(Circulation. 1997;95:1433-1440.)
© 1997 American Heart Association, Inc.
Articles |
Greater Incidence of Hospitalized Myocardial Infarction Among Mexican Americans Than Non-Hispanic Whites
The Corpus Christi Heart Project, 1988-1992
From the Epidemiology Research Center, The University of Texas Houston Health Science Center, School of Public Health.
Correspondence to Milton Z. Nichaman, MD, ScD, Epidemiology Research Center, The University of Texas Houston Health Science Center School of Public Health, PO Box 20186, Houston, TX 77225. E-mail mzn{at}utsph.sph.uth.tmc.edu.
Background Since Mexican Americans have adverse patterns of risk factors for myocardial infarction relative to non-Hispanic whites, the incidence of myocardial infarction should be greater among Mexican Americans than among non-Hispanic whites. This expectation conflicts with reports generated from death certificate registries.
Methods and Results Data regarding myocardial infarction attacks and incident events were collected for a 4-year period in the Corpus Christi Heart Project, a population-based surveillance project for hospitalized coronary heart disease events. For both women and men, Mexican Americans experienced greater hospitalization rates for both attacks and incident events than non-Hispanic whites. Age-adjusted attack rate ratios comparing Mexican Americans with non-Hispanic whites were 1.59 (95% CI, 1.05 to 2.41) and 1.31 (95% CI, 1.18 to 1.45) among women and men, respectively. Corresponding incidence ratios were 1.52 (95% CI, 1.28 to 1.80) and 1.25 (95% CI, 1.10 to 1.42).
Conclusions This is the first report documenting greater incidence of hospitalized myocardial infarction among Mexican Americans than among non-Hispanic whites, a biologically plausible finding given the risk factor patterns observed in the Mexican-American population. Public health planners and clinicians should be aware of the importance of myocardial infarction as a health problem in the Mexican-American population. Culturally appropriate prevention strategies should be developed for and tested in Mexican-American populations.
Key Words: myocardial infarction • epidemiology • registries • men • women
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