Journal article
Correlates of Anemia in American Blacks and Whites
American journal of epidemiology, v 169(3), pp 355-364
01 Feb 2009
PMID: 19066309
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
For unclear reasons, anemia is more common in American blacks than whites. The authors evaluated anemia prevalence (using World Health Organization criteria) among 19,836 blacks and whites recruited in 2003-2007 for the REasons for Geographic And Racial Differences in Stroke Renal Ancillary study and characterized anemia by 3 anemia-associated conditions (chronic kidney disease, inflammation, and microcytosis). They used multivariable models to assess potential causes of race differences in anemia. Anemia was 3.3-fold more common in blacks than whites, with little attenuation after adjusting for demographic variables, socioeconomic factors, and comorbid conditions. Increasing age, residence in the US southeast, lower income, vascular disease, diabetes, hypertension, and never smoking were associated with anemia. Age, diabetes, and vascular disease were stronger correlates of anemia among whites than blacks (P < 0.05). Among those with anemia, chronic kidney disease was less common among blacks than whites (22% vs. 34%), whereas inflammation (18% vs. 14%) and microcytosis (22% vs. 11%) were more common. In this large, geographically diverse cohort, anemia was 3-fold more common in blacks than whites with different characteristics and correlates. Race differences in anemia prevalence were not explained by the factors studied. Future research into the causes and consequences of anemia in different racial groups is needed.
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Details
- Title
- Correlates of Anemia in American Blacks and Whites
- Creators
- Neil A. Zakai - University of VermontLeslie A. McClure - University of AlabamaRonald Prineas - Wake Forest Sch Med, Dept Publ Hlth Sci, Winston Salem, NC USAGeorge Howard - Univ Alabama Birmingham, Dept Biostat, Birmingham, AL 35294 USAWilliam McClellan - Emory Univ, Dept Med, Atlanta, GA 30322 USAChris E. Holmes - Univ Vermont, Dept Med, Burlington, VT USABritt B. Newsome - Univ Alabama Birmingham, Dept Biostat, Birmingham, AL 35294 USADavid G. Warnock - Univ Alabama Birmingham, Dept Biostat, Birmingham, AL 35294 USAPaul Audhya - Amgen Corp, Thousand Oaks, CA 91320 USAMary Cushman - University of Vermont
- Publication Details
- American journal of epidemiology, v 169(3), pp 355-364
- Publisher
- Oxford Univ Press
- Number of pages
- 10
- Grant note
- Department of Health and Human Services R01HL080477 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) U01 NS041588 / National Institute of Neurological Disorders and Stroke; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS) National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Amgen Corporation (Thousand Oaks, California); Amgen U01NS041588 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000263162200013
- Scopus ID
- 2-s2.0-59649085891
- Other Identifier
- 991019231627804721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health