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Cardiovascular disease among women residing in rural America: Epidemiology, explanations, and challenges

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  • Taylor, H.A.
  • Hughes, G.D.
  • Garrison, R.J.

Abstract

Many believe that the United States has entered a "Golden Age" of cardiovascular health and medicine. Pharmacological and technological advances have indeed produced an era of declining mortality rates from cardiovascular diseases for the nation as a whole. However, there remain areas of challenge. Cardiovascular disease (CVD) is still by far the leading cause of death and disability in the United States, and it is the leading killer of US women. Perhaps the single most notable feature of the CVD epidemic in the United States is the substantial difference in morbidity and mortality that exists between White women and women of color, with a disproportionate share of suffering borne by minority women. Unexplained regional variations also cloud the otherwise notable progress of the last 30 years, and many rural areas appear to be uniquely affected by cardiovascular disease. This commentary reviews the evidence that the CVD epidemic disproportionately burdens women of color who reside in rural areas, itemizes and provides a logical framework for explaining this burden, and suggests approaches to solving this vexing public health problem.

Suggested Citation

  • Taylor, H.A. & Hughes, G.D. & Garrison, R.J., 2002. "Cardiovascular disease among women residing in rural America: Epidemiology, explanations, and challenges," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 548-551.
    • Handle: RePEc:aph:ajpbhl:2002:92:4:548-551_5
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    Cited by:

    1. Sandra C. Thompson & Lee Nedkoff & Judith Katzenellenbogen & Mohammad Akhtar Hussain & Frank Sanfilippo, 2019. "Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review," IJERPH, MDPI, vol. 16(24), pages 1-17, December.
    2. Clifton C. Addison & Brenda W. Campbell Jenkins & Darcel Odom & Marty Fortenberry & Gregory Wilson & Lavon Young & Donna Antoine-LaVigne, 2015. "Building Collaborative Health Promotion Partnerships: The Jackson Heart Study," IJERPH, MDPI, vol. 13(1), pages 1-9, December.
    3. Ziembroski, Jessica S. & Hauck, Erica L., 2004. "The Cumulative Effect Of Rural And Regional Residence Upon The Health Of Older Adults," Working Papers 18919, Oregon State University, Rural Poverty Research Center (RPRC).
    4. King, Kathryn M. & Thomlinson, Elizabeth & Sanguins, Julianne & LeBlanc, Pamela, 2006. "Men and women managing coronary artery disease risk: Urban-rural contrasts," Social Science & Medicine, Elsevier, vol. 62(5), pages 1091-1102, March.

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