The contribution of diabetes to early deaths from ischemic heart disease: US gender and racial comparisons

Am J Public Health. 1996 Apr;86(4):576-9. doi: 10.2105/ajph.86.4.576.


We evaluated the contribution of diabetes mellitus to premature ischemic heart disease mortality among US race- and gender-specific groups in 1986. Among persons aged 45 to 64 years, we examined ischemic heart disease death rates (corrected for underreporting of diabetes on death certificates) by diabetes status and calculated the population attributable risk due to diabetes for each group. Diabetes increased the ischemic heart disease death rate by 9 to 10 times for women but by only 2 to 3 times for men. Racial differences in ischemic heart disease mortality attributable to diabetes were greater for women (Blacks = 39%; Whites = 27%) than for men (Blacks = 19%; Whites = 14%). These discrepancies in the contribution of diabetes to ischemic heart disease mortality warrant further study.

Publication types

  • Comparative Study

MeSH terms

  • African Continental Ancestry Group*
  • Aged
  • Death Certificates
  • Diabetes Complications*
  • Diabetes Mellitus / ethnology
  • Diabetes Mellitus / mortality*
  • European Continental Ancestry Group*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / ethnology
  • Myocardial Ischemia / etiology*
  • Myocardial Ischemia / mortality*
  • Population Surveillance
  • Reproducibility of Results
  • Risk Factors
  • Sex Distribution
  • United States / epidemiology