부산대학교 도서관

Objective: The primary purpose of this study was to assess geographic disparities in the prevalence of nonfatal heart disease and stroke and their risk factors between the Mississippi Delta, Mississippi non-Delta, and the United States. Design and Setting: For this study, we aggregated and analyzed 2005 and 2007 data from the Behavioral Risk Factor Surveillance System (BRFSS). Participants: Only non-institutionalized adults ages 18 and older were eligible to participate in the BRFSS. Main Outcome Measures: We estimated weighted crude and adjusted prevalence rates and odds ratios of nonfatal heart disease and stroke and their risk factors in the Mississippi Delta, Mississippi non-Delta, and the United States. Results: Compared to other Mississippians, adults in the Mississippi Delta were more likely to be diagnosed with coronary heart disease and obesity, less likely to be diagnosed with diabetes and high blood pressure, and just as likely to be diagnosed with a heart attack or stroke. Compared to the U.S. adult population, adults in the Mississippi Delta had greater odds of physical inactivity within a given month. Conclusion: National- and state-level surveillance data are inadequate to fully assess the public health burden that heart disease and stroke place on rural and impoverished communities like the MS Delta. Within the state it is important to analyze regional or local surveillance data and identify regional or county-level disparities in cardiovascular disease prevalence and mortality, especially when the state's overall cardiovascular disease death rate is high. Public health efforts and resources can then be targeted at regions within the state, such as the Delta, or even at specific counties with the most disparate rates.
INTRODUCTION The Mississippi Delta (MS Delta) lies between the Mississippi and Yazoo Rivers in the northwest of the state and covers about 11,000 square miles or almost 23% of the [...]