Preventing Chronic Disease | Racial Differences in Ideal Cardiovascular Health Metrics Among Mississippi Adults, 2009 Mississippi Behavioral Risk Factor Surveillance System - CDC

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Preventing Chronic Disease | Racial Differences in Ideal Cardiovascular Health Metrics Among Mississippi Adults, 2009 Mississippi Behavioral Risk Factor Surveillance System - CDC

Racial Differences in Ideal Cardiovascular Health Metrics Among Mississippi Adults, 2009 Mississippi Behavioral Risk Factor Surveillance System

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Vanessa L. Short, PhD, MPH; Abigail Gamble, PhD, CHES; Vincent Mendy, DrPH, MPH, CPH

Suggested citation for this article: Short VL, Gamble A, Mendy V. Racial Differences in Ideal Cardiovascular Health Metrics Among Mississippi Adults, 2009 Mississippi Behavioral Risk Factor Surveillance System. Prev Chronic Dis 2013;10:130201. DOI: http://dx.doi.org/10.5888/pcd10.130201.

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Abstract

Introduction
Cardiovascular disease is a leading cause of death and health disparities in Mississippi. Identifying populations with poor cardiovascular health may help direct interventions toward those populations disproportionately affected, which may ultimately increase cardiovascular health and decrease prominent disparities. Our objective was to assess racial differences in the prevalence of cardiovascular health metrics among Mississippi adults.
Methods
We used data from the 2009 Mississippi Behavioral Risk Factor Surveillance System to determine age-standardized prevalence estimates and 95% confidence intervals of cardiovascular health metrics among 2,003 black and 5,125 white adults. Logistic regression models were used to evaluate the relationship between race and cardiovascular health metrics. The mean cardiovascular metrics score and percentage of the population with ideal and poor cardiovascular health were calculated by subgroup.
Results
Approximately 1.3% of blacks and 2.6% of whites exhibited ideal levels of all 7 cardiovascular health metrics. The prevalence of 4 of the 7 cardiovascular health metrics was significantly lower among the total population of blacks than among whites, including a normal body mass index (20.8% vs 32.3%, P < .001), no history of diabetes (85.1% vs 91.3%, P < .001), no history of hypertension (53.9% vs 67.9%, P < .001), and physical activity (52.8% vs 62.2%, P < .001). The logistic regression models revealed significant race-by-sex interactions; differences between blacks and whites for normal body mass index, no history of diabetes mellitus, and no current smoking were found among women but not among men.
Conclusion
Cardiovascular health is poor among Mississippi adults overall, and racial differences exist.

Author Information

Corresponding Author: Vanessa L. Short, Mississippi State Department of Health, 570 East Woodrow Wilson, Jackson, MS 39215-1700. Telephone: 601-576-7472. Email: Vanessa.Short@msdh.state.ms.us.
Author Affiliations: Abigail Gamble, University of Mississippi Medical Center, Jackson, Mississippi; Vincent Mendy, Mississippi State Department of Health, Jackson, Mississippi.

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