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首页> 美国卫生研究院文献>Bulletins of the Public Health >Disparities in premature coronary heart disease mortality by region and urbanicity among black and white adults ages 35-64 1985-1995.
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Disparities in premature coronary heart disease mortality by region and urbanicity among black and white adults ages 35-64 1985-1995.

机译：1985-1995年间35-64岁的黑人和白人成年人中按地区和城市性划分的早发冠心病死亡率差异。

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OBJECTIVES: Regional and urban-rural disparities in premature coronary heart disease (CHD) mortality were evident in the US as early as 1950. Recent favorable trends at the national level may obscure less favorable outcomes for certain regions and localities. The authors examined trends in premature CHD mortality for 1985-1995 for black and white adults ages 35-64 years for four categories of urbanicity in two regions of the US (South and non-South). METHODS: All counties in the US (excluding Alaskan counties) were grouped by urbanicity and region. Annual age-adjusted CHD mortality rates were calculated for adults ages 35-64 by racial category (African American or white) and gender for each geographic area for the years 1985- 1995. Loglinear regression models were used to estimate average annual percent declines in mortality for each of 28 geo-demographic groups. Data were also collected on selected socioeconomic resources by urbanicity for the non-South (excluding Alaska) and South. RESULTS: For both white and black adults ages 35-64, the highest rates of premature CHD mortality and slowest mortality declines were observed in the rural South. For white men and women, marked disparities in premature CHD mortality across categories of urbanicity were noted in the South but not outside the South. Unexpectedly high rates of premature CHD mortality were observed for African Americans in major metropolitan areas outside the South despite favorable levels of socioeconomic resources. CONCLUSIONS: Disparities in premature CHD mortality by region and urbanicity appear to have widened between 1985 and 1995. Residents of the rural South had the highest rates of premature CHD mortality, and rural communities in the South face significant barriers to effective heart disease prevention and control.
机译：目的：早在1950年，美国就已发现过早的冠心病（CHD）死亡率的地区和城乡差异。国家一级的近期有利趋势可能会掩盖某些地区和地区的不利结果。作者研究了美国两个地区（南部和非南部）四类城市化程度在1985-1995年期间年龄在35-64岁之间的黑人和白人成年人的CHD死亡率的趋势。方法：美国所有县（阿拉斯加县除外）均按城市和地区进行分组。计算了1985-1995年各种族地区按种族类别（非裔美国人或白人）和性别划分的35-64岁成年人的经年龄调整后的冠心病死亡率。采用对数线性回归模型估算死亡率的年平均下降百分比针对28个地理人口组中的每一个。还按城市分布收集了有关非南部地区（阿拉斯加除外）和南部地区某些社会经济资源的数据。结果：对于南部农村地区，年龄在35-64岁之间的白人和黑人成年人，冠心病过早死亡的发生率最高，而死亡率下降的幅度最慢。对于白人而言，在南部但在南部以外的城市中，注意到各种城市化程度的冠心病过早死亡的显着差异。尽管社会经济资源水平良好，但在南部以外的主要大都市地区，非裔美国人的CHD死亡率过高。结论：1985年至1995年，按地区和城市化程度划分的早发冠心病死亡率差异似乎有所扩大。南方农村地区的居民早发冠心病死亡率最高，南方的农村社区面临着有效预防和控制心脏病的重大障碍。 。

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