Abstract 10632: Striking Variation in Clinical Profiles of Young Black and White Women With Acute Myocardial Infarction: The VIRGO Study
Introduction: Black women are known to have worse outcomes after AMI than white women. However, most studies have used large registries or administrative data and therefore little is known about the full range of demographic, clinical, SES, psychosocial and health status characteristics that differ by race. Understanding these differences can provide better adjustment in comparative effectiveness research and illuminate potential targets to address inequities.
Method: VIRGO is a prospective observational study of AMI patients aged 18-55 years. We included women who self-identified as black or white race in this analysis (N=1,891). We abstracted demographic and clinical information from medical records and conducted detailed interviews to define patients’ health status, insurance status and attitudes towards healthcare. Descriptive statistics, using Wilcoxon rank sum test/chi-squared tests, were performed.
Results: Of the 1,891 women eligible for this study, 23% were black. Table 1 outlines the numerous differences, beyond traditional risk factors, between black and white women.
Conclusion: Compared with white women, black women hospitalized with AMI have very different risk profiles, particularly in domains that are seldom collected in routine clinical care, such as self perceived SES, physical activity, pregnancy, health status and attitudes towards healthcare. Further illuminating the potential of these factors to attenuate the differences in outcomes can identify targets to reduce outcomes disparities between black and white women.
- © 2013 by American Heart Association, Inc.