Widespread recent increases in county-level heart disease mortality across age groups

Details

• Alternative Title:
  Ann Epidemiol
• Personal Author:
  Vaughan, Adam S. ; Ritchey, Matthew D. ; Hannan, Judy ; Kramer, Michael R. ; Casper, Michele
• 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.
  
  
• Keywords:
  Adult Aged Aged, 80 And Over Age Distribution Age Groups Bayes Theorem Cause Of Death Female Geography Heart Diseases Humans Male Middle Aged Mortality Mortality Decline Mortality Rates United States Urban Population

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• Source:
  Ann Epidemiol. 27(12):796-800
• Pubmed ID:
  29122432
• Pubmed Central ID:
  PMC5733620
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; K01 HD074726/HD/NICHD NIH HHSUnited States/
• Volume:
  27
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6e83665b4b54b8b574fdd58ba4fda082a0c10fe207db988599c60ebde075ac1d
• Download URL:
  https://stacks.cdc.gov/view/cdc/50565/cdc_50565_DS1.pdf
• File Type:
  [PDF - 1.06 MB ]