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Geographic and socioeconomic variation in the onset of decline of coronary heart disease mortality in white women

Author

Listed:
  • Wing, S.
  • Barnett, E.
  • Casper, M.
  • Tyroler, H.A.

Abstract

Background. Regional, metropolitan, and socioeconomic factors related to the onset of decline of coronary heart disease (CHD) mortality among White women are reported. Such studies are important for planning population-level interventions. Methods. Mortality data for 1962 to 1978 were used, to estimate the year of onset of decline. Ecological analyses of socioeconomic data from the US census were used to emphasize structural and organizational aspects of changes in disease, rather than as a substitute for an individual- level design. Results. Onset of decline of CHD mortality among White women was estimated to have occurred by 1962 in 53% of 507 state economic areas (SEAs), ranging from 79% in the Northeast to 39% in the South. Metropolitan areas experienced earlier onset of decline than did nonmetropolitan areas. Average income, education, and occupational levels were highest in early onset areas and declined across onset categories. Conclusions. The results provide additional evidence for previously observed geographic and social patterns of CHD decline. Emphasis on structural economic factors determining the shape of the CHD epidemic curve does not detract from the medical importance of risk factors, but underscores the importance of community development to public health improvements. The results are consistent with the idea that the course of the CHD epidemic in the United States has been strongly influenced by socio-economic development.

Suggested Citation

  • Wing, S. & Barnett, E. & Casper, M. & Tyroler, H.A., 1992. "Geographic and socioeconomic variation in the onset of decline of coronary heart disease mortality in white women," American Journal of Public Health, American Public Health Association, vol. 82(2), pages 204-209.
    • Handle: RePEc:aph:ajpbhl:1992:82:2:204-209_9
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    Cited by:

    1. Nazeem Muhajarine & Ronald Labonte & Allison Williams & James Randall, 2008. "Person, Perception, and Place: What Matters to Health and Quality of Life," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 85(1), pages 53-80, January.
    2. Karlamangla, Arun S. & Singer, Burton H. & Williams, David R. & Schwartz, Joseph E. & Matthews, Karen A. & Kiefe, Catarina I. & Seeman, Teresa E., 2005. "Impact of socioeconomic status on longitudinal accumulation of cardiovascular risk in young adults: the CARDIA Study (USA)," Social Science & Medicine, Elsevier, vol. 60(5), pages 999-1015, March.
    3. Takeuchi, Sachiko & Takano, Takehito & Nakamura, Keiko, 1995. "Health and its determining factors in the Tokyo megacity," Health Policy, Elsevier, vol. 33(1), pages 1-14, July.
    4. Diane Lauderdale, 2001. "Education and survival: Birth cohort, period, and age effects," Demography, Springer;Population Association of America (PAA), vol. 38(4), pages 551-561, November.
    5. Atsuko Tanaka & Takehito Takano & Keiko Nakamura & Sachiko Takeuchi, 1996. "Health Levels Influenced by Urban Residential Conditions in a Megacity—Tokyo," Urban Studies, Urban Studies Journal Limited, vol. 33(6), pages 879-894, June.
    6. Thu T. Nguyen & Quynh C. Nguyen & Anna D. Rubinsky & Tolga Tasdizen & Amir Hossein Nazem Deligani & Pallavi Dwivedi & Ross Whitaker & Jessica D. Fields & Mindy C. DeRouen & Heran Mane & Courtney R. Ly, 2021. "Google Street View-Derived Neighborhood Characteristics in California Associated with Coronary Heart Disease, Hypertension, Diabetes," IJERPH, MDPI, vol. 18(19), pages 1-13, October.
    7. Elman, Cheryl & Cunningham, Solveig A. & Howard, Virginia J. & Judd, Suzanne E. & Bennett, Aleena M. & Dupre, Matthew E., 2023. "Birth in the U.S. Plantation South and Racial Differences in all-cause mortality in later life," Social Science & Medicine, Elsevier, vol. 335(C).

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