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  1. Urbanisation and coronary heart disease mortality among African Americans in the US South.

    Article - En anglais

    Study objective

    Despite significant declines since the late 1960s, coronary mortality remains the leading cause of death for African Americans.

    African Americans in the US South suffer higher rates of cardiovascular disease than African Americans in other regions ; yet the mortality experiences of rural-dwelling African Americans, most of whom live in the South, have not been described in detail.

    This study examined urban-rural differentials in coronary mortality trends among African Americans for the period 1968-86.

    Setting

    The United States South, comprising 16 states and the District of Columbia.

    Study Population

    African American men and women aged 35-74 years.

    Design

    Analysis of urban-rural differentials in temporal trends in coronary mortality for a 19 year study period.

    All counties in the US South were grouped into five categories : greater metropolitan, lesser metropolitan, adjacent to metropolitan, semirural, and isolated rural.

    Annual age adjusted mortality rates were calculated for each urban status group.

    In 1968, observed excesses in coronary mortality were 29% for men and 45% for women, compared with isolated rural areas.

    Metropolitan areas experienced greater declines in mortality than rural areas, so by 1986 the urban-rural differentials in coronary mortality were 3% for men and 11% for women. (...)

    Mots-clés Pascal : Cardiopathie coronaire, Mortalité, Epidémiologie, Homme, Noir américain, Ethnie, Milieu urbain, Milieu rural, Tendance, Etats Unis, Amérique du Nord, Amérique, Sud, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Coronary heart disease, Mortality, Epidemiology, Human, Black American, Ethnic group, Urban environment, Rural environment, Trend, United States, North America, America, South, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0317964

    Code Inist : 002B12A03. Création : 10/04/1997.