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Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans.

Publication ,  Journal Article
Goldstein, KM; Melnyk, SD; Zullig, LL; Stechuchak, KM; Oddone, E; Bastian, LA; Rakley, S; Olsen, MK; Bosworth, HB
Published in: Womens Health Issues
2014

BACKGROUND: Cardiovascular disease (CVD) is the leading cause of mortality for U.S. women. Racial minorities are a particularly vulnerable population. The increasing female veteran population has an higher prevalence of certain cardiovascular risk factors compared with non-veteran women; however, little is known about gender and racial differences in cardiovascular risk factor control among veterans. METHODS: We used analysis of variance, adjusting for age, to compare gender and racial differences in three risk factors that predispose to CVD (diabetes, hypertension, and hyperlipidemia) in a cohort of high-risk veterans eligible for enrollment in a clinical trial, including 23,955 men and 1,010 women. FINDINGS: Low-density lipoprotein (LDL) values were higher in women veterans than men with age-adjusted estimated mean values of 111.7 versus 97.6 mg/dL (p < .01). Blood pressures (BPs) were higher among African-American than White female veterans with age-adjusted estimated mean systolic BPs of 136.3 versus 133.5 mmHg, respectively (p < .01), and diastolic BPs of 82.4 versus 78.9 mmHg (p < .01). African-American veterans with diabetes had worse BP, LDL values, and hemoglobin A1c levels, although the differences were only significant among men. CONCLUSIONS: Female veterans have higher LDL cholesterol levels than male veterans and African-American veterans have higher BP, LDL cholesterol, and A1c levels than Whites after adjusting for age. Further examination of CVD gender and racial disparities in this population may help to develop targeted treatments and strategies applicable to the general population.

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Published In

Womens Health Issues

DOI

EISSN

1878-4321

Publication Date

2014

Volume

24

Issue

5

Start / End Page

477 / 483

Location

United States

Related Subject Headings

  • White People
  • Virginia
  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Socioeconomic Factors
  • Sex Factors
  • Risk Factors
  • Public Health
  • Prevalence
 

Citation

APA
Chicago
ICMJE
MLA
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Goldstein, K. M., Melnyk, S. D., Zullig, L. L., Stechuchak, K. M., Oddone, E., Bastian, L. A., … Bosworth, H. B. (2014). Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans. Womens Health Issues, 24(5), 477–483. https://doi.org/10.1016/j.whi.2014.05.005
Goldstein, Karen M., S Dee Melnyk, Leah L. Zullig, Karen M. Stechuchak, Eugene Oddone, Lori A. Bastian, Susan Rakley, Maren K. Olsen, and Hayden B. Bosworth. “Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans.Womens Health Issues 24, no. 5 (2014): 477–83. https://doi.org/10.1016/j.whi.2014.05.005.
Goldstein KM, Melnyk SD, Zullig LL, Stechuchak KM, Oddone E, Bastian LA, et al. Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans. Womens Health Issues. 2014;24(5):477–83.
Goldstein, Karen M., et al. “Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans.Womens Health Issues, vol. 24, no. 5, 2014, pp. 477–83. Pubmed, doi:10.1016/j.whi.2014.05.005.
Goldstein KM, Melnyk SD, Zullig LL, Stechuchak KM, Oddone E, Bastian LA, Rakley S, Olsen MK, Bosworth HB. Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans. Womens Health Issues. 2014;24(5):477–483.
Journal cover image

Published In

Womens Health Issues

DOI

EISSN

1878-4321

Publication Date

2014

Volume

24

Issue

5

Start / End Page

477 / 483

Location

United States

Related Subject Headings

  • White People
  • Virginia
  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Socioeconomic Factors
  • Sex Factors
  • Risk Factors
  • Public Health
  • Prevalence