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Citation

Poteat, Tonia; Lett, Elle; Rich, Ashleigh J.; Jiang, Huijun; Wirtz, Andrea L.; Radix, Asa; Reisner, Sari L.; Harris, Alexander B.; Malone, Jowanna; & La Cava, William G., et al. (2023). Effects of Race and Gender Classifications on Atherosclerotic Cardiovascular Disease Risk Estimates for Clinical Decision-Making in a Cohort of Black Transgender Women. Health Equity, 7(1), 803-808. PMCID: PMC10698798

Abstract

INTRODUCTION: Despite their dynamic, socially constructed, and imprecise nature, both race and gender are included in common risk calculators used for clinical decision-making about statin therapy for atherosclerotic cardiovascular disease (ASCVD) prevention.
METHODS AND MATERIALS: We assessed the effect of manipulating six different race-gender categories on ASCVD risk scores among 90 Black transgender women.
RESULTS: Risk scores varied by operationalization of race and gender and affected the proportion for whom statins were recommended.
DISCUSSION: Race and gender are social constructs underpinning racialized and gendered health inequities. Their rote use in ASCVD risk calculators may reinforce and perpetuate existing inequities.

URL

http://dx.doi.org/10.1089/heq.2023.0066

Reference Type

Journal Article

Year Published

2023

Journal Title

Health Equity

Author(s)

Poteat, Tonia
Lett, Elle
Rich, Ashleigh J.
Jiang, Huijun
Wirtz, Andrea L.
Radix, Asa
Reisner, Sari L.
Harris, Alexander B.
Malone, Jowanna
La Cava, William G.
Lesko, Catherine R.
Mayer, Kenneth H.
Streed, Carl G. Jr.

Article Type

Regular

PMCID

PMC10698798

Data Set/Study

LITE Plus

Continent/Country

United States

State

Nonspecific

Race/Ethnicity

Black

Sex/Gender

Transgender Women

ORCiD

Poteat - 0000-0001-6541-3787