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January 1, 2019JRSM Cardiovascular DiseaseOpen Access

Geographic disparities persist despite decline in mortality from IHD in California’s Central Valley 1999–2014

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Why the study?

Despite significant national declines in ischemic heart disease mortality, geographic disparities persist that may, in part, be attributed to environmental effects.

Is ambient PM2.5 exposure associated with ischemic heart disease mortality in California's Central Valley?

Population

Central Valley of California population from 1999 through 2014

Comparison

Ischemic heart disease mortality and ambient PM 2.5 levels across counties from north to south

Design

Database analysis of CDC age-adjusted mortality records

Authors

RSRalph SpadaUniversity of Massachusetts Chan Medical SchoolNSNicholas J. SpadaUniversity of California SystemHSHyosim Seon-SpadaUniversity of Massachusetts Chan Medical School

Discussion

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Member takes

Implication

Persistent north-south IHD mortality gradient correlates with PM2.5; leaves open environmental contributions to disparities pending prospective data.

Structured PICO

Is ambient PM2.5 exposure associated with ischemic heart disease mortality in California's Central Valley?

P
Population
Population of the Central Valley of California, analyzed for ischemic heart disease age-adjusted mortality from 1999 through 2014 by county, gender, race, and Hispanic origin.
I
Intervention
Ambient particulate matter ≤2.5 micrometers (PM2.5) exposure
O
Outcome
Ischemic heart disease age-adjusted mortalityhard clinical

Environmental exposure to PM2.5 is significantly correlated with geographic disparities in ischemic heart disease mortality, highlighting the need for environmental policy alongside traditional risk factor management.

Cite This Study

Spada et al. (2019) studied this question.

synapsesocial.com/papers/6a70984fac440176ef29419chttps://doi.org/10.1177/2048004019866320
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