Heart Disease - The Office of Minority Health

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Heart Disease and African Americans

Although African American adults are 40 percent more likely to have high blood pressure, they are less as likely than their non-Hispanic White counterparts to have their blood pressure under control.

In 2010, African Americans were 30 percent more likely to die from heart disease than non-Hispanic whites.
African American women are 1.6 times more likely (60 percent more likely) than non-Hispanic white women to have high blood pressure.

At a glance – Diagnosed Cases of Coronary Heart Disease:

**Age-adjusted percentages of coronary heart disease among persons 18 years of age and over, 2012**
Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
6.5	6.2	1.0

Source: CDC 2014. Summary Health Statistics for U.S. Adults: 2012. Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf [PDF | 3.5MB]

At a glance – Death Rate:

**Age-Adjusted Heart Disease Death Rates per 100,000 (2013)**
	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
Men	289.1	217.9	1.2
Women	176.4	134.6	1.3
Total	215.5	171.8	1.3

Source: CDC, 2014. National Vital Statistics Report. Vol. 64, Num 2 Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf [PDF | 1.68MB]

At a Glance – Risk Factors:

There are several risk factors related to heart disease. Some of these risk factors are:

Obesity and Overweight – See Obesity and African Americans

Hypertension

**Age-adjusted percentage of persons 20 years of age and over who have high blood pressure, 2009-2012.**
	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
Men	42.5	29.6	1.4
Women	44.2	27.5	1.6

Source: CDC 2015 Health United States, 2014. Table 60.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

**Age-adjusted percentage of persons 18 years of age and over who have high blood pressure, 2012.**
Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black /Non-Hispanic White Ratio
33.2	23.4	1.4

Source: CDC 2014. Summary Health Statistics for U.S. Adults: 2012. Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf [PDF | 3.5MB]

**Percent of adults with hypertension whose blood pressure is under control, 2011-2012**
Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
48.7	53.9	0.9

Source: CDC 2015. Health Indicators Warehouse.
http://www.healthindicators.gov/Indicators/Blood-pressure-control-adults-with-hypertensionpercent_882/Profile

High Cholesterol

**Age-adjusted percentage of persons 20 years of age and over who have high cholesterol, 2009-2012.**
	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
Men	25.6	28.1	0.9
Women	26.3	28.2	0.9

Source: CDC 2015. Health United States, 2014. Table 61.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

**Adults who received a blood cholesterol measurement in the last 5 years, 2008**
Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
76.9	74.1	1.0

Source: AHRQ 2015. National Healthcare Quality and Disparities Reports. Data Query. Table 7 _5_ 1_ 4_2.1.
http://nhqrnet.ahrq.gov/inhqrdr/data/query

Heart Disease and African Americans

Age-adjusted percentage of adults aged 20 and over screened for cholesterol, 2011-2012
	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black /Non- Hispanic White Ratio
Men	66.8	70.6	0.9
Women	75.9	72.9	1.0
Total	71.9	71.8	1.0

Source: CDC 2013. NCHS Data Brief, No. 132, Figure 5.
http://www.cdc.gov/nchs/data/databriefs/db132.pdf [PDF | 778KB]

Cigarette Smoking

**Age-adjusted percentage of persons 18 years of age and over who are current cigarette smokers, 2009-2011.**
	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non-Hispanic White Ratio
Men	22.5	22.1	1.0
Women	14.9	19.2	0.8

Source: CDC, 2015. Health United States, 2014 Table 54.
http://www.cdc.gov/nchs/data/hus/hus14.pdf [PDF | 14.65MB]

**Percentage of current smokers age 18 and over with a checkup who reported receiving advice to quit smoking, 2009**
	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
Men	59.0	66.3	0.9
Women	61.5	73.8	0.8
Total	60.5	70.5	0.9

Source: 2013 National Healthcare Quality Report. Table T2_10_1_1-1_2b.
http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr12/index.html

At a Glance – Treatment:

**Hospital patients with heart attack who were prescribed ACE inhibitor or ARB at discharge, United States, 2012**
Black	White	Black/ White Ratio
97.5	96.1	1.0

Source: AHRQ 2015. National Healthcare Quality and Disparities Reports. Data Query. Table 6_2_3_1_1.1.
http://nhqrnet.ahrq.gov/inhqrdr/data/query

Last Modified: 1/28/2016 10:16:00 AM

Office of Minority Health
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Office of Minority Health Resource Center
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Email: info@minorityhealth.hhs.gov

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