Chronic Disease in African Americans: The Scope of the Disparity

December 31, 2006

The incidence of hypertension, diabetes, certain types ofcancer, and other chronic diseases is disproportionatelyhigher in African Americans than in white Americans. Thestatistics presented in the Table illustrate the magnitudeof this disparity. For other diseases, such as breast cancer,the incidence is lower but mortality is higher in AfricanAmericans.

The incidence of hypertension, diabetes, certain types ofcancer, and other chronic diseases is disproportionatelyhigher in African Americans than in white Americans. Thestatistics presented in the Table illustrate the magnitudeof this disparity. For other diseases, such as breast cancer,the incidence is lower but mortality is higher in AfricanAmericans.

References:

REFERENCES:


1.

Mannino DM, Homa DM, Akinbami LJ, et al. Surveillance for asthma-UnitedStates, 1980-1999. MMWR. 2002;51:1-13.

2.

Akinbami LJ, Schoendorf KC. Trends in childhood asthma: prevalence,health care utilization, and mortality. Pediatrics. 2002;110:315-322.

3.

American Cancer Society. Cancer Facts & Figures for African Americans2003-2004. Available at: http://www.cancer.org/downloads/STT/861403.pdf.Accessed August 13, 2003.

4.

Silverman DT, Hoover RN, Brown LM. Why do Black Americans have a higherrisk of pancreatic cancer than White Americans? Epidemiology. 2003;14:45-54.

5.

American Diabetes Association. Diabetes Facts & Figures in African Americans.Available at: http://www.diabetes.org/main/info/facts/facts_african.jsp.Accessed August 11, 2003.

6.

National Diabetes Information Clearinghouse. National Diabetes Statistics.NIH publication 03-3892. Fact sheet. Available at: http://diabetes.niddk.nih.gov/dm/pubs/statistics/index.htm. Accessed August 13, 2003.

7.

Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and controlof hypertension in the United States, 1988-2000. JAMA. 2003;290:199-206.

8.

Flack JM, Ferdinand KC, Nasser SA. Epidemiology of hypertension andcardiovascular disease in African Americans. J Clin Hypertens (Greenwich).2003;5(1 suppl 1):5-11.

9.

Kotchen TA, Piering AW, Cowley AW, et al. Glomerular hyperfiltration in hypertensiveAfrican Americans. Hypertension. 2000;35:822-826.

10.

American Heart Association. African Americans and Cardiovascular Diseases.Available at: http://www.americanheart.org/downloadable/heart/1046238221277FS01AF03.pdf. Accessed August 14, 2003.

11.

Update: blood lead levels-United States, 1991-1994. MMWR. 1997;46:141-146.Available at: http://www.cdc.gov/epo/mmwr/preview/mmwrhtml/00048339.htm. Accessed August 13, 2003.

12.

Centers for Disease Control and Prevention. CDC fact sheet: Childhood LeadPoisoning. Available at: http://www.cdc.gov/nceh/lead/factsheets/childhoodlead.htm. Accessed August 13, 2003.

13.

National Institute of Arthritis and Musculoskeletal and Skin Diseases. TheMany Shades of Lupus. Available at: http://www.niams.nih.gov/hi/topics/lupus/shades/index.htm#5. Accessed August 19, 2003.

14.

Trends in Deaths from Systemic Lupus Erythematosus-United States,1979-1998. MMWR. 2002;51:371-374.