Abstract 21: Years of Life Lost from Cardiovascular Disease Mortality Among Hispanics
Background: Hispanics face a disproportionate burden of cardiovascular disease (CVD) risk factors yet paradoxically experience lower death rates as compared to their non-Hispanic white (NHW) counterparts. Years of life lost (YLL) is a more precise measure of premature mortality.
Hypothesis: We hypothesize there will be heterogeneity in the YLL due to CVD between Hispanic subgroups.
Methods: We used data from the National Center for Health Statistics Mortality file to compare deaths for Hispanic (n=832,550) subgroups and NHWs (n=7,770,145) <75 years of age from 2003 to 2012. We identified all CVD deaths and by subtype (i.e. ischemic, cerebrovascular, hypertensive and heart failure) using the underlying cause of death (ICD-10: I00-I78, I20-I25, I60-I69, I11, I13 and I50, respectively). YLL was calculated by age categories standardizing with 2000 U.S. Census population. Population estimates were calculated using linear interpolation from 2000 and 2010 U.S. Census.
Results: After standardization, 11.4 year-losses per 1000 people due to CVD for NHWs and 8.2 per 1000 for Hispanics. Overall, Hispanics had lower YLL compared to NHWs and Puerto Ricans had higher losses among Hispanic subgroups. Most Hispanics had higher YLL for cerebrovascular disease than NHWs (Hispanics 1.1 times higher, Puerto Rican 1.2 times higher and Mexican 1.3 times higher) (Figure).
Conclusions: Premature mortality from CVD varies greatly by Hispanic subgroups. These findings suggest the importance of disaggregating CVD mortality by Hispanic subgroup and using more sensitive measures of premature death in public health analyses.
Author Disclosures: F. Rodriguez: None. K. Hastings: None. J. Hu: None. L. Palaniappan: None.
- © 2017 by American Heart Association, Inc.