ABSTRACT

Cardiovascular disease, particularly coronary heart disease (CHD), continues to be a major cause of death in the United States and other industrialized societies (Pisa & Uemura, 1982; Tracy, 1966). Particularly among the young and the middle-aged, the incidence of CHD is greater for men than women (Heller & Jacobs, 1978; Kannel, Hjortland, McNamara, & Gordon, 1976; Pisa & Uemura, 1982; Tracy, 1966; Wingard, Suarez, & Barrett-Connor, 1983). The sex differential in CHD persists despite declining death rates for men and women (Havlik & Feinleib, 1979; Pisa & Uemura, 1982).