Urban space and mortality from ischemic heart disease in the elderly in Rio de Janeiro
Urban space and mortality from ischemic heart disease in the elderly in Rio de Janeiro
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DOI：
10.1590/s0066-782x2010005000009
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发表时间：
2010-04-01
影响因子：
2.6
通讯作者：
Escosteguy, Claudia Caminha
中科院分区：
文献类型：
--
作者：
Périssé, Germana;Medronho, Roberto de Andrade;Escosteguy, Claudia Caminha
背景：心血管疾病是巴西人死亡的主要原因，尤其是老年人。在里约热内卢市（RJC），缺血性心脏病（IHD）是导致死亡的主要原因。研究表明，城市化进程、社会经济条件和生活方式的改变与IHD的发生有关。目的：描述2000年里约热内卢市老年人IHD死亡率的地理分布及其与社会经济变量的相关性。这是一个生态学研究与空间分析的IHD死亡率的分布在老年人居住在RJC在2000年，标准化的性别和年龄，其相关性与社会经济变量从人口census.Results：有没有很强的相关性之间的社会经济变量和IHD死亡率在老年人的地区。一些相关性，尽管很弱，显示出较高的社会经济地位和较高的死亡率之间的关联。通过添加不明确的死亡原因（IDC）来校正IHD死亡率后，观察到低社会经济地位和IHD较高的死亡率之间的关联。该研究表明，空间依赖的社会经济变量，但不是死亡率IHD.Conclusion：观察到的经济变量的空间依赖性表明，在MRJ的城市空间，虽然异质性，有一定的歧视区。IHD和社会经济变量之间的一些相关性与文献中发现的相反，这可能部分与IDC的比例有关，或者与该年龄组的独特性有关。(Arq布拉斯心脏病学2010;94（4）：437-444）
Background: Cardiovascular diseases are the leading cause of death in Brazil, especially among the elderly. In the city of Rio de Janeiro (RJC), ischemic heart disease (IHD) is the predominant cause of mortality Studies show an association between the process of urbanization, socioeconomic conditions and changes in lifestyle with the occurrence of IHD.Objective: To describe the geographical distribution of the IHD mortality rates in the elderly of RJC in 2000 and its correlation with socioeconomic variables.Methods: This was an ecological study with a spatial analysis of the distribution of the IHD mortality rates in the elderly residing in RJC in 2000, standardized by gender and age, and its correlation with socioeconomic variables from the demographic census.Results: There were no strong correlations between the socioeconomic variables and IHD mortality in the elderly in the districts. Some correlations, albeit weak, showed an association between higher socioeconomic status and higher mortality After correcting the IHD mortality rate by adding ill-defined causes (IDC) of death, an association between low socioeconomic status and higher mortality from IHD was observed. The study showed spatial dependence for socioeconomic variables, but not for mortality from IHD.Conclusion: The spatial dependence observed in economic variables shows that the urban space in MRJ, although heterogeneous, has a certain amount of discrimination in the districts. Some correlations between IHD and socioeconomic variables were opposite to those found in the literature, and this may be partly related to the proportion of IDC, or to the exclusive profile of this age group. (Arq Bras Cardiol 2010;94(4): 437-444)