Key result
Compared to white adults, incident coronary heart disease risk was higher in African-American women aged 25-54 (RR 1.76, 95% CI 1.36-2.29) but lower in African-American men (RR 0.78, 95% CI 0.65-0.93).
Why the study?
Does the incidence of coronary heart disease and survival differ between African-American and white persons?
Population
11,406 white and African-American persons aged 25 to 74 years who had no history of coronary heart disease
Comparison
African-American ethnicity vs White ethnicity
Design
Cohort
Follow-up
Average 19 years (maximum, 22 years)
Authors
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Sex- and race-specific CHD incidence differences may warrant tailored prevention; leaves open effects of risk factor interventions on outcomes.
Cohort (n=11,406)
Does the incidence of coronary heart disease and survival differ between African-American and white persons?
Relative Risk: 1.76 (95% CI 1.36–2.29)
African-American women aged 25 to 54 years have a higher incidence of coronary heart disease than white women, largely explained by risk factors, while African-American men have a lower incidence than white men, though African-Americans undergo fewer coronary procedures after hospitalization.
Richard F Gillum (1997) conducted a cohort in Coronary heart disease (n=11,406). African-American race vs. White race was evaluated on Incident coronary heart disease (RR 1.76, 95% CI 1.36-2.29). Compared to white adults, incident coronary heart disease risk was higher in African-American women aged 25-54 (RR 1.76, 95% CI 1.36-2.29) but lower in African-American men (RR 0.78, 95% CI 0.65-0.93).
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