Cardiovascular Disease in Women Module I: Epidemiology.

Slides:



Advertisements
Similar presentations
The Impact of Diabetes Mellitus in the United States
Advertisements

Chapter 4: Hospitalization 2014 A NNUAL D ATA R EPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE.
National Diabetes Statistics Report Fun Facts on Diabetes 29.1 million people or 9.3% of the US population have diabetes. Diagnose : 21.0 million people.
Chapter 2: Healthy People A NNUAL D ATA R EPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE.
ELIMINATING HEALTH DISPARITIES IN AN URBAN AREA VIRGINIA A. CAINE, M.D., DIRECTOR MARION COUNTY HEALTH DEPARTMENT INDIANAPOLIS, INDIANA May 1, 2002.
What is Epidemiology? The study of the distribution and determinants of diseases and injuries in human populations. Source: Mausner and Kramer, Mausner.
Diabetes: The Numbers Michigan Diabetes Partners in Action and Michigan Department of Community Health Diabetes: The Numbers Adapted from the National.
Age, Health, and Poverty Lecture 9 Today’s Readings Schiller Ch. 7: Age and Health DeParle, Ch. 7: Redefining Compassion: Washington, DeParle,
1 Women & Heart Disease Julia C. Orri, Ph.D. Biol. 330 November 21, 2006.
Coronary Heart Disease Prevalence DR. MOHAMMED O. AL-RUKBAN Assistant Professor Department of Family and Community Medicine College of Medicine, King Saud.
Assignment for April 1, 2008 In class We will watch a Bill Moyers’ documentary, Children in America’s Schools.
Chapter 5: Mortality 2014 A NNUAL D ATA R EPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE.
Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and
Diabetes Disparities & Its Effects on Minority Populations Appathurai Balamurugan, MD, MPH Section Chief, Chronic Disease Epidemiology, ADHHS Assistant.
Epidemiology of Stroke Dexter L. Morris, PhD, MD Department of Emergency Medicine University of North Carolina School of Medicine Chapel Hill, NC.
Healthy People 2010 Focus Area 12: Heart Disease and Stroke
VITAL STATISTICS ANALYSIS RESULTS FENGQING (ZOE) ZHANG COMMUNITY HEALTH INTERN 2012.
National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Diabetes: The Numbers Revised.
Diabetes: The Numbers The National Diabetes Education Program A joint program of NIH and CDC January 2007 Diabetes: The Numbers The National.
Health Disparities in Cardiovascular Disease Paula A. Johnson, MD, MPH Chief, Division of Women’s Health; Executive Director, Connors Center for Women’s.
HIV/STD Epidemiology in Oklahoma HIV/STD Service Division of Prevention and Preparedness Oklahoma State Department of Health.
TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.
Healthy People 2010 Focus Area 12: Heart Disease and Stroke Progress Review May 21, 2007.
Health Status of Australian Adults. The health status of Australians is recognised as good and is continually improving. The life expectancy for males.
CARDIOVASCULAR DISEASE National Healthcare Quality and Disparities Report Chartbook on Effective Treatment.
Health Disparities of Minority Women and Diabetes Kathleen M. Rayman, Ph.D., RN Appalachian Center for Translational Research in Disparities Faculty Development.
Cardiovascular Disease in Women Module V: Prognosis and Treatment Outcomes.
Heart Disease and Stroke Statistics — 2007 Update.
TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, Chart 7.2: U.S. Population.
Focus Area 18: Mental Health and Mental Disorders Progress Review December 17, 2003.
Cancer Healthy Kansans 2010 Steering Committee Meeting May 12, 2005.
TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.
Transitioning through Midlife: A Data Overview of Women’s Health Healthy Aging for Women June 21st, 2011 Susie Baldwin, MD, MPH Office of Health Assessment.
Stroke The overall age-adjusted mortality rate (AAMR) for stroke in Texas declined from 66.3 per 100,000 in 1999 to 52.1 per 100,000 in The decrease.
Heart Disease and Stroke Statistics — 2006 Update.
A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. U.S. Interim.
American Diabetes association(ADA) statistics for 2008.
The Impact of Heart Disease and Stroke in Michigan: 2008 Report on Surveillance November 3, 2008.
Physical Activity Trends ä Healthy People 2010 goal is to increase daily physical activity by 30% in adults. ä As of now 60% of the population is not active.
Wayne Rosamond, et al. Circulation 2007;115; e69-e171.
Community Outreach to Reduce Disparities in Cardiovascular & Diabetes Morbidity & Mortality in the South Bronx Michael Alderman, MD Michelle Johnson, MD,
2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 6: Mortality.
2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 7: Transplantation.
Very low CHD mortality among men aged in several states in the United States Akira Sekikawa, MD, PhD, PhD Lewis H Kuller, MD, DrPH Department of.
Ethnicity and Cardiovascular Disease Africans Americans.
A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. Projections.
2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 5: Hospitalization.
2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 2: Healthy People 2020.
HIV Infections in Utah: 2014 Epidemic Update. Cases – persons diagnosed with HIV and reported to public health Rates – cases per 100,000 populations Sex.
Healthy People 2010 Focus Area 5 Diabetes Progress Review December 18, 2002.
Epidemiology of HIV Among Men in Florida, Reported through 2011 Florida Department of Health HIV/AIDS & Hepatitis Program Annual data as of 12/31/2011.
Healthy People 2010 Focus Area 4: Chronic Kidney Disease Progress Review September 21, 2006.
Healthy People 2010 Focus Area 5: Diabetes Progress Review October 20, 2006.
Healthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions Progress Review July 20, 2006.
A-52 Table 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections.
Chapter 10 Community and Public Health and Racial/Ethnic Minorities.
1 به نام خدا. Epidemiology of chronic kidney disease 2.
Demographics Boston Population Distribution by Race/Ethnicity Boston, 2010 * Includes American Indians/Alaskan Natives, Native Hawaiians/Other Pacific.
2016 Annual Data Report, Vol 2, ESRD, Ch 5
2016 Annual Data Report, Vol 2, ESRD, Ch 6
2017 Annual Data Report Healthy People 2020.
Volume 2: End-Stage Renal Disease Chapter 4: Hospitalization
Volume 2: End-Stage Renal Disease Chapter 4: Hospitalization
Heart Disease and Stroke Statistics — 2004 Update
2018 Annual Data Report Volume 3: Healthy People 2020
Chapter 10 Community and Public Health and Racial/Ethnic Minorities
Engagement Survey Results: Demographics
Total Faculty by Race and Ethnicity,
Special Considerations for Different Population Groups
Presentation transcript:

