纽约州缺血性心脏病的高死亡率只是城市效应吗？
Is the high ischemic heart disease mortality rate in New York State just an urban effect?
作者信息
McNutt L A, Strogatz D S, Coles F B, Fehrs L J
机构信息
Bureau of Adult and Gerontological Health, New York State Department of Health, Albany.
出版信息
Public Health Rep. 1994 Jul-Aug;109(4):567-70.
To determine whether New York State's high ischemic heart disease mortality rate was due primarily to an urban effect, rates for regions in the State were compared with each other and with national data. New York State mortality rates for the period 1980-87 were highest for New York City (344.5 per 100,000 residents), followed by upstate urban and rural areas (267.1-285.1), and New York City suburbs (272.5). However, the overall 1986 age-adjusted rate for the New York State region with the lowest mortality rate (265.7) exceeded that of 42 States. New York State's number one ischemic heart disease mortality ranking reflects the need for statewide intervention programs, because even regions with relatively low mortality rates are high when they are compared with national rates.
为确定纽约州缺血性心脏病高死亡率是否主要归因于城市影响，将该州各地区的死亡率相互比较，并与全国数据进行对比。1980 - 1987年期间，纽约州死亡率最高的是纽约市（每10万居民中有344.5人死亡），其次是州北部城市和农村地区（267.1 - 285.1），以及纽约市郊区（272.5）。然而，1986年纽约州死亡率最低地区的总体年龄调整率（265.7）超过了42个州。纽约州在缺血性心脏病死亡率方面排名第一，这表明需要开展全州范围的干预项目，因为即便死亡率相对较低的地区，与全国死亡率相比也处于高位。
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