Women and mexican Americans receive fewer cardiovascular drugs following myocardial infarction than men and non-hispanic whites: The Corpus Christi Heart Project, 1988–1990
Mortality following myocardial infarction (MI) is greater among women than men and among Mexican Americans than non-Hispanic whites. Because therapy can affect mortality following MI, we examined differences in discharge therapy among these groups. Data regarding discharge therapy of 982 patients in...
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| Veröffentlicht in: | Journal of clinical epidemiology 1996-03, Vol.49 (3), p.279-287 |
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| container_title | Journal of clinical epidemiology |
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| creator | Herholz, Harald Goff, David C. Ramsey, David J. Chan, Frances A. Ortiz, Carmen Labarthe, Darwin R. Nichaman, Milton Z. |
| description | Mortality following myocardial infarction (MI) is greater among women than men and among Mexican Americans than non-Hispanic whites. Because therapy can affect mortality following MI, we examined differences in discharge therapy among these groups. Data regarding discharge therapy of 982 patients in the Corpus Christi Heart Project showed that women received fewer cardiovascular drugs than men, and Mexican Americans received fewer cardiovascular drugs than non-Hispanic whites. In multivariate analysis adjusting for age, cigarettes smoking, diabetes, hypertension, congestive heart failure, and serum cholesterol, the odds ratio for receipt of cardiovascular medications was 0.51 (95% CI: 0.28–0.93) for women
versus men and 0.62 (0.3–1.15) for Mexican Americans
versus non-Hispanic whites. Beta-blockers were prescribed rarely. Thus, treatment differences between ethnic and gender groups were observed following MI. Further research is needed to determine both the reasons for these differences and the extent to which these differences contribute to the observed survival patterns following MI. |
| doi_str_mv | 10.1016/0895-4356(95)00572-2 |
| format | Article |
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versus men and 0.62 (0.3–1.15) for Mexican Americans
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versus men and 0.62 (0.3–1.15) for Mexican Americans
versus non-Hispanic whites. Beta-blockers were prescribed rarely. Thus, treatment differences between ethnic and gender groups were observed following MI. Further research is needed to determine both the reasons for these differences and the extent to which these differences contribute to the observed survival patterns following MI.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular Agents - therapeutic use</subject><subject>Coronary heart disease</subject><subject>Epidemiology</subject><subject>ethnicity</subject><subject>Female</subject><subject>gender</subject><subject>Heart</subject><subject>hispanic</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mexican Americans - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>myocardial infarction</subject><subject>Myocardial Infarction - prevention & control</subject><subject>Patient Discharge</subject><subject>Sex Factors</subject><subject>Texas</subject><subject>treatment</subject><subject>Women</subject><issn>0895-4356</issn><issn>1878-5921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi0EKkvhDUDyASEqEbCTOI45VKpWQJEqwaGIo-XY48ZVYm_tZLe98Q68Bw_VJ8HbXfaIfBhL881vaz6EXlLynhLafCCtYEVdseatYCeEMF4W5SO0oC1vCyZK-hgtDshT9Cyla0IoJ5wdoaO24Q3l9QL9-RlG8Fh5g0e4dVp5fDZC3F4SjqDBrQFb2EDEWkXjwlolPQ8qYhPnq4RtGIawcf4Kj3fhgVADdt6qqCcXPJ76nPjvBR980bu0Ut5pvOndBOkjvuwBL0NczQkv--jS5PA5qDjh7zFcg57eYSra9v7XbyoEeY6eWDUkeLGvx-jH50-Xy_Pi4tuXr8uzi0JXbTMVRlW0IbwGXdGqFsoCsxas7pQpS8pYrUErWpuug5LRznSCdwJq0RFoMtZUx-jNLncVw80MaZKjSxqGQXkIc5K8pRVjjGSw3oE6hpQiWLmKblTxTlIit5rk1oHcOpC5PmiSZR57tc-fuxHMYWjvJfdf7_t53WqwUXnt0gGrSpIPy9jpDoO8i7WDKJN24DUYl91N0gT3_3_8BVORsug</recordid><startdate>19960301</startdate><enddate>19960301</enddate><creator>Herholz, Harald</creator><creator>Goff, David C.</creator><creator>Ramsey, David J.</creator><creator>Chan, Frances A.</creator><creator>Ortiz, Carmen</creator><creator>Labarthe, Darwin R.</creator><creator>Nichaman, Milton Z.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960301</creationdate><title>Women and mexican Americans receive fewer cardiovascular drugs following myocardial infarction than men and non-hispanic whites: The Corpus Christi Heart Project, 1988–1990</title><author>Herholz, Harald ; Goff, David C. ; Ramsey, David J. ; Chan, Frances A. ; Ortiz, Carmen ; Labarthe, Darwin R. ; Nichaman, Milton Z.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-da316074ec31349afe5ffefcbad221554ceca14dbbe251bdb97b9e49b0e6efc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular Agents - therapeutic use</topic><topic>Coronary heart disease</topic><topic>Epidemiology</topic><topic>ethnicity</topic><topic>Female</topic><topic>gender</topic><topic>Heart</topic><topic>hispanic</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mexican Americans - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>myocardial infarction</topic><topic>Myocardial Infarction - prevention & control</topic><topic>Patient Discharge</topic><topic>Sex Factors</topic><topic>Texas</topic><topic>treatment</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herholz, Harald</creatorcontrib><creatorcontrib>Goff, David C.</creatorcontrib><creatorcontrib>Ramsey, David J.</creatorcontrib><creatorcontrib>Chan, Frances A.</creatorcontrib><creatorcontrib>Ortiz, Carmen</creatorcontrib><creatorcontrib>Labarthe, Darwin R.</creatorcontrib><creatorcontrib>Nichaman, Milton Z.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herholz, Harald</au><au>Goff, David C.</au><au>Ramsey, David J.</au><au>Chan, Frances A.</au><au>Ortiz, Carmen</au><au>Labarthe, Darwin R.</au><au>Nichaman, Milton Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Women and mexican Americans receive fewer cardiovascular drugs following myocardial infarction than men and non-hispanic whites: The Corpus Christi Heart Project, 1988–1990</atitle><jtitle>Journal of clinical epidemiology</jtitle><addtitle>J Clin Epidemiol</addtitle><date>1996-03-01</date><risdate>1996</risdate><volume>49</volume><issue>3</issue><spage>279</spage><epage>287</epage><pages>279-287</pages><issn>0895-4356</issn><eissn>1878-5921</eissn><abstract>Mortality following myocardial infarction (MI) is greater among women than men and among Mexican Americans than non-Hispanic whites. 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versus men and 0.62 (0.3–1.15) for Mexican Americans
versus non-Hispanic whites. Beta-blockers were prescribed rarely. Thus, treatment differences between ethnic and gender groups were observed following MI. Further research is needed to determine both the reasons for these differences and the extent to which these differences contribute to the observed survival patterns following MI.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8676174</pmid><doi>10.1016/0895-4356(95)00572-2</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Cardiology. Vascular system Cardiovascular Agents - therapeutic use Coronary heart disease Epidemiology ethnicity Female gender Heart hispanic Humans Male Medical sciences Mexican Americans - statistics & numerical data Middle Aged Multivariate Analysis myocardial infarction Myocardial Infarction - prevention & control Patient Discharge Sex Factors Texas treatment Women |
| title | Women and mexican Americans receive fewer cardiovascular drugs following myocardial infarction than men and non-hispanic whites: The Corpus Christi Heart Project, 1988–1990 |
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