Cardiovascular Disease in Women Module I: Epidemiology

Module I: Epidemiology  Statistics on Women and Cardiovascular Disease  Comparisons to Men  Age Differences Among Women  Racial and Ethnic Group Differences

CVD and Other Major Causes of Death for Women in the United States: 2004 Source: Adapted from American Heart Association 2008

Congestive Heart Failure: Gender Differences  Compared to men, women with heart failure are:  Older  More likely to have hypertension  More likely to have diabetes  More likely to have diastolic dysfunction   Knowledge of diastolic dysfunction prognosis and treatment is limited  Trials of congestive heart failure treatments have included mainly men Source: Stromberg 2003

Cardiovascular Disease Mortality: U.S. Males and Females Source: Adapted from American Heart Association 2008

Annual Numbers of U.S. Adults Diagnosed with Myocardial Infarction and Fatal CHD by Age and Sex Categories: Source: Adapted from American Heart Association 2008 Age in Years

Acute MI Mortality by Age and Sex Source: Adapted from Vaccarino 1999

Racial and Ethnic Groups  Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians  African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups Source: American Heart Association 2004

Major Causes of Death for White Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

African Americans  African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups  African Americans with established CHD are at high risk for cardiac death  The risk of death and morbidity from CHD attributable to HTN is higher in African Americans Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008

Major Causes of Death for Black /African American Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Age-adjusted Death Rates for Leading Causes of Death in White and Black/African American Women: U.S Source: Adapted from American Heart Association 2008 Per 100,000 Population

Latinas  Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women  It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics. Sources: American Heart Association 2004, Narayan 2003

Major Causes of Death for Hispanic/Latina Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Asian Americans and Pacific Islanders  There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders  The risk of heart disease varies between different ethnic groups within the Asian American community  South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome Source: ATP III 2002

Major Causes of Death for Asian American and Pacific Islander Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

American Indians  Cardiovascular disease rates vary among American Indian communities  Unlike other ethnic groups, the incidence of CHD is increasing among American Indians Source: ATP III 2002

Major Causes of Death for American Indian and Alaska Native Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Summary  Among U.S. women, cardiovascular disease is the leading cause of death  Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders, and American Indians Source: American Heart Association 2008

Summary  Mortality from CVD has decreased more for men in the past 20 years than for women  Over 10,000 women under age 45 suffer an acute myocardial infarction every year Source: American Heart Association 2008

Cardiovascular Disease in Women Module I: Epidemiology

Module I: Epidemiology  Statistics on Women and Cardiovascular Disease  Comparisons to Men  Age Differences Among Women  Racial and Ethnic Group Differences

