Abstract:
BACKGROUND:Coronary heart disease (CHD) was uncommon in Black people living in Africa before 1970. Since then CHD risk factor levels have increased, while CHD rates have remained low. OBJECTIVE:This case-control study aims to assess the relationship between CHD and known risk factors in urban Black South Africans. METHODS:Eighty-nine cases with CHD and 356 controls attending the Kalafong hospital were recruited between 1982 and 1986 and followed up until 1994. Family and personal medical histories were recorded, along with a clinical examination and special investigations to assess risk factor profiles, clinical presentation and target organ damage. The relationship of the risk factors, target organ damage, and the development of CHD was assessed by using a stepwise multiple logistic regression procedure. RESULTS:Far more cases than controls had a family and personal medical history and risk factors related to CHD. Those relating to the development of CHD were family history of myocardial infarction (odds ratio [OR] 17.29; 95% confidence interval [CI] 5.48-54.51), hypertension (OR 8.38, 95% CI 3.66-19.17), family history of hypertension (OR 4.33, 95% CI 2.21-8.52), low high-density lipoprotein cholesterol/low-density lipoprotein cholesterol ratio (OR 2.82, 95% CI 1.24-7.22), and type 2 diabetes (OR 2.99, 95% CI 1.19-6.68). Hypercholesterolemia was marginally associated (OR 2.53, 95% CI .92-6.89). CONCLUSIONS:Evidence is provided that an association exists between CHD and the major risk factors for cardiovascular diseases in urban Black South Africans. A relationship between genetic factors and the development of CHD was also identified in this population group.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Loock M,Steyn K,Becker P,Fourie Jsubject
Has Abstractpub_date
2006-10-01 00:00:00pages
872-9issue
4eissn
1049-510Xissn
1945-0826journal_volume
16pub_type
杂志文章abstract::The role of diet, acculturation, and physical activity on systolic and diastolic blood pressure was examined among 1,420 Mexican American, 388 Cuban American, and 542 Puerto Rican women who responded to the Hispanic Health and Nutrition Examination Survey collected in 1982-4. Dietary intake measures included sodium, p...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
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abstract::C-reactive protein (CRP) is a risk factor for cardiovascular disease and mortality; it is known to be positively associated with obesity but there is some evidence that this association differs by race or sex. We used nationally representative data of adults aged >50 years to investigate sex and race modifiers of the ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.26.2.197
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abstract:BACKGROUND:The safety net system remains an important part of the health care system for uninsured and minority populations, however, the closure of safety net hospitals changes the availability of care. Using community-based participatory research methods, we explored the impact of hospital closure among late middle a...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
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abstract:OBJECTIVE:To examine ace-inhibitor (ACEI) and angiotensin receptor blockers (ARB) prescription and adherence patterns by race in diabetic public aid recipients. DESIGN, PARTICIPANTS, AND MEASURES:We analyzed prescription records of 27,529 adults aged 18-64 with diabetes who had at least one clinical indication for rec...
journal_title:Ethnicity & disease
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abstract::An evaluation is made of the inverse role social integration plays in explaining variation in blood pressure among a sample of 1420 black Americans. This sample is part of a larger representative sample of 6717 adults (18 years and older) who were interviewed in the 1981-82 Maryland Statewide Hypertension Control Prog...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract:Objective:Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:10.18865/ed.28.S2.371
更新日期:2018-09-06 00:00:00
abstract::Gloria Ladson-Billings cautiously promotes the use of Critical Race Theory (CRT) to address racism's contribution to educational disparities. Nearly a decade ago, we issued a similar call to the multidisciplinary field of public health. Public health touts its progressive roots and focus on equity, but do those effort...
journal_title:Ethnicity & disease
pub_type: 社论
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journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2011-04-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
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journal_title:Ethnicity & disease
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更新日期:2013-10-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-07-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2008-07-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-01-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-07-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract::African-American infants weigh on average 200-300 grams less at birth than do European-American infants, leading to a two-fold higher rate of low birth-weight (LBW) infants. This birth weight disparity has not changed significantly over the past 95 years. Numerous research studies have been undertaken to elucidate thi...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
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journal_title:Ethnicity & disease
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doi:10.18865/ed.25.3.295
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-01-01 00:00:00
abstract::In spite of all the technical advances and resources dedicated to the treatment of endstage renal disease (ESRD), it is still a growing problem all over the world. To address this issue adequately, it is crucial to detect chronic kidney disease patients early and optimize their care. However, a lack of awareness and a...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2019-10-17 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-07-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
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更新日期:2017-11-09 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2009-04-01 00:00:00
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journal_title:Ethnicity & disease
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