Yoon G Y, Kapadia A S, Canfield M A, Moffitt K B, Mullen P D
Tex Med. 1989 Oct;85(10):27-31.
Cardiovascular diseases are the leading causes of death in Texas and in the United States. This study determines the trend in mortality rates attributed to cardiovascular diseases in Harris County from 1980 to 1986. The region of the county that does not include the City of Houston was specifically studied. Mortality of cardiovascular diseases in these two areas follow patterns similar to that of the United States in the same time period. Both the entire county and Harris County excluding Houston show declines in cardiovascular mortality rates in the 7-year period. The populations were divided into four ethnic categories (white, black, Hispanic and "other"), and each ethnic group reported significant declines in overall cardiovascular mortality except in the "other" population, which showed an increase in the male group. Significant downward trends were noticed in the white and Hispanic population in the two major subcategories of cardiovascular diseases: diseases of the heart and cerebrovascular diseases. The black population in each geographic area studied was consistently higher in cardiovascular mortality than the other three ethnic groups observed (white, Hispanic and "other"). Knowledge of cardiovascular disease mortality rates by ethnicity, sex, and age as well as temporal changes in mortality rates within Harris County are important for health planners in continuing and implementing programs aimed at awareness, prevention, and treatment of cardiovascular diseases.
心血管疾病是得克萨斯州乃至美国的主要死因。本研究确定了1980年至1986年哈里斯县归因于心血管疾病的死亡率趋势。特别研究了该县不包括休斯顿市的区域。这两个地区的心血管疾病死亡率模式与同期美国的模式相似。在这7年期间，整个县以及不包括休斯顿的哈里斯县的心血管死亡率均呈下降趋势。人群被分为四个种族类别（白人、黑人、西班牙裔和“其他”），除了“其他”人群中的男性群体死亡率有所上升外，每个种族群体的总体心血管死亡率均显著下降。在心血管疾病的两个主要子类别（心脏病和脑血管疾病）中，白人和西班牙裔人群呈现出显著的下降趋势。在每个研究的地理区域中，黑人的心血管死亡率始终高于其他三个观察到的种族群体（白人、西班牙裔和“其他”）。了解哈里斯县按种族、性别和年龄划分的心血管疾病死亡率以及死亡率随时间的变化，对于健康规划者继续和实施旨在提高心血管疾病认知、预防和治疗的项目非常重要。