CVD and Other Major Causes of Death for Women in the United States: 2004 Source: Adapted from American Heart Association 2008

Congestive Heart Failure: Gender Differences  Compared to men, women with heart failure are:  Older  More likely to have hypertension  More likely to have diabetes  More likely to have diastolic dysfunction   Knowledge of diastolic dysfunction prognosis and treatment is limited  Trials of congestive heart failure treatments have included mainly men Source: Stromberg 2003

Cardiovascular Disease Mortality: U.S. Males and Females Source: Adapted from American Heart Association 2008

Annual Numbers of U.S. Adults Diagnosed with Myocardial Infarction and Fatal CHD by Age and Sex Categories: Source: Adapted from American Heart Association 2008 Age in Years

Acute MI Mortality by Age and Sex Source: Adapted from Vaccarino 1999

Racial and Ethnic Groups  Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians  African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups Source: American Heart Association 2004

Major Causes of Death for White Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

African Americans  African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups  African Americans with established CHD are at high risk for cardiac death  The risk of death and morbidity from CHD attributable to HTN is higher in African Americans Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008

Major Causes of Death for Black /African American Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Age-adjusted Death Rates for Leading Causes of Death in White and Black/African American Women: U.S Source: Adapted from American Heart Association 2008 Per 100,000 Population

Latinas  Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women  It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics. Sources: American Heart Association 2004, Narayan 2003

Major Causes of Death for Hispanic/Latina Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Asian Americans and Pacific Islanders  There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders  The risk of heart disease varies between different ethnic groups within the Asian American community  South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome Source: ATP III 2002

Major Causes of Death for Asian American and Pacific Islander Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

American Indians  Cardiovascular disease rates vary among American Indian communities  Unlike other ethnic groups, the incidence of CHD is increasing among American Indians Source: ATP III 2002

Major Causes of Death for American Indian and Alaska Native Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Summary  Among U.S. women, cardiovascular disease is the leading cause of death  Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders, and American Indians Source: American Heart Association 2008

Summary  Mortality from CVD has decreased more for men in the past 20 years than for women  Over 10,000 women under age 45 suffer an acute myocardial infarction every year Source: American Heart Association 2008

Cardiovascular Disease in Women Module I: Epidemiology

Module I: Epidemiology  Statistics on Women and Cardiovascular Disease  Comparisons to Men  Age Differences Among Women  Racial and Ethnic Group Differences

CVD and Other Major Causes of Death for Women in the United States: 2004 Source: Adapted from American Heart Association 2008

Congestive Heart Failure: Gender Differences  Compared to men, women with heart failure are:  Older  More likely to have hypertension  More likely to have diabetes  More likely to have diastolic dysfunction   Knowledge of diastolic dysfunction prognosis and treatment is limited  Trials of congestive heart failure treatments have included mainly men Source: Stromberg 2003

Cardiovascular Disease Mortality: U.S. Males and Females Source: Adapted from American Heart Association 2008

Annual Numbers of U.S. Adults Diagnosed with Myocardial Infarction and Fatal CHD by Age and Sex Categories: Source: Adapted from American Heart Association 2008 Age in Years

Acute MI Mortality by Age and Sex Source: Adapted from Vaccarino 1999

Racial and Ethnic Groups  Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians  African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups Source: American Heart Association 2004

Major Causes of Death for White Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

African Americans  African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups  African Americans with established CHD are at high risk for cardiac death  The risk of death and morbidity from CHD attributable to HTN is higher in African Americans Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008

Major Causes of Death for Black /African American Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Age-adjusted Death Rates for Leading Causes of Death in White and Black/African American Women: U.S Source: Adapted from American Heart Association 2008 Per 100,000 Population

Latinas  Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women  It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics. Sources: American Heart Association 2004, Narayan 2003

Major Causes of Death for Hispanic/Latina Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Asian Americans and Pacific Islanders  There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders  The risk of heart disease varies between different ethnic groups within the Asian American community  South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome Source: ATP III 2002

Major Causes of Death for Asian American and Pacific Islander Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

American Indians  Cardiovascular disease rates vary among American Indian communities  Unlike other ethnic groups, the incidence of CHD is increasing among American Indians Source: ATP III 2002

Major Causes of Death for American Indian and Alaska Native Women: U.S Source: Adapted from American Heart Association 2008 Percent of Total Deaths

Summary  Among U.S. women, cardiovascular disease is the leading cause of death  Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders, and American Indians Source: American Heart Association 2008

Summary  Mortality from CVD has decreased more for men in the past 20 years than for women  Over 10,000 women under age 45 suffer an acute myocardial infarction or die of CHD every year Source: American Heart Association 2008