Details:

Alternative Title:
MMWR Surveill Summ
Publisher's site:
http://dx.doi.org/10.15585/MMWRss6705a1
Personal Author:
Van Dyke, Miriam ; Greer, Sophia ; Odom, Erika ; Schieb, Linda ; Vaughan, Adam ; ... More +
Van Dyke, Miriam ; Greer, Sophia ; Odom, Erika ; Schieb, Linda ; Vaughan, Adam ; Kramer, Michael ; Casper, Michele Less -
Corporate Authors:
Rollins School of Public Health Dept. of Epidemiology ; National Center for Chronic Disease Prevention and Health Promotion (U.S.) ; Div. for Heart Disease and Stroke Prevention
Rollins School of Public Health Dept. of Epidemiology ; National Center for Chronic Disease Prevention and Health Promotion (U.S.) ; Div. for Heart Disease and Stroke Prevention Less -
Description:
Problem/Condition

Heart disease is the leading cause of death in the U.S. In 2015, heart disease accounted for approximately 630,000 deaths, representing one in four deaths in the U.S. Although heart disease death rates decreased 68% for the total population from 1968 to 2015, marked disparities in decreases exist by race and state.

Period Covered

1968–2015.

Description of System

The National Vital Statistics System (U.S.) (NVSS) data on deaths in the U.S. were abstracted for heart disease using Diagnosis codes from the eighth, ninth, and tenth revisions of the International Classification of Diseases (ICD-8, ICD-9, and ICD-10) for 1968–2015. Population estimates were obtained from NVSS files. National and state-specific heart disease death rates for the total population and by race for adults aged ≥35 years were calculated for 1968–2015. National and state-specific black-white heart disease Mortality ratios also were calculated. Death rates were age standardized to the 2000 U.S. standard population. Joinpoint regression was used to perform time trend analyses.

Results

From 1968 to 2015, heart disease death rates decreased for the total U.S. population among adults aged ≥35 years, from 1,034.5 to 327.2 per 100,000 population, respectively, with variations in the magnitude of decreases by race and state. Rates decreased for the total population an average of 2.4% per year, with greater average decreases among whites (2.4% per year) than blacks (2.2% per year).

Interpretation

Although heart disease death rates decreased both for blacks and whites from 1968 to 2015, substantial differences in decreases were found by race and state. At the national level and in most states, blacks experienced smaller decreases in heart disease death rates than whites for the majority of the period. Overall, the black-white disparity in heart disease death rates increased from 1968 to 2005, with a modest decrease from 2005 to 2015.

Public Health Action

Since 1968, substantial increases have occurred in black-white disparities of heart disease death rates in the U.S. at the national level and in many states. These increases appear to be due to faster decreases in heart disease death rates for whites than blacks, particularly from the late 1970s until the mid-2000s. Despite modest decreases in black-white disparities at the national level since 2005, in 2015, heart disease death rates were 21% higher among blacks than among whites. This study demonstrates the use of NVSS data to conduct Surveillance of heart disease death rates by race and of black-white disparities in heart disease death rates. Continued Surveillance of temporal Trends in heart disease death rates by race can provide valuable information to policy makers and public health practitioners working to reduce heart disease death rates both for blacks and whites and disparities between blacks and whites.


Subjects:
[+]
Adult Black Or African American Cause Of Death Female Health Status Disparities Heart Diseases Humans Male White
Source:
MMWR Surveill Summ. 67(5):1-11
Series:
MMWR Survl. Summ.; v. 67, no. SS-7
Pubmed ID:
29596406
Pubmed Central ID:
PMC5877350
Document Type:
Journal Issue
Place as Subject:
U.S.
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:c211019b940125a24865d2c8d39e55a8f1819391bf6c46985a52dbe1969757d7
Download URL:
https://stacks.cdc.gov/view/cdc/111591/cdc_111591_DS1.pdf
File Type:

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