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Comparative Study
. 2003 Mar;93(3):447-55.
doi: 10.2105/ajph.93.3.447.

Disparities in trends of hospitalization for potentially preventable chronic conditions among African Americans during the 1990s: implications and benchmarks

Sharon K Davis  1 , Yong Liu, Gary H Gibbons
Affiliations
Comparative Study

Disparities in trends of hospitalization for potentially preventable chronic conditions among African Americans during the 1990s: implications and benchmarks

Sharon K Davis et al. Am J Public Health. 2003 Mar.

Erratum in

  • Am J Public Health. 2003 May;93(5):703

Abstract

Objectives: We compared trends in prevalence rates of preventable cardiovascular- and diabetes-related hospitalizations between African Americans and members of other major US racial/ethnic groups.

Methods: Standardized rates for 1991 to 1998 were derived from hospital and US census data for California.

Results: African Americans had significantly higher hospitalization rates in 1991, and discrepancies in rates continued to widen through 1998. Overall male and female rates were approximately 3 times higher for angina, 7 times higher for hypertension, between 7 and 8 times higher for congestive heart failure, and 10 times higher for diabetes.

Conclusions: Widening disparities in cardiovascular- and diabetes-related health conditions were observed in this study, possibly owing to racial inequalities in provision of effective primary care.

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Figures

FIGURE 1—
FIGURE 1—
Secular trends in standardized crude admission rates associated with potentially preventable hospitalizations among men (a) and women (b) aged 21–64 years for selected diabetes- and cardiovascular-related chronic conditions, by race/ethnicity: California, 1991–1998. Note. The P value reflects the significance level associated with the main effect variable of time, derived from separate sex-specific, age-adjusted Poisson regression models for each of the 4 conditions.
See this image and copyright information in PMC

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