This study assessed associations of risk factors with coronary heart disease incidence in African Americans.
The participants in the NHANES I Epidemiologic Follow-Up Study included in this analysis were 1641 Black and 9660 White persons who were aged 25 to 74 years when examined and who did not have a history of coronary heart disease.
Average follow-up for survivors was 19 years.
Significant, independent risk factors for coronary heart disease were age, systolic blood pressure, and smoking in Black women and age, systolic blood pressure, serum cholesterol, low education, and low family income in Black men.
In this cohort, 19% of incident coronary heart disease in Black women and 34% in Black men might be prevented if systolic blood pressure were below 140 mm Hg.
In Black men, attributable risk for low education (46%) was even higher than that for elevated blood pressure.
Elevated systolic blood pressure and smoking were predictive of coronary heart disease incidence in African Americans.
Estimates of population attributable risk were highest for elevated systolic blood pressure in women and education less than high school in men.
Further studies of serum lipids, education, and coronary heart disease in Black women are needed.
Mots-clés Pascal : Cardiopathie coronaire, Epidémiologie, Facteur risque, Incidence, Homme, Ethnie, Africain, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie, Etude cohorte, Fraction risque attribuable
Mots-clés Pascal anglais : Coronary heart disease, Epidemiology, Risk factor, Incidence, Human, Ethnic group, African, United States, North America, America, Cardiovascular disease, Cohort study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0290463
Code Inist : 002B12A03. Création : 27/11/1998.