Cross-sectional study

State-Level Cardiovascular Mortality Rates Among Hispanic, Non-Hispanic Black, and Non-Hispanic White Populations, 1990 to 2019

JAMA CardiolPublished

  • Cross-sectional study

Authors' conclusion

The findings of this study indicate that CVD mortality varied widely by state and race and ethnicity group.

Study context

Population
Persons who died of cardiovascular disease (CVD) in the US, by state and race and ethnicity, 1990–2019CVD deaths 1990–2019
Participants
25,397,029 persons
Exposure
CVD mortality by state and race and ethnicity group
  • Blackn = 2,921,650
  • Hispanicn = 1,159,498
  • Whiten = 21,315,880
Outcome
CVD death counts and mortality rates

Main finding

As reported in the abstract

Age-standardized CVD mortality per 100 000 persons · 2019

Observational data: associations, not effects.

Further findings

Median percentage change in CVD mortality across states, 2010–2019 vs 1990–2000

White female: 2010–2019 vs 1990–2000 (IQR)
−6.8 [−10.1 to −4.3] vs −10.2 [−12.9 to −5.9]
White male: 2010–2019 vs 1990–2000 (IQR)
−4.6 [−8.6 to −2.5] vs −16.5 [−19.3 to −15.4]
Black female: 2010–2019 vs 1990–2000 (IQR)
−15.1 [−18.9 to −11.7] vs −12.6 [−19.6 to −7.8]
Hispanic female: 2010–2019 vs 1990–2000 (IQR)
−23.5 [−29.2 to −18.5] vs −8.2 [−17.8 to 5.96]
Black male: 2010–2019 vs 1990–2000 (IQR)
−13.1 [−18.7 to −8.6] vs −18.6 [−25.5 to −14.7]
Hispanic male: 2010–2019 vs 1990–2000 (IQR)
−20.4 [−25.6 to −15.6] vs −21.5 [−31.1 to −5.7]

State-level variability

Substantial state-level variability in total CVD and component-cause deaths in 2019 and in changes from 1990 through 2019

Original publication

State-Level Cardiovascular Mortality Rates Among Hispanic, Non-Hispanic Black, and Non-Hispanic White Populations, 1990 to 2019. JAMA Cardiol. Published 1 May 2023. doi:10.1001/jamacardio.2023.0112

Summarised from the published abstract; every number is checked against it