 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
|
| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Theresa L Antoine, MPH, Ann M Malarcher, PhD, Henraya F Davis, PhD, and Janet B Croft, PhD. Cardiovascular Health Branch, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Hwy., NE, Mailstop K-47, Atlanta, GA 30341, 770-488-5979, tga6@cdc.gov
Background: Effectively controlling risk factors among people with CHD reduces morbidity and improves quality of life. Little information exists on recent trends in CHD prevalence and secondary prevention practices in the U.S.
Methods: The 1997-2001 National Health Interview Surveys, annual surveys of the U.S. civilian, non-institutionalized population, were used to estimate self-reported CHD prevalence by sociodemographic characteristics. Prevalence of risk factors (current smoking, overweight, physical activity) and co-morbidities (stroke, diabetes, hypertension) were estimated among persons with CHD. Percentages and standard errors were calculated using SUDAAN.
Results: Self-reported CHD prevalence was unchanged during the past five years (1997: 4.93% [9.6 million], 2001: 5.40% [11.0 million]). The relationship between prevalence and demographics varied little over time. Men were 1.6 times more likely than women, while whites were 1.4 and 2.3 times more likely than African Americans and Hispanics, respectively, to have CHD. Approximately 42.2% of persons with CHD were < 65 years of age and 31.2% were employed. CHD prevalence was inversely related to education and persons below the poverty level were 1.4 times more likely to have CHD than those above. Among those with CHD, the proportion with self-reported hypertension increased from 57.6% to 63.1% and overweight from 62.5% to 69.8% over five years. No change occurred in the prevalence of other co-morbidities or in current smoking (18.8%) and sub-optimal physical activity (71.7%).
Conclusions: Self-reported CHD prevalence and secondary prevention practices have not improved over five years. Renewed efforts in primary and secondary prevention are needed to accomplish the Healthy People 2010 objectives of reducing CHD.
Learning Objectives:
Keywords: Chronic (CVD), Risk Factors
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.