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Community social change and mortality

J N Lasker1, B P Egolf, S Wolf

  • 1Department of Sociology and Anthropology, Lehigh University, Bethlehem, PA 18015.

Social Science & Medicine (1982)
|July 1, 1994
PubMed
Summary

Community changes, not just individual factors, may explain shifts in coronary heart disease mortality. A Pennsylvania town

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Area of Science:

  • Epidemiology
  • Sociology
  • Public Health

Background:

  • Traditional explanations for coronary heart disease (CHD) disparities focus on individual behaviors, personality, stressors, and social ties.
  • A shift in focus to community-level characteristics may offer new insights into mortality trends.

Purpose of the Study:

  • To explore the impact of community-level changes on coronary heart disease mortality.
  • To investigate the decline in CHD protection in Roseto, PA, after the 1960s.

Main Methods:

  • Comparative analysis of mortality data from Roseto, PA, and Bangor, PA.
  • Longitudinal data collection on community characteristics including marriages, population composition, organizational memberships, voting patterns, and social class indicators since 1925.

Main Results:

  • Roseto, PA, known for low myocardial infarction mortality due to strong Italian traditions, experienced a sharp rise in mortality after 1965.
  • Significant community changes in Roseto accelerated in the 1960s, coinciding with the observed increase in CHD deaths.

Conclusions:

  • Community-level factors and changes are crucial for understanding variations and trends in coronary heart disease mortality.
  • The loss of CHD protection in Roseto appears linked to profound shifts in its community structure and social fabric.

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