The geographic distribution of Parkinson's disease mortality in the United States.
This study examines geographic variation in reporting of Parkinson's disease mortality in the U.S. Methods : National Center for Health Statistics and Bureau of the Census data were used to map age-adjusted, race-and race-gender-specific Parkinson's disease mortality rates in the U.S. for 1988.
Among whites, high underlying-cause rates predominated in the North and low rates predominated in the South, whereas high contributing and all-cause rates were concentrated in the northeastern U.S. Strong north-to-south decreasing gradients were present for both underlying-and all-cause rates for whites, regardless of gender, whereas a clear west-to-east gradient could not be demonstrated.
Geographic variation in contributing-and all-cause rates was partially explained by variation in tendency to report contributing causes of death.
Reported rates among blacks were significantly lower than among whites.
There was no latitudinal or longitudinal gradient of underlying-cause rates for blacks. but there was a relatively weak north-to-south decreasing gradient of all-cause rates for blacks, regardless of gender.
The large-scale pattern of underlying-cause Parkinson's disease mortality among whites has persisted for over three decade.
Mots-clés Pascal : Parkinson maladie, Répartition géographique, Etats Unis, Amérique du Nord, Amérique, Age, Sexe, Ethnie, Epidémiologie, Mortalité, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Extrapyramidal syndrome, Maladie dégénérative
Mots-clés Pascal anglais : Parkinson disease, Geographic distribution, United States, North America, America, Age, Sex, Ethnic group, Epidemiology, Mortality, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Extrapyramidal syndrome, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0417368
Code Inist : 002B17G. Création : 19/12/1997.