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To the Editor.—To address the racial disparity in cardiovascular disease (CVD), Dr Winkleby and colleagues¹ recommend the need for targeted intervention programs, changes in health policy reforms, and changes in the health care industry. These are indeed important remedies to reduce the growing health status gaps among women and men of color. It is equally important to better understand the role of different life experience as a potential pathway contributing to CVD risk factors among racial and ethnic populations. Winkleby et al report that a higher proportion of African American and Mexican American women lived below the poverty line compared with white women. They also report that African American women (with similar years of age as white women) were more likely to be unmarried and that Mexican American and African American women were also more likely to live in urban areas. Indeed, a higher proportion of Hispanic and African . . . [Full Text of this Article]

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RELATED ARTICLE

Ethnic and Socioeconomic Differences in Cardiovascular Disease Risk Factors: Findings for Women From the Third National Health and Nutrition Examination Survey, 1988-1994
Marilyn A. Winkleby, Helena C. Kraemer, David K. Ahn, and Ann N. Varady
JAMA. 1998;280(4):356-362.
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