de Backer G, Thys G, de Craene I, Verhasselt Y, de Henauw S
Department of Public Health, University Hospital, Ghent, Belgium.
J Epidemiol Community Health. 1994 Aug;48(4):344-7. doi: 10.1136/jech.48.4.344.
To identify geographical differences in coronary heart disease (CHD) attack rates in a small urban area and to relate these to indicators of socioeconomic class.
CHD attack rates were calculated from data of the Ghent MONICA myocardial infarct register for the period 1983-87. The city of Ghent is subdivided into 201 sectors based on morphological, and socioeconomic characteristics. During the national census of 1981, the main determinants of residential differentiation were measured. These sector variables were linked with the CHD attack rates.
All residents of the city aged 25-69 years are prospectively followed with regard to heart attacks. Between 1982 and 1987, 1728 suffered an acute heart attack according to MONICA criteria.
Significant (p < 0.05) differences in age and sex standarised attack rates were observed between city sectors. These differences were related to an index of socioeconomic status.
Within a small urban area, significant geographical differences occur in CHD attack rates and these are related to socioeconomic status.
确定一个小城区冠心病（CHD）发病率的地理差异，并将这些差异与社会经济阶层指标相关联。
根据根特MONICA心肌梗死登记处1983 - 1987年期间的数据计算冠心病发病率。根特市根据形态和社会经济特征划分为201个区域。在1981年全国人口普查期间，测量了居住分化的主要决定因素。这些区域变量与冠心病发病率相关联。
对该市所有25 - 69岁的居民进行心脏病发作的前瞻性随访。1982年至1987年间，根据MONICA标准，有1728人发生急性心脏病发作。
各城区之间在年龄和性别标准化发病率上存在显著（p < 0.05）差异。这些差异与社会经济地位指数相关。
在一个小城区内，冠心病发病率存在显著的地理差异，且这些差异与社会经济地位相关。
