Key result
Racial disparities in optimal cardiovascular health decreased between 1988 and 2014 (e.g., from 22.8 to 10.6 percentage points in adults aged 25-44), driven by worsening health among whites.
Cross-Sectional
Decreasing racial disparities in cardiovascular health in the US are paradoxically driven by worsening health among white adults rather than improvements among minority groups.
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Narrowing disparities should not reassure on equity gains; leaves open whether targeted interventions improved minority cardiovascular health.
Brown et al. (2018) conducted a cross-sectional in Without prevalent cardiovascular disease. Race/ethnicity (African American, Mexican American) vs. Whites was evaluated on Optimal composite scores for cardiovascular health (LS7 score ≥10). Racial disparities in optimal cardiovascular health decreased between 1988 and 2014 (e.g., from 22.8 to 10.6 percentage points in adults aged 25-44), driven by worsening health among whites.
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