May 1, 2016Public Health ReportsOpen Access

County Health Factors Associated with Avoidable Deaths from Cardiovascular Disease in the United States, 2006–2010

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Avoidable deaths from cardiovascular disease (n=3140). Intervention: Social and economic factors (worst-ranked counties) vs. Best-ranked counties. Primary outcome: Rates of avoidable death from CVD per 100,000 population (RR 1.49, 95% CI 1.39, 1.60).

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Key result

Worst-ranked counties for social and economic factors had a significantly higher rate of avoidable cardiovascular disease deaths compared to best-ranked counties (RR 1.49).

Study Design

Type

Cross-Sectional (n=3,140)

Structured PICO

Population

A cross-sectional study of 3,140 U.S. counties analyzing the association between county-level health factors and avoidable cardiovascular disease deaths among residents younger than 75 years of age from 2006 to 2010.

Outcome

Rates of avoidable death from cardiovascular disease per 100,000 populationhard clinical

Main Result

Relative Risk: 1.49 (95% CI 1.39–1.6)

Absolute Event Rate: 82.1% vs 46%

Social and economic factors are the strongest county-level predictors of avoidable cardiovascular deaths, highlighting the critical need for socioeconomic interventions to reduce geographic health disparities.

Limitations

The County Health Rankings comprise non-race-specific measures, limiting the ability to identify county-level associations between health factors and race-specific rates.
The cross-sectional design did not allow for examination of the association between health factors and avoidable death risk across the lifespan.
Some metrics included in the County Health Rankings were based on estimates that had significant statistical variance and missing values.
Because data are at the county level, the results can be interpreted only at the county level and do not reflect individual-level associations.
Indicators used to rank the physical environment may not capture all environmental elements pertinent to CVD health (e.g., housing conditions, safe places for physical activity).

Discussion

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Implication

Socioeconomic factors may drive geographic CVD disparities; leaves open whether targeted interventions reduce avoidable deaths.

Cite This Study

Greer et al. (2016) conducted a cross-sectional in Avoidable deaths from cardiovascular disease (n=3,140). Social and economic factors (worst-ranked counties) vs. Best-ranked counties was evaluated on Rates of avoidable death from CVD per 100,000 population (RR 1.49, 95% CI 1.39, 1.60). Worst-ranked counties for social and economic factors had a significantly higher rate of avoidable cardiovascular disease deaths compared to best-ranked counties (RR 1.49).

synapsesocial.com/papers/6a8c20a2bc51310b2bdecd96 https://doi.org/10.1177/003335491613100310

Topics

Women and heart disease Cardiovascular prevention

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County Health Factors Associated with Avoidable Deaths from Cardiovascular Disease in the United States, 2006–2010

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Topics

County Health Factors Associated with Avoidable Deaths from Cardiovascular Disease in the United States, 2006–2010

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider