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JACC: Racial Disparities in Heart Disease, Hypertension, and Diabetes Death Rates Have Minimally Improved Over Last Two Decades

March 15, 2021 Black adults in rural areas have high mortality rates from high blood pressure, diabetes, but improvement seen in stroke outcomes, urban areas WASHINGTON (March 15, 2021)  In the last 20 years, Black adults living in rural areas of the United States experienced high mortality rates due to diabetes, high blood pressure, heart disease and stroke compared to white adults. According to a research letter published in the  Journal of the American College of Cardiology, racial disparities improved minimally in rural areas over the last two decades, with larger improvements occurring in urban areas. “While modest gains have been made in reducing racial health inequities in urban areas, large gaps in death rates between Black and white adults persist in rural areas, particularly for diabetes and hypertension. We haven’t meaningfully narrowed the racial gap in outcomes for these conditions in rural areas over the last two decades,” said Rishi Wadhera, MD, MPP, MPhil

Racial disparities in heart disease, hypertension, and diabetes death rates have minimally improved over last two decades

 E-Mail In the last 20 years, Black adults living in rural areas of the United States experienced high mortality rates due to diabetes, high blood pressure, heart disease and stroke compared to white adults. According to a research letter published in the Journal of the American College of Cardiology, racial disparities improved minimally in rural areas over the last two decades, with larger improvements occurring in urban areas. While modest gains have been made in reducing racial health inequities in urban areas, large gaps in death rates between Black and white adults persist in rural areas, particularly for diabetes and hypertension. We haven t meaningfully narrowed the racial gap in outcomes for these conditions in rural areas over the last two decades, said Rishi Wadhera, MD, MPP, MPhil, cardiologist at Beth Israel Deaconess Medical Center in Boston and senior author of the study. Given that diabetes, hypertension, and heart disease are preventable and treatable, target

Little Improvement Seen Over Two Decades in US Racial Health Disparities

March 15, 2021 Black adults continue to have significantly higher rates of death due to diabetes, hypertension, heart disease, and stroke compared with white adults, and these disparities are magnified in rural areas of the United States, a contemporary analysis shows. Death related to hypertension and diabetes were found to be two to three times higher among Black adults compared with white adults in rural parts of the US, senior author Rishi Wadhera, MD (Beth Israel Deaconess Medical Center, Boston, MA), told TCTMD. “What s really concerning is our finding that those striking racial disparities have not meaningfully improved over the last two decades,” he added.

Race Gap in Heart Health Has Changed Little in 20 Years

By Denise Mann HealthDay Reporter MONDAY, March 15, 2021 (HealthDay News) Black Americans who live in rural areas are two to three times more likely to die from diabetes and high blood pressure compared with white rural folks, and this gap hasn t changed much over the last 20 years, new research shows. The study spanned from 1999 through 2018, and will be published as a research letter in the March 23 issue of the Journal of the American College of Cardiology. Experts not involved in the research worry that this racial divide may have increased due to restrictions that COVID-19 has placed on daily life.

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