Socioenvironmental characteristics associated with the onset of decline of ischemic heart disease mortality in the United States.
Socioenvironmental characteristics associated with the onset of decline of ischemic heart disease mortality in the United States.
复制标题
与美国缺血性心脏病死亡率下降相关的社会环境特征。
DOI：
10.2105/ajph.78.8.923
复制
发表时间：
1988
影响因子：
12.7
通讯作者：
H. Tyroler
中科院分区：
文献类型：
--
作者：
Steve Wing;Michele Casper;Wilson Riggan;C. Hayes;H. Tyroler
对美国大陆507个州经济区的社区社会环境特征与缺血性心脏病（IHD）死亡率下降时间的关系进行了研究。使用年龄在35-74岁之间的白色男性的数据测量下降的开始，并将其分为早期（1968年或之前）与晚期（1968年之后）。来自美国人口普查局数据的十个社会环境特征与发病率下降密切相关。社会环境条件最差的地区发生晚发性疟疾的可能性是发病率最高的地区的2至10倍。我们发现，与收入相关的特征可以解释大都市和非大都市之间IHD下降的大部分差异。我们的结论是，社区的社会环境特征提供了背景下的风险因素和医疗保健的变化。
The relation of community socioenvironmental characteristics to timing of the onset of decline of ischemic heart disease (IHD) mortality was investigated among the 507 State Economic Areas of the continental United States. Onset of decline was measured using data for White men aged 35-74 and classified as early (1968 or before) vs late (after 1968). Ten socioenvironmental characteristics derived from US Census Bureau data were strongly related to onset of decline. Areas with the poorest socioenvironmental conditions were two to 10 times more likely to experience late onset than those areas with the highest levels. We found that income-related characteristics could account for most of the difference in onset of decline of IHD between metropolitan and non-metropolitan places. We conclude that community socioenvironmental characteristics provide the context for changes in risk factors and medical care.