ArticlePublic health reports (Washington, D.C. : 1974)
County Health Factors Associated with Avoidable Deaths from Cardiovascular Disease in the United States, 2006-2010.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- Pervasive stagnation: flat and increasing cardiovascular disease mortality rates after 2010 across US states and counties.American journal of epidemiology · 2025Article
- County-level association between modifiable health behaviors and premature mortality in the United States.Preventive medicine reports · 2025Article
- Demographics, politics, and health factors predict mask wearing during the COVID-19 pandemic: a cross-sectional study.BMC public health · 2021Article
- County-Level Factors Associated With Cardiovascular Mortality by Race/Ethnicity.Journal of the American Heart Association · 2021Observational
- State-level minimum wage and heart disease death rates in the United States, 1980-2015: A novel application of marginal structural modeling.Preventive medicine · 2018Article
- Geographic Variation and US County Characteristics Associated With Rapid Kidney Function Decline.Kidney international reports · 2017Article
- Cardiovascular health in adults with type 1 diabetes.Preventive medicine · 2016Article
- Retrospective cross sectional analysis of demographic disparities in outcomes of CPR performed by EMS providers in the United States.JRSM cardiovascular diseaseArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMany cardiovascular deaths can be avoided through primary prevention to address cardiovascular disease (CVD) risk factors or better access to quality medical care. In this cross-sectional study, we examined the relationship between four county-level health factors and rates of avoidable death from CVD during 2006-2010.
methodsWe defined avoidable deaths from CVD as deaths among U.S. residents younger than 75 years of age caused by the following underlying conditions, using International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes: ischemic heart disease (I20-I25), chronic rheumatic heart disease (I05-I09), hypertensive disease (I10-I15), or cerebrovascular disease (I60-I69). We stratified county-level death rates by race (non-Hispanic white or non-Hispanic black) and age-standardized them to the 2000 U.S. standard population. We used County Health Rankings data to rank county-level z scores corresponding to four health factors: health behavior, clinical care, social and economic factors, and physical environment. We used Poisson rate ratios (RRs) and 95% confidence intervals (CIs) to compare rates of avoidable death from CVD by health-factor quartile.
resultsIn a comparison of worst-ranked and best-ranked counties, social and economic factors had the strongest association with rates of avoidable death per 100,000 population from CVD for the total population (RR=1.49; 95% CI 1.39, 1.60) and for each racial/ethnic group (non-Hispanic white: RR=1.37; 95% CI 1.29, 1.45; non-Hispanic black: RR=1.54; 95% CI 1.42, 1.67). Among the non-Hispanic white population, health behaviors had the next strongest association, followed by clinical care. Among the non-Hispanic black population, we observed a significant association with clinical care and physical environment in a comparison of worst-ranked and best-ranked counties.
conclusionSocial and economic factors have the strongest association with rates of avoidable death from CVD by county, which reinforces the importance of social and economic interventions to address geographic disparities in avoidable deaths from CVD.
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