PDNATIONAL BLACK WOMEN HEALTHPROJECT

Information about PDNATIONAL BLACK WOMEN HEALTHPROJECT

Published on January 16, 2008

Author: Mercede

Source: authorstream.com

Content

Women and Heart Disease Unequal Burden of Disease.:  Women and Heart Disease Unequal Burden of Disease. Patricia Davidson, MD. Heart Disease Mortality Among Women Per 100,000 Population:  Heart Disease Mortality Among Women Per 100,000 Population Atherosclerosis/ hardened arteries::  Atherosclerosis/ hardened arteries: PREVENTABLE BEGINS IN THE FETUS IF THE MOTHER HAS HIGH CHOLESTEROL OR THE FIRST DECADE OF LIFE NOT A NATURAL PROCESS OF AGING RISK FACTORS::  RISK FACTORS: HOW DO THEY DIFFER? Classification of Overweight Based on Body Mass Index:  Classification of Overweight Based on Body Mass Index Overweight >20 BMI Obese >30 BMI BMI= kg/m2 NHANES 111 Overweight Women by Ethnicity:  Overweight Women by Ethnicity African American 68.3% Asian 10.1% White 46.8% Percent of Overweight Hispanic Women:  Percent of Overweight Hispanic Women Hispanic 33% Mexican 69.3% Puerto Rican 40.2% New immigrant 25% Diabetes Prevalence Among Women:  Diabetes Prevalence Among Women MIDDLE AGED OLDER Native Am. 21.8 31.8 Mexican Am. 7.7 29.9 African Am . 14.5 25.4 White 8.5 14.5 Diabetes:  Diabetes DM may explain the increased risk of CAD in African American women. Insulin resistance contributes to the development of CAD long before clinical DM. Insulin resistance is more prevalent in African American women. NHANES 1 Diabetes:  Diabetes African American women develop DM at a lower BMI than other women. DM is increasing fastest in ethnic groups. 80% of children diagnosed are obese. Screening should begin by age 10. NHANES 1 Exercise:  Exercise PHYSICAL ACTIVITY of FEMALE ADOLESCENTS ( %) Vigorous moderate sports Hispanic 45.2 27.6 27.3 Afr. Am. 41.2 26.4 34.9 White 56.7 16.8 47.1 MMWR 9/27/98 Percent of High School Students Smoking:  Percent of High School Students Smoking Racial and Gender Referral Bias:  Racial and Gender Referral Bias Rates of Bypass Surgery (CABG):  Rates of Bypass Surgery (CABG) Per 10,000 Medicare Patients: White men 40.4 White women 16.2 African American men 9.3 African American women 6.4 JAMA 3/18/92 Variation in Use of Cardiac Procedures in the Veterans Affairs Health System: Effect of Race:  Variation in Use of Cardiac Procedures in the Veterans Affairs Health System: Effect of Race African American men after acute MI were less likely to undergo the following procedures: Cardiac cath 33% PTCA 42% CABG 54% JAMA 4/20/94, NEMJ 1993, JACC 1994 Effect of Race and Sex on Physicians Recommendations for Cardiac Catheterization:  Effect of Race and Sex on Physicians Recommendations for Cardiac Catheterization Study design: 720 physicians viewed video tapes of actors presenting the same cardiac history and all having positive stress tests. African American women were the least likely to be referred for cardiac catheterization. NEJM 2/25/99 Missed Diagnoses of Acute Ischemia in the ER:  Missed Diagnoses of Acute Ischemia in the ER Risk of being sent home; Acute ischemia- 2 times higher among African American patients. Acute MI- 4 times higher compared to Caucasian patients. NEJM 4/20/00 Lessons From Canada Socioeconomic Status and Access to Care :  Lessons From Canada Socioeconomic Status and Access to Care In Ontario, despite Canada‚Äôs universal health care system, socioeconomic status had pronounced effects on access to specialized cardiac services as well as on mortality one year after acute myocardial infarction. NEMJ 10/18/99. WHAT CAN WE DO?:  WHAT CAN WE DO? RETURN TO OUR ROOTS. SELF HELP GROUPS:  SELF HELP GROUPS ENCOURAGE HEALTHY LIFE STYLES DISEMMINATE INFORMATION GIVE EMOTIONAL SUPPORT TOPICS TO DISCUSS DURING PANEL QUESTIONS::  TOPICS TO DISCUSS DURING PANEL QUESTIONS: HORMONE REPLACEMENT DIABETIC GOALS CHOLESTEROL GOALS, OPTIMAL VERSUS NATIONAL GUIDELINES HYPERTENSION DRUG THERAPY MYTHS BASED ON RACE TOPICS TO DISCUSS DURING PANEL QUESTIONS::  TOPICS TO DISCUSS DURING PANEL QUESTIONS: HORMONE REPLACEMENT DIABETIC GOALS CHOLESTEROL GOALS, OPTIMAL VERSUS NATIONAL GUIDELINES HYPERTENSION DRUG THERAPY MYTHS BASED ON RACE FOOD FOR LIFE:  FOOD FOR LIFE WHICH FOODS PROMOTE HEALTHY ARTERIES WHICH FOODS PROMOTE DISEASE

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