Socioenvironmental characteristics associated with the onset of decline of ischemic heart disease mortality in the United States

The relation of community socioenvironmental characteristics to timing of the onset of decline of ischemic heart disease (IHD) mortality was investigated among the 507 State Economic Areas of the continental United States. Onset of decline was measured using data for White men aged 35-74 and classif...

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Bibliographic Details
Published in:American journal of public health (1971) 1988-08, Vol.78 (8), p.923-926
Main Authors: Wing, S, Casper, M, Riggan, W, Hayes, C, Tyroler, H A
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Coronary Disease - mortality
Coronary heart disease
Educational Status
Environment
Heart
Humans
Income
Ischemia
Male
Medical research
Medical sciences
Middle Aged
Occupations
Population
Sociology
Time Factors
United States
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Summary:The relation of community socioenvironmental characteristics to timing of the onset of decline of ischemic heart disease (IHD) mortality was investigated among the 507 State Economic Areas of the continental United States. Onset of decline was measured using data for White men aged 35-74 and classified as early (1968 or before) vs late (after 1968). Ten socioenvironmental characteristics derived from US Census Bureau data were strongly related to onset of decline. Areas with the poorest socioenvironmental conditions were two to 10 times more likely to experience late onset than those areas with the highest levels. We found that income-related characteristics could account for most of the difference in onset of decline of IHD between metropolitan and non-metropolitan places. We conclude that community socioenvironmental characteristics provide the context for changes in risk factors and medical care.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.78.8.923