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首页> 外文期刊>Annals of epidemiology >Variation in rates of fatal coronary heart disease by neighborhood socioeconomic status: the atherosclerosis risk in communities surveillance (1992-2002).
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Variation in rates of fatal coronary heart disease by neighborhood socioeconomic status: the atherosclerosis risk in communities surveillance (1992-2002).

机译：致命性冠心病发生率随社区社会经济状况的变化：社区监测中的动脉粥样硬化风险（1992-2002年）。

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PURPOSE: Racial and gender disparities in out-of-hospital deaths from coronary heart disease (CHD) have been well-documented, yet disparities by neighborhood socioeconomic status (nSES) have been less systematically studied in US population-based surveillance efforts. METHODS: We examined the association of nSES, classified into tertiles, with 3,743 out-of-hospital fatal CHD events, and a subset of 2,191 events classified as sudden, among persons aged 35 to 74 years in four US communities under surveillance by the Atherosclerosis Risk in Communities (ARIC). Poisson generalized linear mixed models generated age-, race- (white, black) and gender-specific standardized mortality rate ratios and 95% confidence intervals (RR, 95% CI). RESULTS: Regardless of nSES measure used, inverse associations of nSES with all out-of-hospital fatal CHD and sudden fatal CHD were seen in all race-gender groups. The magnitude of these associations was larger among women than men. Further, among blacks, associations of low nSES (vs. high nSES) were stronger for sudden cardiac deaths (SCD) than for all out-of-hospital fatal CHD. CONCLUSIONS: Low nSES was associated with an increased risk of out-of-hospital CHD death and SCD. Measures of the neighborhood context are useful tools in population-based surveillance efforts for documenting and monitoring socioeconomic disparities in mortality over time.
机译：目的：冠心病（CHD）导致的院外死亡的种族和性别差异已经有充分的文献记载，但是在美国基于人口的监测工作中，对邻里社会经济状况（nSES）的差异还没有进行过系统的研究。方法：我们在美国四个受动脉粥样硬化监测的社区中，对年龄在35至74岁之间的nSES与3743例院外致命CHD事件以及2191例分类为突发事件的子集之间的关联进行了分类社区风险（ARIC）。 Poisson广义线性混合模型生成了年龄，种族（白人，黑人）和按性别划分的标准化死亡率和95％的置信区间（RR，95％CI）。结果：无论使用何种nSES量度，在所有种族性别组中均发现nSES与所有院外致命性CHD和突然致命性CHD呈负相关。女性之间的这种关联的程度大于男性。此外，在黑人中，突发性心脏死亡（SCD）的低nSES（与高nSES）的关联要强于所有院外致命性CHD。结论：低nSES与院外CHD死亡和SCD风险增加有关。在基于人群的监测工作中，邻域环境的测量是有用的工具，用于记录和监测随着时间推移死亡率的社会经济差异。

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