First thoughts might be that there is a higher prevalence of underlying conditions in this group, but it doesn't seem clear cut. Blacks have a higher prevalence of diabetes, but whites best them in terms of lung disease and cancer.
Study findings highlight racial/ethnic differences among the leading causes of death but present a more complicated pattern than one of straightforward group disparities. We found greater racial/ethnic differences in prevalence of single chronic disorders than in multiple disorders emphasizing the importance of public health strategies to prevent the first disease. To prevent the complexity of multimorbidity, additional efforts might target people with a single disease. Non-Hispanic black and Hispanic adults had a high prevalence of diabetes, both alone and combined with CVD. Non-Hispanic whites had nearly twice the age-specific prevalence of cancer without other chronic conditions, and non-Hispanic whites had the highest prevalence of chronic lung disease, both as a single condition and combined with CVD. Across the racial/ethnic groups, disease dyads and triads may evolve through different pathways. The existence of distinct racial/ethnic patterns should be considered in the HHS framework to prevent and address multimorbidity.