Are there sex and racial/ethnic differences in cardiovascular risk factor treatment and control among individuals with diabetes?
Women with diabetes, particularly African American and Hispanic women, have less favorable cardiovascular risk factor profiles and lower rates of treatment goal achievement compared to men and non-Hispanic white women.
OBJECTIVE To examine sex and racial/ethnic differences in cardiovascular risk factor treatment and control among individuals with diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA). RESEARCH DESIGN AND METHODS This study was an observational study examining mean levels of cardiovascular risk factors and proportion of subjects achieving treatment goals. RESULTS The sample included 926 individuals with diabetes. Compared with men, women were 9% less likely to achieve LDL cholesterol <130 mg/dl (adjusted prevalence ratio 0.91 0.83-0.99) and systolic blood pressure (SBP) <130 mmHg (adjusted prevalence ratio 0.91 0.85-0.98). These differences diminished over time. A lower percentage of women used aspirin (23 vs. 33%; P < 0.001). African American and Hispanic women had higher mean levels of SBP and lower prevalence of aspirin use than non-Hispanic white women. CONCLUSIONS Women with diabetes had unfavorable cardiovascular risk factor profiles compared with men. African American and Hispanic women had less favorable profiles than non-Hispanic white women.
Winston et al. (Tue,) studied this question.