Disparities in trends of hospitalization for potentially preventable chronic conditions among African Americans during the 1990s: implications and benchmarks

Am J Public Health. 2003 Mar;93(3):447-55. doi: 10.2105/ajph.93.3.447.


Objectives: We compared trends in prevalence rates of preventable cardiovascular- and diabetes-related hospitalizations between African Americans and members of other major US racial/ethnic groups.

Methods: Standardized rates for 1991 to 1998 were derived from hospital and US census data for California.

Results: African Americans had significantly higher hospitalization rates in 1991, and discrepancies in rates continued to widen through 1998. Overall male and female rates were approximately 3 times higher for angina, 7 times higher for hypertension, between 7 and 8 times higher for congestive heart failure, and 10 times higher for diabetes.

Conclusions: Widening disparities in cardiovascular- and diabetes-related health conditions were observed in this study, possibly owing to racial inequalities in provision of effective primary care.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • African Americans / statistics & numerical data*
  • Angina Pectoris / ethnology*
  • Asian Americans / statistics & numerical data
  • Benchmarking
  • California / epidemiology
  • Chronic Disease / epidemiology
  • Diabetes Mellitus / ethnology*
  • European Continental Ancestry Group / statistics & numerical data
  • Female
  • Healthy People Programs
  • Heart Failure / ethnology*
  • Hispanic Americans / statistics & numerical data
  • Hospitalization / statistics & numerical data*
  • Humans
  • Hypertension / ethnology*
  • Male
  • Middle Aged
  • Prevalence
  • Socioeconomic Factors
  • United States / epidemiology