Halverson Joel A, Barnett Elizabeth, Casper Michele
Office of Social Environment and Health Research, Department of Community Medicine, Prevention Research Center, West Virginia University, Morgantown, West Virginia 26505, USA.
Ethn Dis. 2002 Fall;12(4):S3-82-91.
In this paper, we examine geographic and racial/ethnic differences in heart disease and stroke mortality in the Appalachian region. Initial comparisons are made between national rates for heart disease and stroke mortality and those for the Appalachian region. County-level analyses were performed to examine the relative mortality experience of populations in Appalachian counties compared to other counties in the United States and to assess the degree of geographic disparity in mortality from heart disease and stroke among these race/ethnic and gender groups within Appalachia. The Appalachian region exhibits higher rates of both heart disease and stroke mortality for all race/ethnic, gender, and age groups examined. We found that many counties in the Appalachian region endure a considerable burden of the national excess in both heart disease and stroke mortality, and these counties tend to be aggregated in particular areas as opposed to being dispersed regionwide. Finally, we compare 2 groups of counties in Appalachia based on the designation as an "economically distressed county," defined by the Appalachian Regional Commission. As a group, distressed counties in Appalachia exhibit higher rates of both heart disease and stroke mortality than the rest of Appalachia.
在本文中，我们研究了阿巴拉契亚地区心脏病和中风死亡率的地理及种族/族裔差异。首先对全国心脏病和中风死亡率与阿巴拉契亚地区的死亡率进行了比较。开展了县级分析，以研究阿巴拉契亚各县人口与美国其他县相比的相对死亡情况，并评估阿巴拉契亚地区这些种族/族裔和性别群体中心脏病和中风死亡率的地理差异程度。在所研究的所有种族/族裔、性别和年龄组中，阿巴拉契亚地区的心脏病和中风死亡率均较高。我们发现，阿巴拉契亚地区的许多县承受着全国心脏病和中风死亡率过高的相当大负担，而且这些县往往聚集在特定区域，而非分散在整个地区。最后，我们根据阿巴拉契亚区域委员会定义的“经济困境县”指定，比较了阿巴拉契亚地区的两组县。作为一个群体，阿巴拉契亚的困境县心脏病和中风死亡率均高于阿巴拉契亚其他地区。
