Trends and Patterns of Geographic Variation in Cardiovascular Mortality Among US Counties, 1980-2014

JAMA : the Journal of the American Medical Association
Gregory A RothChristopher J L Murray

Abstract

In the United States, regional variation in cardiovascular mortality is well-known but county-level estimates for all major cardiovascular conditions have not been produced. To estimate age-standardized mortality rates from cardiovascular diseases by county. Deidentified death records from the National Center for Health Statistics and population counts from the US Census Bureau, the National Center for Health Statistics, and the Human Mortality Database from 1980 through 2014 were used. Validated small area estimation models were used to estimate county-level mortality rates from all cardiovascular diseases, including ischemic heart disease, cerebrovascular disease, ischemic stroke, hemorrhagic stroke, hypertensive heart disease, cardiomyopathy, atrial fibrillation and flutter, rheumatic heart disease, aortic aneurysm, peripheral arterial disease, endocarditis, and all other cardiovascular diseases combined. The 3110 counties of residence. Age-standardized cardiovascular disease mortality rates by county, year, sex, and cause. From 1980 to 2014, cardiovascular diseases were the leading cause of death in the United States, although the mortality rate declined from 507.4 deaths per 100 000 persons in 1980 to 252.7 deaths per 100 ...Continue Reading

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Citations

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