260736 Multiple Risk Factors and Disparities associated with Heart Disease and Stroke among Mississippi Delta Women

Sunday, October 28, 2012

Vincent Mendy, MPH, CPH , The Mississippi Delta Health Collaborative, Mississippi State Department of Health, Greenwood, MS
Larry Smith, PhD , Delta-CHES, Mississippi State Department of Health, Jackson, MS
Abigail Gamble, PhD, CHES , University of Mississippi Medical Center, PHEHP Program Co-Planner, Jackson, MS
Introduction Prevalence of multiple risk factors (MRFs) for heart disease and stroke (HDS) in Mississippi is among the highest in the United States. In Mississippi, black women experience a disproportionately greater burden of HDS than white women. However, risk factor disparity in Mississippi Delta women is unknown. We examine MRFs for HDS by race, age, socioeconomic status (SES) and healthcare coverage among Mississippi Delta adult women. Methods Self-reported Behavioral Risk Factor Surveillance System data (2007-2010; N=5,390) for Mississippi Delta women were subjected to descriptive and multivariate logistic regression analyses. Hypertension, hyperlipidemia, diabetes, smoking, obesity and physical inactivity were assessed. MRFs are defined as having ≥ 2 of these factors. Differences in distribution of MRFs by race, age, SES (income, education and employment) and healthcare coverage were examined.

Results Data indicate risk factor prevalence for obesity (66.1%), diabetes (12.6%), hypertension (38.6%), smoking (19.2%), hyperlipidemia (41.9%) and physical inactivity (38.0%). Over half (52.0%) of women reported MRFs. Women with less than high school education (AOR=1.8; 95% CI=1.39-2.41), household income less than $10,000 (AOR=2.5, 95% CI=1.74-3.62), no healthcare coverage (AOR=1.3, 95% CI=1.03-1.77) and those age 50-64 (AOR=2.4, 95% CI=1.86-3.03) were more likely to have MRFs compared to their counterparts. Adjusted odds ratios for MRFs were not significantly different by race and employment.

Conclusion Data highlight that a substantial proportion of Mississippi Delta women have MRFs for HDS. Understanding the mechanisms associated with MRF disparity in Mississippi Delta women will inform practitioners and interventionists.

Learning Areas:
Public health or related research

Learning Objectives:
1. Describe the prevalence of multiple risk factors for heart disease and stroke among Mississippi Delta adult women 2. Describe the distribution of multiple risk factors for heart disease and stroke among Mississippi Delta adult women

Keywords: Heart Disease, Risk Factors

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a co-investigator and the epidemiologist for the Mississippi Delta Health Collaborative
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.