ArticleAmerican journal of epidemiology2015
Decomposing Black-White Disparities in Heart Disease Mortality in the United States, 1973-2010: An Age-Period-Cohort Analysis.
Article in American journal of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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38 citing papers in PubMed.
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- Racial and Ethnic Disparities in Preventive and Chronic Disease Care in Medicare Advantage vs. Traditional Medicare.Journal of general internal medicine · 2026Article
- Disproportionately higher cardiovascular disease risk and incidence with high fructose corn syrup sweetened beverage intake among black young adults-the CARDIA study.Nutrition journal · 2024Article
- 40 years of adding more fructose to high fructose corn syrup than is safe, through the lens of malabsorption and altered gut health-gateways to chronic disease.Nutrition journal · 2024Article
- Risk predictors of race disparity in patients undergoing coronary artery bypass grafting: a propensity-matched analysis.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Improving Older Adults' Health by Reducing Administrative Burden.The Milbank quarterly · 2023Article
- Structural racism theory, measurement, and methods: A scoping review.Frontiers in public health · 2023Article
- Study on the burden of digestive diseases among Chinese residents in the 21st century.Frontiers in public health · 2023Article
- State Minimum Wage Increases As a Potential Policy Lever to Reduce Black-White Disparities in Hypertension.Health equity · 2023Article
- Brain-heart connections in stress and cardiovascular disease: Implications for the cardiac patient.Atherosclerosis · 2021Review
- Progress Toward Achieving National Targets for Reducing Coronary Heart Disease and Stroke Mortality: A County-Level Perspective.Journal of the American Heart Association · 2021Article
- A likelihood ratio test on temporal trends in age-period-cohort models with applications to the disparities of heart disease mortality among US populations and comparison with Japan.Statistics in medicine · 2021Article
- High fructose corn syrup, excess-free-fructose, and risk of coronary heart disease among African Americans- the Jackson Heart Study.BMC nutrition · 2020Article
- Persistent Racial and Sex Disparities in Outcomes After Coronary Artery Bypass Surgery: A Retrospective Clinical Registry Review in the Drug-eluting Stent Era.Annals of surgery · 2020Article
- Historic and recent trends in county-level coronary heart disease death rates by race, gender, and age group, United States, 1979-2017.PloS one · 2020Article
- Article
- Trends in Cardiovascular Disease Morbidity and Mortality in American Indians Over 25 Years: The Strong Heart Study.Journal of the American Heart Association · 2019Article
- Structural Characteristics of Tree Cover and the Association with Cardiovascular and Respiratory Health in Tampa, FL.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Article
- Changing rate orders of race-gender heart disease death rates: An exploration of county-level race-gender disparities.SSM - population health · 2019Article
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Abstract
Against the backdrop of late 20th century declines in heart disease mortality in the United States, race-specific rates diverged because of slower declines among blacks compared with whites. To characterize the temporal dynamics of emerging black-white racial disparities in heart disease mortality, we decomposed race-sex-specific trends in an age-period-cohort (APC) analysis of US mortality data for all diseases of the heart among adults aged ≥35 years from 1973 to 2010. The black-white gap was largest among adults aged 35-59 years (rate ratios ranged from 1.2 to 2.7 for men and from 2.3 to 4.0 for women) and widened with successive birth cohorts, particularly for men. APC model estimates suggested strong independent trends across generations ("cohort effects") but only modest period changes. Among men, cohort-specific black-white racial differences emerged in the 1920-1960 birth cohorts. The apparent strength of the cohort trends raises questions about life-course inequalities in the social and health environments experienced by blacks and whites which could have affected their biomedical and behavioral risk factors for heart disease. The APC results suggest that the genesis of racial disparities is neither static nor restricted to a single time scale such as age or period, and they support the importance of equity in life-course exposures for reducing racial disparities in heart disease.
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