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Racial variation in long-term risk o...

Medical University of South Carolina.

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Racial variation in long-term risk of cardiovascular disease mortality with regards to diabetes and hypertension.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Racial variation in long-term risk of cardiovascular disease mortality with regards to diabetes and hypertension./
Author:	Mountford, William K.
Description:	108 p.
Notes:	Adviser: Daniel T. Lackland.
Contained By:	Dissertation Abstracts International69-03B.
Subject:	Biology, Biostatistics. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3308893
ISBN:	9780549557975

Racial variation in long-term risk of cardiovascular disease mortality with regards to diabetes and hypertension.
Mountford, William K.

Racial variation in long-term risk of cardiovascular disease mortality with regards to diabetes and hypertension. - 108 p.

Adviser: Daniel T. Lackland.

Thesis (Ph.D.)--Medical University of South Carolina, 2008.

Methods. Data from the Black Pooling Project, which combines several population-based cohorts, was used for the dissertation. Cox proportional hazards models are used to estimate risk and determine if the risk varies for blacks and whites.

ISBN: 9780549557975Subjects--Topical Terms:

1018416
Biology, Biostatistics.

Racial variation in long-term risk of cardiovascular disease mortality with regards to diabetes and hypertension.
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020 $a 9780549557975
035 $a (UMI)AAI3308893
035 $a AAI3308893
040 $a UMI $c UMI
100 1 $a Mountford, William K. $3 1018417
245 1 0 $a Racial variation in long-term risk of cardiovascular disease mortality with regards to diabetes and hypertension.
300 $a 108 p.
500 $a Adviser: Daniel T. Lackland.
500 $a Source: Dissertation Abstracts International, Volume: 69-03, Section: B, page: 1598.
502 $a Thesis (Ph.D.)--Medical University of South Carolina, 2008.
520 $a Methods. Data from the Black Pooling Project, which combines several population-based cohorts, was used for the dissertation. Cox proportional hazards models are used to estimate risk and determine if the risk varies for blacks and whites.
520 $a Introduction. The burden of cardiovascular disease (CVD) is of major public health concern, especially with respect to racial disparities which have been recognized for several years. In this dissertation we examine CVD mortality risk with regards to elevated blood pressure and diabetes to determine if there are significant black--white variations in strengths of associations while also considering various epidemiological methods in describing these associations.
520 $a Results. Our findings illustrate similar interpretations under the different one and two stage pooling techniques. However, ignoring sampling design in the analysis resulted in smaller standard error estimates. The risk of CVD mortality did not vary between blacks and whites with regards to increasing systolic blood pressure. Yet blacks had a four-fold larger proportion of values greater than 195 mmHg compared to whites (8.98% vs. 2.14%; p-value < 0.0001). Similarly, when assessing diabetes and hypertension levels, no racial variation was detected but blacks had significantly more individuals with diabetes and prevalence of stage 2 hypertension was nearly doubled among blacks compared to whites (20.5% vs 39.2%; p-value < 0.0001).
520 $a Conclusions. Long-term CVD mortality risk is similar for blacks and whites when the same risk factors are present. Thus the racial disparities that exist are mainly due to excess risk factors among blacks. More emphasis in preventing and controlling CVD risk factors in black populations are necessary.
590 $a School code: 0122.
650 4 $a Biology, Biostatistics. $3 1018416
650 4 $a Health Sciences, Public Health. $3 1017659
690 $a 0308
690 $a 0573
710 2 $a Medical University of South Carolina. $3 700119
773 0 $t Dissertation Abstracts International $g 69-03B.
790 $a 0122
790 1 0 $a Lackland, Daniel T., $e advisor
791 $a Ph.D.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3308893