TY - JOUR
T1 - Symptoms of Raynaud's phenomenon in an inner-city African-American community
T2 - Prevalence and self-reported cardiovascular comorbidity
AU - Gelber, Allan C.
AU - Wigley, Fredrick M.
AU - Stallings, Rebecca Y.
AU - Bone, Lee R.
AU - Barker, Anne V.
AU - Baylor, Ingrid
AU - Harris, Clyde W.
AU - Hill, Martha N.
AU - Zeger, Scott L.
AU - Levine, David M.
N1 - Funding Information:
Supported by National Institutes of Health grant HL51111. Dr. Gelber received support from an Arthritis Foundation Postdoctoral Fellowship and Clinical Investigator Award from National Institute of Arthritis and Musculoskeletal and Skin Diseases.
PY - 1999/5
Y1 - 1999/5
N2 - The objective of this study was to determine the prevalence of symptoms and the morbidity associated with Raynaud's phenomenon (RP) among African Americans. A total of 2196 randomly selected residents of an inner-city community, in Baltimore, completed a health-assessment survey. Symptoms of RP consisted of cold sensitivity plus cold-induced white or blue digital color change. One third (n = 703) reported cold sensitivity and 14% (n = 308) reported digital color change; 84 residents with symptoms of RP were identified, yielding an overall prevalence rate of 3.8% (95% confidence interval [CI] 3.0-4.6). RP was associated with poor or fair health status (odds ratio [OR] = 1.82, CI 1.18-2.81), heart disease (OR = 2.32, CI 1.39- 3.87), and stroke (OR = 2.20, CI 1.17-4.15), after adjustment for age, gender, and physician-diagnosed arthritis. The prevalence of symptoms of RP in this African-American community is comparable to published reports from other populations. These community-based data suggest that identification of RP among African Americans should raise consideration of possible comorbidity, particularly cardiovascular disease.
AB - The objective of this study was to determine the prevalence of symptoms and the morbidity associated with Raynaud's phenomenon (RP) among African Americans. A total of 2196 randomly selected residents of an inner-city community, in Baltimore, completed a health-assessment survey. Symptoms of RP consisted of cold sensitivity plus cold-induced white or blue digital color change. One third (n = 703) reported cold sensitivity and 14% (n = 308) reported digital color change; 84 residents with symptoms of RP were identified, yielding an overall prevalence rate of 3.8% (95% confidence interval [CI] 3.0-4.6). RP was associated with poor or fair health status (odds ratio [OR] = 1.82, CI 1.18-2.81), heart disease (OR = 2.32, CI 1.39- 3.87), and stroke (OR = 2.20, CI 1.17-4.15), after adjustment for age, gender, and physician-diagnosed arthritis. The prevalence of symptoms of RP in this African-American community is comparable to published reports from other populations. These community-based data suggest that identification of RP among African Americans should raise consideration of possible comorbidity, particularly cardiovascular disease.
KW - African-American community
KW - Prevalence
KW - Raynaud's phenomenon
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U2 - 10.1016/S0895-4356(99)00015-3
DO - 10.1016/S0895-4356(99)00015-3
M3 - Article
C2 - 10360339
AN - SCOPUS:0032975472
SN - 0895-4356
VL - 52
SP - 441
EP - 446
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
IS - 5
ER -