+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Coronary heart disease prevalence and occupational structure in U.S. metropolitan areas: a multilevel analysis



Coronary heart disease prevalence and occupational structure in U.S. metropolitan areas: a multilevel analysis



Health and Place 21: 192-204



This research explored the link between coronary heart disease (CHD) prevalence and metropolitan-area level occupational structure among 137 metropolitan/micropolitan statistical areas (MMSA) in the United States. Using data from the 2006-2008 Behavioral Risk Factor Surveillance System and 2007 County Business Patterns, logistic mixed models were developed to estimate CHD prevalence between MMSAs controlling for individual-level socioeconomic characteristics and various types of occupational structure. Results showed that CHD prevalence was lower in MMSAs where their economy was dominated by 'tourism and resort' and 'the quaternary sector' and higher in MMSAs dominated by 'manufacturing', 'transportation and warehousing', and 'mining'. MMSA-level effects on CHD were found in 'tourism and resort' and 'the quaternary sector' having lower risk and 'mining' having higher risk of CHD. Although these effects prevailed in many MMSAs, some MMSAs did not fit into these effects. Additional analysis indicated a possible link between metropolitan population loss and higher CHD prevalence especially in the coal mining region of the Appalachian Mountains.

(PDF emailed within 0-6 h: $19.90)

Accession: 036782507

Download citation: RISBibTeXText

PMID: 23511976

DOI: 10.1016/j.healthplace.2013.02.003


Related references

Death rates for coronary heart disease in metropolitan and other areas. Public Health Reports 75: 759-766, 1960

Prevalence of risk factors for coronary heart disease among free-living populations in Metropolitan Detroit. FASEB Journal 12(4): A223, March 17, 1998

Gender, Ethnicity, and Self-Employment: A Multilevel Analysis across US Metropolitan Areas. Environment and Planning A 41(8): 1979-1996, 2009

People, places and coronary heart disease risk factors: a multilevel analysis of the Scottish Heart Health Study archive. Social Science and Medicine 45(6): 893-902, 1997

Neighborhood Environments and Coronary Heart Disease: A Multilevel Analysis. American Journal of Epidemiology 185(11): 1187-1202, 2018

Neighborhood environments and coronary heart disease: a multilevel analysis. American Journal of Epidemiology 146(1): 48-63, 1997

Race/Ethnicity, Gender and Job Earnings across Metropolitan Areas in the United States: A Multilevel Analysis. Urban Studies 45(4): 825-843, 2008

Social disparities in Disease Management Programmes for coronary heart disease in Germany: a cross-classified multilevel analysis. Journal of Epidemiology and Community Health 69(11): 1091-1101, 2016

Metropolitan and non-metropolitan trends in coronary heart disease mortality within Appalachia, 1980-1997. Annals of Epidemiology 10(6): 370-379, 2000

Economic burden and cost determinants of coronary heart disease in rural southwest China: a multilevel analysis. Public Health 129(1): 68-73, 2015

Estimating prevalence of coronary heart disease for small areas using collateral indicators of morbidity. International Journal of Environmental Research and Public Health 7(1): 164-177, 2010

Black Concentration Effects on Black-White and Gender Inequality: Multilevel Analysis for U.S. Metropolitan Areas. Social Forces 77(1): 207-229, 1998

Prevalence of diagnosed HIV disease among medicaid beneficiaries with schizophrenia in U.S. metropolitan areas. Journal of Nervous and Mental Disease 198(9): 682-686, 2010

Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: prevalence of coronary and hypertensive heart disease and associated risk factors. American Journal of Epidemiology 102(6): 514-525, 1975

Job, psychological factors and coronary heart disease. Swedish prospective findings and US prevalence findings using a new occupational inference method. Advances in Cardiology 29: 62-67, 1982