Article  PubMed  Google Scholar 

  106. White H, Albala BB, Wang CL, Elkind MSV, Rundek T, Wright CB, Sacco RL (2005) Ischemic stroke subtype incidence among whites, blacks, and Hispanics – the northern Manhattan study. Circulation 111:1327–1331

    Article  PubMed  Google Scholar 

  107. Williams DR, Jackson PB (2005) Social sources of racial disparities in health. Health Aff (Millwood) 24:325–334

    Article  Google Scholar 

  108. Williams DR, Mohammed SA (2009) Discrimination and racial disparities in health: evidence and needed research. J Behav Med 32:20–47

    Article  PubMed  Google Scholar 

  109. Williams D, Yu Y, Jackson J, Anderson N (1997) Racial differences in physical and mental health. J Health Psychol 3:335–351

    Article  Google Scholar 

  110. Williams RR, Hunt SC, Heiss G, Province MA, Bensen JT, Higgins M, Chamberlain RM, Ware J, Hopkins PN (2001) Usefulness of cardiovascular family history data for population-based preventive medicine and medical research (the Health Family Tree Study and the NHLBI Family Heart Study). Am J Cardiol 87:129–135

    Article  PubMed  Google Scholar 

  111. Williams DR, Mohammed SA, Leavell J, Collins C (2010) Race, socioeconomic status, and health: complexities, ongoing challenges, and research opportunities. Ann N Y Acad Sci 1186:69–101

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

Ms. Henderson was supported by NIH grant 3R01HL084209-S1; Mr. Golden and Drs. Okuyemi and Everson-Rose were supported in part by NIH grant P60MD003422; Dr. Everson-Rose additionally was supported by NIH grants R01HL084209, R21HL091290, and R01HL089862;

Dr. Okuyemi additionally was supported by U54CA153603 and R01HL081522. Additional support comes from the Program in Health Disparities Research and Applied Clinical Research Program at the University of Minnesota. The content of this chapter is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Authors and Affiliations

  1. Department of Family Medicine and Community Health and Program in Health Disparities Research, University of Minnesota Medical School, Minneapolis, MN, USA

    Kimberly M. Fordham & Susan A. Everson-Rose

  2. Department of Family Medicine and Community Health and Program in Health Disparities Research, University of Minnesota Medical School, Minneapolis, MN, USA

    Michael Golden

  3. Department of Family Medicine and Community Health and Program in Health Disparities Research, and Center for Health Equity, University of Minnesota Medical Center, Minneapolis, MN, USA

    Kolawole S. Okuyemi

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  1. Kimberly M. Fordham
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  2. Michael Golden
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  3. Kolawole S. Okuyemi
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  4. Susan A. Everson-Rose
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Corresponding author

Correspondence to Susan A. Everson-Rose .

Editor information

Editors and Affiliations

  1. Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA

    Shari R. Waldstein

  2. Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands

    Willem J. Kop

  3. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

    Edward C. Suarez

  4. Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    William R. Lovallo

  5. Division of Gerontology Geriatrics and Palliative Medicine Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA

    Leslie I. Katzel

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Fordham, K.M., Golden, M., Okuyemi, K.S., Everson-Rose, S.A. (2022). Health Disparities and Cardiovascular Diseases. In: Waldstein, S.R., Kop, W.J., Suarez, E.C., Lovallo, W.R., Katzel, L.I. (eds) Handbook of Cardiovascular Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85960-6_11

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