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[Urban space and mortality from ischemic heart disease in the elderly in Rio de Janeiro]

Germana Périssé1, Roberto de Andrade Medronho, Claudia Caminha Escosteguy

  • 1Instituto de Estudos de Saúde Coletiva (IESC), Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brazil.

Arquivos Brasileiros De Cardiologia
|March 9, 2010
PubMed

Insights

Ischemic heart disease (IHD) mortality in Rio de Janeiro

Area of Science:

  • Public Health
  • Epidemiology
  • Spatial Analysis

Background:

  • Cardiovascular diseases, particularly ischemic heart disease (IHD), are a leading cause of death in Brazil's elderly population.
  • Urbanization and socioeconomic factors are linked to IHD occurrence.
  • Rio de Janeiro City (RJC) faces significant mortality from IHD.

Purpose of the Study:

  • To map the geographical distribution of IHD mortality rates among the elderly in RJC in 2000.
  • To analyze the correlation between IHD mortality and socioeconomic variables in RJC.

Main Methods:

  • Ecological study utilizing spatial analysis of IHD mortality data for RJC's elderly population in 2000.
  • Mortality rates were standardized by age and gender.
  • Correlation analysis with socioeconomic data from the demographic census.

Main Results:

  • Initial analysis showed weak correlations, with some suggesting higher mortality in higher socioeconomic status areas.
  • After including ill-defined causes (IDC) of death, a correlation emerged between lower socioeconomic status and higher IHD mortality.
  • Spatial dependence was noted for socioeconomic variables, but not for IHD mortality itself.

Conclusions:

  • Socioeconomic variables exhibit spatial dependence in RJC, indicating urban discrimination.
  • Observed correlations between IHD and socioeconomic status differed from existing literature.
  • Discrepancies may be due to the proportion of ill-defined causes or the specific elderly demographic studied.
Abstract

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