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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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Coronary heart disease burden among persons of African origin

Coronary heart disease burden among persons of African origin

(p.118) Chapter 9 Coronary heart disease burden among persons of African origin
Coronary Heart Disease Epidemiology

R. S. Cooper

Oxford University Press

This chapter focuses on the burden of cardiovascular disease for the US black population, while noting the contrasts with West Africa and the Caribbean. For all forms of heart disease, combined death rates are 50% higher in US blacks compared to whites. The risk factor pattern that underlies this differential has evolved over the course of the African diaspora and reflects the severe social and economic disadvantage currently experienced by US blacks. The classic finding of a positive association of CVD and economic development across countries, with a negative association between socio-economic strata and risk within industrialized countries, is apparent in this sample of populations.

Keywords:   cardiovascular disease, CHD, Africa, Caribbean, United States, blacks, African Americans

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