Abstract
Abstract This chapter focuses on the burden of cardiovascular disease for the US black population, while noting the contrasts with West Africa and the Caribbean. For all forms of heart disease, combined death rates are 50% higher in US blacks compared to whites. The risk factor pattern that underlies this differential has evolved over the course of the African diaspora and reflects the severe social and economic disadvantage currently experienced by US blacks. The classic finding of a positive association of CVD and economic development across countries, with a negative association between socio-economic strata and risk within industrialized countries, is apparent in this sample of populations.
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