Titre :
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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. (2000)
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Auteurs :
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E. BARNETT ;
J. HALVERSON ;
Office of Social Environment and Health Research. Department of Community Medicine. West Virginia University. USA
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Type de document :
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Article
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Dans :
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Public health reports (vol. 115, n° 1, 2000)
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Pagination :
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52-64
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Langues:
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Anglais
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Mots-clés :
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Cardiopathie coronaire
;
Mortalité
;
Ethnie
;
Epidémiologie
;
Facteur risque
;
Adulte
;
Homme
;
Etats Unis
;
Amérique
;
Appareil circulatoire [pathologie]
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST 3RH9LR0x. Diffusion soumise à autorisation]. 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 1985-995. Lognear 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 nighest rates of premature CHD mortality and slowest mortality ceclines 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. (...)
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