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Evaluating heart disease presciptions-filled as a proxy for heart disease prevalence rates
Ronald E Cossman1, Jeralynn S Cossman, Wesley L James
1Mississippi State University, USA.
Insights
Heart disease prevalence can be estimated at the county level using prescription data. This allows for better targeting of health resources to underserved areas, improving public health interventions.
Area of Science:
- Epidemiology
- Public Health
- Health Services Research
Background:
- Heart disease is the leading cause of death in the U.S.
- County-level heart disease prevalence data is lacking, hindering targeted interventions.
- Understanding geographic disease patterns is crucial for effective healthcare delivery.
Purpose of the Study:
- To estimate county-level heart disease prevalence using prescription data as a proxy.
- To validate prescription data against established health surveillance systems.
- To visualize geographic patterns of heart disease prevalence for resource allocation.
Main Methods:
- Utilized filled heart disease drug prescriptions as a proxy for disease prevalence.
- Correlated prescription data with the Behavioral Risk Factor Surveillance System (BRFSS) data.
- Generated county-level prevalence estimate maps to illustrate geographic patterns.
Main Results:
- Found positive and statistically significant correlations between prescription data and BRFSS data.
- Identified distinct geographic patterns in estimated heart disease prevalence.
- Demonstrated the utility of prescription data for understanding sub-state disease variations.
Conclusions:
- Prescription data serves as a viable proxy for estimating county-level heart disease prevalence.
- Geographic mapping of prevalence highlights areas needing targeted health resources.
- This approach can inform public health strategies and improve healthcare intervention delivery.
Abstract:
Heart disease is the leading cause of death in the U.S. Yet, prevalence rates are not reported at the county level. Not knowing how many have the disease, and where they are, may be a knowledge barrier to effective health care interventions. We use heart disease drug prescriptions-filled as a proxy measure for prevalence of heart disease. We test the correlation to the Behavioral Risk Factor Surveillance System (BRFSS) and find positive, statistically significant correlations. Next we illustrate the geographic patterns revealed using the county-level prevalence estimate maps. This information can be used to provide a better understanding of sub-state variations in disease patterns and subsequently target the delivery of health resources to small areas in need.
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