Background and Purpose This study examines the geographic variation in the reporting of deaths with stroke as the underlying or contributing cause in the United States.
Methods Data from the National Center for Health Statistics and Bureau of the Census were used to map the geographic distribution of race-and race/sex-specific, underlying-contributing-and multiple-cause age-adjusted stroke mortality rates in the United States by state for 1979 through 1981.
Results Underlying-contributing-and multiple-cause age-adjusted stroke mortality ratcs were significantly clustered for both whites and blacks.
However, the spatial distributions of underlying-and contributing-cause rates differed ; there was no association between underlying-and contributing-cause rates for either racial group or for the various race/sex groups.
There was no association between nonstroke mortality and stroke mortality rates.
There was also very little spatial variation and no spatial clustering of the median number of contributing causes reported.
Conclusions The overall large-scale spatial distribution of resident underlying-cause stroke mortality rates cannot be explained by geographic variation in the selection of the underlying cause of death from among all causes reported on the death certificate, by diffcrent area-dependent tendencies for mortality generally, or by different tendencies to consider stroke as the cause of death when death occurs.
Mots-clés Pascal : Accident cérébrovasculaire, Etats Unis, Amérique du Nord, Amérique, Mortalité, Variation géographique, Epidémiologie, Facteur risque, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, United States, North America, America, Mortality, Geographical variation, Epidemiology, Risk factor, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0012102
Code Inist : 002B17C. Création : 01/03/1996.