Circulation 2000 Dec 19;102(25):3137-47
Trends and disparities in coronary heart disease, stroke, and other
cardiovascular diseases in the United States: findings of the national
conference on cardiovascular disease prevention.
Cooper R, Cutler J, Desvigne-Nickens P, Fortmann SP, Friedman L, Havlik
R, Hogelin G, Marler J, McGovern P, Morosco G, Mosca L, Pearson T, Stamler
J, Stryer D, Thom T.
National Heart, Lung and Blood Institute, National Institutes of Health,
31 Center Drive, MSC 2482, Bethesda, MD 20892-2482, USA.
A workshop was held September 27 through 29, 1999, to address issues
relating to national trends in mortality and morbidity from cardiovascular
diseases; the apparent slowing of declines in mortality from cardiovascular
diseases; levels and trends in risk factors for cardiovascular diseases;
disparities in cardiovascular diseases by race/ethnicity, socioeconomic
status, and geography; trends in cardiovascular disease preventive and
treatment services; and strategies for efforts to reduce cardiovascular
diseases overall and to reduce disparities among subpopulations. The conference
concluded that coronary heart disease mortality is still declining in
the United States as a whole, although perhaps at a slower rate than in
the 1980s; that stroke mortality rates have declined little, if at all,
since 1990; and that there are striking differences in cardiovascular
death rates by race/ethnicity, socioeconomic status, and geography. Trends
in risk factors are consistent with a slowing of the decline in mortality;
there has been little recent progress in risk factors such as smoking,
physical inactivity, and hypertension control. There are increasing levels
of obesity and type 2 diabetes, with major differences among subpopulations.
There is considerable activity in population-wide prevention, primary
prevention for higher risk people, and secondary prevention, but wide
disparities exist among groups on the basis of socioeconomic status and
geography, pointing to major gaps in efforts to use available, proven
approaches to control cardiovascular diseases. Recommendations for strategies
to attain the year 2010 health objectives were made.
Publication Types: Congresses
PMID: 11120707 [PubMed - indexed for MEDLINE]
