Journal article
Changes in the Geographic Patterns of Heart Disease Mortality in the United States 1973 to 2010
Circulation (New York, N.Y.), v 133(12), pp 1171-1180
22 Mar 2016
PMID: 27002081
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background-
Although many studies have documented the dramatic declines in heart disease mortality in the United States at the national level, little attention has been given to the temporal changes in the geographic patterns of heart disease mortality.
Methods and Results-
Age-adjusted and spatially smoothed county-level heart disease death rates were calculated for 2-year intervals from 1973 to 1974 to 2009 to 2010 for those aged >= 35 years. Heart disease deaths were defined according to the International Classification of Diseases codes for diseases of the heart in the eighth, ninth, and tenth revisions of the International Classification of Diseases. A fully Bayesian spatiotemporal model was used to produce precise rate estimates, even in counties with small populations. A substantial shift in the concentration of high-rate counties from the Northeast to the Deep South was observed, along with a concentration of slow-decline counties in the South and a nearly 2-fold increase in the geographic inequality among counties.
Conclusions-
The dramatic change in the geographic patterns of heart disease mortality during 40 years highlights the importance of small-area surveillance to reveal patterns that are hidden at the national level, gives communities the historical context for understanding their current burden of heart disease, and provides important clues for understanding the determinants of the geographic disparities in heart disease mortality.
Metrics
Details
- Title
- Changes in the Geographic Patterns of Heart Disease Mortality in the United States 1973 to 2010
- Creators
- Michele Casper - Centers for Disease Control and PreventionMichael R. Kramer - Ctr Dis Control & Prevent, Div Heart Dis & Stroke Prevent, Atlanta, GA USAHarrison Quick - Centers for Disease Control and PreventionLinda J. Schieb - Centers for Disease Control and PreventionAdam S. Vaughan - Centers for Disease Control and PreventionSophia Greer - Centers for Disease Control and Prevention
- Publication Details
- Circulation (New York, N.Y.), v 133(12), pp 1171-1180
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- K01HD074726 / Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health K01HD074726 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000372406100004
- Scopus ID
- 2-s2.0-84962249961
- Other Identifier
- 991020100214104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Peripheral Vascular Disease