scholarly journals State Declines in Heart Disease Mortality in the United States, 2000–2019

2021 ◽  
Author(s):  
Anthony Sawyer ◽  
Lee Anne Flagg
Keyword(s):  
United States ◽  
Heart Disease ◽  
District Of Columbia ◽  
The United States ◽  
Death Rates ◽  
Disease Mortality

This report examines changes in heart disease death rates for 2000–2019 in the United States and for all states and the District of Columbia.

scholarly journals Coronary Heart Disease Mortality Declines in the United States From 1979 Through 2011CLINICAL PERSPECTIVE

Circulation ◽  
2015 ◽  
Vol 132 (11) ◽  
pp. 997-1002 ◽  
Author(s):  
Kobina A. Wilmot ◽  
Martin O’Flaherty ◽  
Simon Capewell ◽  
Earl S. Ford ◽  
Viola Vaccarino
Keyword(s):  
United States ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Coronary Heart Disease Mortality ◽  
The United States ◽  
Disease Mortality

Abstract 10: Widening Rural Disadvantage in United States Premature Heart Disease Mortality: Trends by Region and Race/Ethnicity, 2000 - 2013

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Elizabeth B Pathak ◽  
Colin J Forsyth
Keyword(s):  
United States ◽  
Heart Disease ◽  
American Indians ◽  
Rural Areas ◽  
The United States ◽  
Vital Statistics ◽  
The South ◽  
Mortality Trends ◽  
Annual Percent Change ◽  
Death Rates

Objectives: The purpose of this study was to quantify rural and metropolitan trends in premature heart disease (HD) mortality using the most up-to-date data available (through 2013). To our knowledge this is the first study to analyze these geographic disparities for Hispanics (HSP), Asians/Pacific Islanders (API), and American Indians/Alaska Natives (AI/AN). Methods: Annual age-adjusted HD death rates for adults aged 25-64 years were analyzed for 2000-2013. Rates were calculated for 5 racial/ethnic groups (Non-Hispanic Whites (WNH), Non-Hispanic Blacks (BNH), HSP of any race, Non-Hispanic API, and Non-Hispanic AI/AN). County-level data were aggregated by urbanicity: large central metro (LCM), large fringe metro (LFM), medium/small metro (MSM), and micropolitan/rural (RURAL). Region was defined as South (16 states) and Non-South. All data were obtained from the National Vital Statistics System on CDC WONDER. Average annual percent change (AAPC) was calculated by linear regression of the log-transformed death rates using SAS 9.4. Results: In 2013, the national population-at-risk predominantly resided in metro areas. However, there were more than 10 million RURAL adults aged 25-64 years in the South (16.2% of the region) and more than 13.4 million in the non-South (12.9% of the region). Nationwide, HD death rates were lowest in the LFM counties. In the South, the rate ratio (RR) for RURAL vs. LFM areas in 2011-2013 was 1.76 (95% CI 1.73 to 1.79) for WNH, 2.00 (95% CI 1.85 to 2.16) for HSP, 1.78 (95%CI 1.71 to 1.82) for BNH, 1.57 (95% CI 1.22 to 2.03) for API, and 3.13 (95% CI 2.47 to 3.96) for NNH. In the non-South, RURAL vs. LFM RRs were smaller, with the exception of API (RR 2.37, 95% CI 2.07 to 2.71). Temporal trend analyses revealed significantly smaller AAPC in RURAL areas (see Table). Conclusions: Higher death rates coupled with slower declines have resulted in a widening rural disadvantage in premature HD mortality in the United States from 2000 to 2013, particularly for WNH, HSP, BNH, and AI/AN in the South, and WNH in the non-South.

The Decline in U.S. Cancer Mortality from 1991 to 1995: What's behind the Numbers?

1998 ◽  
Vol 28 (4) ◽  
pp. 747-755 ◽  
Author(s):  
Richard W. Clapp
Keyword(s):  
United States ◽  
Heart Disease ◽  
Racial Disparities ◽  
Cancer Mortality ◽  
Turning Point ◽  
The United States ◽  
Cancer Burden ◽  
News Stories ◽  
Disease Mortality ◽  
The U.S

In 1996, a series of articles and news stories about cancer mortality in the United States proclaimed a “turning point in the 25-year war on cancer.” While these articles and stories pointed to a recent decline in overall cancer mortality, they missed some important points about increases in specific types. They also ignored the politics behind the emphasis on smoking and diet as the main contributors to the cancer rates and the racial disparities in the U.S. data. In addition, recent articles on the decline in cancer mortality fail to note the much sharper decline in heart disease mortality. Continued efforts to reduce carcinogenic exposures at work and in the environment are needed to truly reduce the cancer burden.

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