Study: Hostility harder on hearts of blacks

BALTIMORE — A cynical and mistrustful personality apparently leads to greater blood pressure fluctuations for blacks than whites, which could help explain blacks' higher heart disease rates, a Duke University researcher reported Friday at the American Psychosomatic Society meeting here.

Large variations in systolic blood pressure have been linked to the development of heart disease, says psychologist James Lane. So has a suspicious, hostile personality. Overall, blacks tend to score higher on tests for such hostility, he says.

Lane and co-author Redford Williams examined whether the most hostile — those in the upper third on the test — had more blood pressure variability than less hostile people. The team had 152 healthy whites and blacks wear blood pressure cuffs and took more than 50 measurements from them over 24 hours.

The most hostile whites had no more blood pressure variability than less hostile whites or blacks. But the most hostile blacks had about 25% more variability in their systolic blood pressure readings than the others.

"Hostility may be a more important heart disease risk factor for blacks than whites," Lane says.

USA Today

Dear Majority Leader Frist and Minority Leader Daschle:

The undersigned organizations are writing to thank you for your continued support for the elimination of racial and ethnic disparities in health and health care. And, like you, we are steadfastly committed to eliminating health disparities. As you are aware, disparities in health and health care continue to cost families and the nation far too much – in pain, suffering, illness, disabilities, premature deaths, and economically.

Collectively and individually, we are very encouraged by the attention that you have brought to this national health crisis. We appreciate the assistance provided through your leadership and efforts. And,we applaud your expressions of support.

"We know that African Americans, Hispanics and Native Americans die younger and suffer from heart disease, diabetes and HIV/AIDS at higher rates than everyone else. These numbers are unacceptable. We are beginning to understand why, and as majority leader I am going to address them."

“A year and a half ago, a major report was released by the distinguished Institute of Medicine. That report, entitled "Unequal Treatment," confirmed what many people had long known, or at least suspected: In America, minorities receive poorer quality health care than non-minorities -- even when both groups have roughly the same insurance coverage, the same income, the same age and the same health conditions. This is more than a minority issue or a health care issue. It is a moral issue. ……… We must end these deadly disparities in health care.”

As we are all keenly aware, communities of color are disproportionately burdened by acute and chronic diseases. Communities of color, also, are subjected to disparities in the quality of care they receive. This occurs across the full spectrum of disease categories, and in medical and surgical procedures. The compilation of Federal government findings and scientific studies – from those outlined in the 1985 Report of the Secretary’s Task Force on Black and Minority Health, to the 2002 IOM Study entitled,Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, to those on HIV/AIDS,cancer, heart disease and all that fall in between – document a compelling case for a national Federal response. Indeed, racial and ethnic disparities in health and health care are an ongoing national crisis in health that must be addressed comprehensively.

It is against this backdrop of continuing disparities that we respectfully request that you combine your efforts and work to ensure enactment of an elimination of health disparities bill that –
• Implements the IOM Unequal Treatment Study recommendations;
• Reduces the number of uninsured;
• Ensures delivery of quality health care;
• Responds to the cultural and linguistic voids in care;
• Effectively addresses data collection, reporting, analysis and utilization;
• Strengthens the health care safety net infrastructure;
• Ensures accountability;
• Strengthens the Office for Civil Rights and the Office of Minority Health;
• Enhances research opportunities;
• Appropriately funds elimination of health disparities programs and projects including the Minority HIV/AIDS Initiative, REACH, OCR and OMH;
• Establishes community health empowerment zones;
• Fosters innovative outreach programs;
• Reduces disease and related complications;
• Promotes wellness and prevention;
• Increases workforce diversity throughout the health arena; and
• Establishes offices of minority health at key Federal agencies including CMS and FDA.

Clearly, the measure must not weaken existing minority health programs and funding. Please know that we are fully committed to working with you to help ensure enactment of such legislation.

We strongly believe that the elimination of racial and ethnic disparities in health and health care is within your combined reach. The American people in general and communities of color in particular are counting on you. Please – work together -- far too many lives are at stake. It is against this backdrop of health challenges and opportunities that we, the undersigned organizations, request a meeting with you.

We look forward to working with you on this national health crisis.