Impact of Social Vulnerability and Demographics on Ischemic Heart Disease Mortality in the United States
Authors' conclusion
Despite a decline in IHD mortality from 1999 to 2020, disparities persisted among racial, gender, and geographic subgroups. A higher SVI was linked to increased IHD mortality.
Study context
- Population
- US population, IHD deaths 1999–2020
- Participants
- 9,108,644 IHD deaths
- Exposure
- IHD mortality by demographics, region and social vulnerability index (SVI) quartile
- Outcome
- Age-adjusted IHD mortality rate (AAMR) per 100,000 and trends
- Follow-up
- 1999–2020
Methodological detailsUS county-level CDC data, log-linear regression trend analysis
- US county-level CDC data
- Log-linear regression trend analysis
Main finding
As reported in the abstract
AAMR per 100,000
Males
161.51
AAMR
Females
93.16
AAMR
Black
141.49
AAMR
White
123.34
AAMR
- Overall AAMR 1999
- 194.6
- Overall AAMR 2020
- 91.8
Observational data: associations, not effects.
Further findings
AAMR by region
- Nonmetropolitan AAMR
- 136.17
- Northeastern AAMR
- 132.96
AAMR by SVI
- Higher SVI: cumulative excess deaths per 100,000 person-years
- 20.91
Original publication
Impact of Social Vulnerability and Demographics on Ischemic Heart Disease Mortality in the United States. JACC Adv. Published 24 August 2023. doi:10.
Summarised from the published abstract; every number is checked against it