ArticleAnnals of epidemiology2017
Widespread recent increases in county-level heart disease mortality across age groups.
Article in Annals of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.
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Who cites it
51 citing papers in PubMed.
- The Strong Hearts, Healthy Communities Program 2.0: An RCT Examining Effects on Simple 7.American journal of preventive medicine · 2020Trial
- Spatiotemporal Modeling of Premature Mortality in Mississippi: A County-Level Analysis of Years of Potential Life Lost, 2015-2025.Preventing chronic disease · 2026Article
- Trends and sociodemographic disparities in the circulatory disease prevalence in the United States: An analysis of the National Health Interview Survey database (2019-2022).BMC cardiovascular disorders · 2025Article
- Pervasive stagnation: flat and increasing cardiovascular disease mortality rates after 2010 across US states and counties.American journal of epidemiology · 2025Article
- Midlife Vulnerability and Food Insecurity in Women: Increased Risk of Mental Health Concerns.Nutrients · 2025Article
- Improving Blood Pressure Control and Tobacco Use Cessation Intervention In Primary Care: Protocol for the Alabama Cardiovascular Cooperative Heart Health Improvement Project.JMIR research protocols · 2024Article
- Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021.The Lancet. Neurology · 2024Article
- Trends in Cardiovascular Disease Mortality Rates and Excess Deaths, 2010-2022.American journal of preventive medicine · 2024Article
- Twenty years on from the introduction of the high risk strategy for stroke and cardiovascular disease prevention: a systematic scoping review.European journal of neurology · 2024Article
- US County-Level Variation in Preterm Birth Rates, 2007-2019.JAMA network open · 2023Article
- Article
- Disparate Cardiovascular Hospitalization Trends Among Young and Middle-Aged Adults Within and Across Race and Ethnicity Groups in Four States in the United States.Journal of the American Heart Association · 2023Article
- Cancer and Postradiotherapy Cardiotoxicity: How to Face Damage in Women's Hearts?European cardiology · 2023Review
- Temporal Trends in Incidence of Premature Cardiovascular Disease Over the Past 7 Decades: The Framingham Heart Study.Journal of the American Heart Association · 2022Article
- A Dynamic Visualization Tool of Local Trends in Heart Disease and Stroke Mortality in the United States.Preventing chronic disease · 2022Article
- Antihypertensive and Statin Medication Adherence Among Medicare Beneficiaries.American journal of preventive medicine · 2022Article
- Impact of Social Vulnerability on Comorbid Cancer and Cardiovascular Disease Mortality in the United States.JACC. CardioOncology · 2022Article
- The where of when: Geographic variation in the timing of recent increases in US county-level heart disease death rates.Annals of epidemiology · 2022Article
- Trends in diagnosed hypertension prevalence by geographic region for older adults with and without diagnosed diabetes, 2005-2017.Journal of diabetes and its complications · 2022Article
- Sex Differences in Temporal Trends of Cardiovascular Health in Young US Adults.Journal of the American Heart Association · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeRecent national trends show decelerating declines in heart disease mortality, especially among younger adults. National trends may mask variation by geography and age. We examined recent county-level trends in heart disease mortality by age group.
methodsUsing a Bayesian statistical model and National Vital Statistics Systems data, we estimated overall rates and percent change in heart disease mortality from 2010 through 2015 for four age groups (35-44, 45-54, 55-64, and 65-74 years) in 3098 US counties.
resultsNationally, heart disease mortality declined in every age group except ages 55-64 years. County-level trends by age group showed geographically widespread increases, with 52.3%, 58.5%, 69.1%, and 42.0% of counties experiencing increases with median percent changes of 0.6%, 2.2%, 4.6%, and -1.5% for ages 35-44, 45-54, 55-64, and 65-74 years, respectively. Increases were more likely in counties with initially high heart disease mortality and outside large metropolitan areas.
conclusionsRecent national trends have masked local increases in heart disease mortality. These increases, especially among adults younger than age 65 years, represent challenges to communities across the country. Reversing these trends may require intensification of primary and secondary prevention-focusing policies, strategies, and interventions on younger populations, especially those living in less urban counties.
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