Details:

Alternative Title:
Ann Epidemiol
Personal Author:
Vaughan, Adam S. ; Ritchey, Matthew D. ; Hannan, Judy ; Kramer, Michael R. ; Casper, Michele
Vaughan, Adam S. ; Ritchey, Matthew D. ; Hannan, Judy ; Kramer, Michael R. ; Casper, Michele Less -
Description:
Purpose

Recent national trends show decelerating declines in heart disease mortality, especially among younger adults. National trends may mask variation by geography and age. We examined recent county-level trends in heart disease mortality by age group.

Methods

Using a Bayesian statistical model and National Vital Statistics Systems data, we estimated overall rates and percent change in heart disease mortality from 2010 through 2015 for four age groups (35–44, 45–54, 55–64, and 65–74 years) in 3098 US counties.

Results

Nationally, heart disease mortality declined in every age group except ages 55–64 years. County-level trends by age group showed geographically widespread increases, with 52.3%, 58.5%, 69.1%, and 42.0% of counties experiencing increases with median percent changes of 0.6%, 2.2%, 4.6%, and −1.5% for ages 35–44, 45–54, 55–64, and 65–74 years, respectively. Increases were more likely in counties with initially high heart disease mortality and outside large metropolitan areas.

Conclusions

Recent national trends have masked local increases in heart disease mortality. These increases, especially among adults younger than age 65 years, represent challenges to communities across the country. Reversing these trends may require intensification of primary and secondary prevention—focusing policies, strategies, and interventions on younger populations, especially those living in less urban counties.


Subject:
[+]
Adult
Aged
Aged, 80 And Over
Age Distribution
Age Groups
Bayes Theorem
Cause Of Death
Female
Heart Diseases
Humans
Male
Middle Aged
Mortality
Urban Population

Source:
Ann Epidemiol. 27(12):796-800
Pubmed ID:
29122432
Pubmed Central ID:
PMC5733620
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States ; K01 HD074726/HD/NICHD NIH HHS/United States
CC999999/Intramural CDC HHS/United States ; K01 HD074726/HD/NICHD NIH HHS/United States Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:6e83665b4b54b8b574fdd58ba4fda082a0c10fe207db988599c60ebde075ac1d
File Type:

Supporting Files

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