Urban-Rural Differences in Coronary Heart Disease Mortality in the United States: 1999-2009

Urban-Rural Differences in Coronary Heart Disease Mortality in the United States: 1999-2009
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DOI:
10.1177/003335491412900105
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发表时间:
2014-01-01
影响因子:
3.3
通讯作者:
Vaccarino, Viola
Vaccarino, Viola
中科院分区:
医学4区
文献类型:
--
作者:
Kulshreshtha, Ambar;Goyal, Abhinav;Vaccarino, Viola

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Objective.冠心病(CHD)死亡率在过去几十年中有所下降;然而,尚不清楚CHD死亡率的下降是否在城市化水平和特定种族群体中相似。我们描述了美国冠心病死亡率城乡差异的模式和程度。使用国家卫生统计中心的数据,我们研究了1999年至2009年35-84岁人群中冠心病死亡率的趋势,在每个地理区域(东北部,中西部,西部和南部)和特定的种族城市化群体中,包括大城市和中等城市(城市)地区和非城市(农村)地区的黑人和白色人。我们还研究了年龄在10岁以下的女性中早发冠心病的死亡情况。
Objective. Coronary heart disease (CHD) mortality has declined in the past few decades; however, it is unclear whether the reduction in CHD deaths has been similar across urbanization levels and in specific racial groups. We describe the pattern and magnitude of urban-rural variations in CHD mortality in the US.Methods. Using data from the National Center for Health Statistics, we examined trends in death rates from CHD from 1999 to 2009 among people aged 35-84 years, in each geographic region (Northeast, Midwest, West, and South) and in specific racial-urbanization groups, including black and white people in large and medium metropolitan (urban) areas and in non-metropolitan (rural) areas. We also examined deaths from early-onset CHD in females aged