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. 2001 Sep;91(9):1499-506.
doi: 10.2105/ajph.91.9.1499.

Local increases in coronary heart disease mortality among blacks and whites in the United States, 1985-1995

E Barnett  1 , J Halverson
Affiliations

Local increases in coronary heart disease mortality among blacks and whites in the United States, 1985-1995

E Barnett et al. Am J Public Health. 2001 Sep.

Abstract

Objectives: This study analyzed coronary heart disease (CHD) mortality trends from 1985 to 1995, by race and sex, among Black and White adults 35 years and older to determine whether adverse trends were evident in any US localities.

Methods: Log-linear regression models of annual age-adjusted death rates provided a quantitative measure of local mortality trends.

Results: Increasing trends in CHD mortality were observed in 11 of 174 labor market areas for Black women, 23 of 175 areas for Black men, 10 of 394 areas for White women, and 4 of 394 areas for White men. Nationwide, adverse trends affected 1.7% of Black women, 8.0% of Black men, 1.1% of White women, and 0.3% of White men.

Conclusions: From 1985 to 1995, moderate to strong local increases in CHD mortality were observed, predominantly in the southern United States. Black men evidenced the most unfavorable trends and were 25 times as likely as White men to be part of a local population experiencing increases in coronary heart disease mortality.

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Figures

FIGURE 1—
FIGURE 1—
Coronary heart disease mortality trends: Labor Market 43, nonmetropolitan Searcy City, Ark, 1985–1995.
FIGURE 2—
FIGURE 2—
Distribution of coronary heart disease (CHD) mortality trend outcomes across labor market areas among adults 35 years or older, by race and sex: United States, 1985–1995.
FIGURE 3—
FIGURE 3—
Local trends in coronary heart disease (CHD) among Black women: United States, 1985–1995.
FIGURE 4—
FIGURE 4—
Local trends in coronary heart disease (CHD) among Black men: United States, 1985–1995.
FIGURE 5—
FIGURE 5—
Local trends in coronary heart disease (CHD) among White women: United States, 1985–1995.
FIGURE 6—
FIGURE 6—
Local trends in coronary heart disease (CHD) among White men: United States, 1985–1995.
See this image and copyright information in PMC

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