Linde Scholten, Agnes M Willemen, Bob F Last, Heleen Maurice-Stam, Elisabeth M van Dijk, Elske Ensink, Noortje Zandbelt, Aafke van der Hoop-Mooij, Carlo Schuengel, Martha A Grootenhuis
Efficacy of psychosocial group intervention for children with chronic illness and their parents
Pediatrics
prevalence heart failure hf increasing among young adults united states pervasive racial ethnic differences population evaluate contemporary associations race ethnicity clinical comorbidities outcomes among young middleaged adults hf retrospective analysis performed using national health nutrition examination survey participants selfreport hf aged 2064 years 2005 2018 included stratified race ethnicity nonhispanic nh whites nh blacks hispanics data baseline characteristics including age sex marital status citizenship education level body mass index insurance waist circumference cigarette smoking marijuana use relevant clinical comorbidities included weighted logistic regression performed estimate adjusted odds ratios aor determine association race ethnicity hf cox proportionalhazards models used assess association race ethnicity allcause cardiac mortality total 1940447 young middleaged adults selfreported hf 2005 2018 61 nh white 40 nh black 22 hispanic compared nh white adults nh black adults higher odds hf adjusted age sex insurance status marital status education level citizenship status clinical comorbidities adjusted aor 263 95 ci 171405 p 0001 significant difference odds hf hispanic nh white adults aor 118 95 ci 064218 p 0585 nh black adults higher mean systolic diastolic blood pressure comparable lower burden cardiovascular noncardiovascular clinical comorbidities compared nh white hispanic adults statistical significance noted race ethnicity allcause cardiac mortality followup 5 years nh black young middleaged adults likely hf may related higher blood pressure given largely similar burden clinically relevant comorbidities compared racial ethnic groups