Abstract P341: Community Environment Associated with Cardiovascular Disease Hospitalization Rates in Denver, Colorado

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Ronica N Rooks ◽  
Kathryn DeYoung ◽  
Emery Shekiro ◽  
Edward Havranek ◽  
Arthur Davidson
Keyword(s):  
Cardiovascular Disease ◽  
Land Use ◽  
Native Americans ◽  
Policy Development ◽  
Hispanic Americans ◽  
City Government ◽  
Poverty Level ◽  
Community Environment ◽  
Hospitalization Rates ◽  
Chi Square Analysis

Introduction: Hospitalization rates for acute myocardial infarction (AMI), coronary heart disease (CHD), and stroke have decreased over time, although trends are debatable for heart failure (HF). These trends are unequally distributed. There is a growing literature documenting the relationship between social and economic characteristics of people’s communities and cardiovascular disease (CVD). Based on a social ecological model of health through the life course, we descriptively examined associations between CVD hospitalization rates and patient characteristics and census tract (CT)-level community environment. Hypothesis: CVD hospitalization rates will be higher in community environments with higher percentages of individuals living below the federal poverty level, racial/ethnic minority groups, and non-residential (i.e., commercial/office, industrial, open space, public/civic, vacant, and miscellaneous space) vs. residential land use. Methods: Colorado Hospital Association (2009-2013) data were used to measure ICD-9 coded hospitalization rates (per 1,000) for Denver, Colorado residents ≥20 years. Data were merged with American Community Survey (2009-2013) and Denver County land use (2010) data. Using chi-square analysis, we examined associations between age-adjusted CVD hospitalization rates (N=15,521) and CT-level community environment (in quartiles) (N=144). Results: Denver’s annual CVD hospitalization rate was 6.6. Patient-level AMI (1.7), CHD (2.8), and HF (2.2) rates were higher among men. Women had higher stroke-related rates (2.4). Across CVD types, rates for those ≥65 years (6.5-13.5) were higher than middle-aged groups (2.1-3.4). Average annual age-adjusted AMI hospitalization rates were higher in CTs with the highest quartile of Hispanic Americans (2.0), Native Americans (1.9), and individuals below poverty (1.9). CHD rates were higher in CTs with higher percentages of Hispanic Americans (3.1), individuals below poverty (3.1), and Native Americans (3.1). HF rates were higher in CTs with higher percentages of industrial/office land use (3.5), individuals below poverty (3.3), and Hispanic Americans (3.2). Stroke rates were higher in CTs with higher percentages of Native Americans (3.0), industrial/office land use (3.0), and African Americans (3.0). The largest disparities for rate ratios comparing the highest to the lowest quartiles for each exposure by CVD outcome were the percentage of individuals below poverty (AMI 2.2; CHD 2.1; HF 2.4; Stroke 1.7), non-Hispanic Whites (AMI 0.7; CHD 0.7; HF 0.7; Stroke 0.7), Hispanic Americans (AMI 1.5; CHD 1.5; HF 1.5), and Native Americans (Stroke 1.30). Conclusions: In conclusion, associations exist between community environment and CVD hospitalization rates, suggesting opportunities for health policy development in Denver’s city government, council districts, and neighborhoods .

Dynamics of grazing rights and their impact on mobile cattle herders in Bhutan

2017 ◽  
Vol 39 (1) ◽  
pp. 97 ◽  
Author(s):  
Kuenga Namgay ◽  
Joanne E. Millar ◽  
Rosemary S. Black
Keyword(s):  
Land Use ◽  
Policy Development ◽  
Labour Force ◽  
Socioeconomic Impacts ◽  
Land Use Policies ◽  
Land Holdings ◽  
Negative Impacts ◽  
Future Policy ◽  
Downstream Communities ◽  
The Impact

Seasonal cattle movements have been an important part of the living cultural heritage in Bhutan for centuries. Herders migrate south every winter to graze their cattle on subtropical pastures and to work in orange orchards. They return north to their villages in spring to grow summer crops. However, the practice of transhumant agropastoralism is under increasing pressure on account of changes in land-use policies, climate change and a declining labour force as youth seek alternative livelihoods. This research investigated the impact of changes in land-use policy, with emphasis on the Land Act 2007, on current and future livelihoods of transhumant herders in Bhutan. During in-depth interviews with 24 transhumant herders and nine livestock advisors, and seven focus-group discussions with 64 participants including herders, downstream residents and development agency personnel, perspectives on this issue were gathered. Findings revealed a lack of herder awareness of changes in land-use policies and minimal consultation of herders during policy development. Confusion and uncertainty about the proposed redistribution of grazing rights and restrictions on herd movements have resulted in confusion and resentment and have created conflicts between upstream and downstream communities. Herders with no current alternatives are concerned about their future livelihoods, whereas others are leaving it to their children to decide their future. It is concluded that the motive behind nationalisation of rangeland is noble and timely, but there are flaws in the redistribution plan. Transhumant agropastoralism is already in decline and there is no need to push towards its end through legislation. Transhumant practices could be left to evolve towards what may be their natural end. Sudden stoppage of inter-district transhumance without offering meaningful alternatives to herders could result in negative environmental and socioeconomic impacts. In future, policy development needs to increasingly embrace science and be based on evidence. A genuine participatory process with citizen engagement could avoid the unintended negative impacts likely to be faced by transhumant herders with marginal land holdings, who depend on this production system for their livelihoods.

scholarly journals PENGARUH BELANJA MODAL, BELANJA SOSIAL, DAN PERTUMBUHAN EKONOMI TERHADAP TINGKAT KEMISKINAN DI KOTA MANADO

2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Agustien Sendouw ◽  
Vekie Adolf Rumate ◽  
Debby Ch. Rotinsulu
Keyword(s):  
Economic Growth ◽  
Capital Expenditure ◽  
Government Expenditure ◽  
City Government ◽  
Social Spending ◽  
Social Expenditure ◽  
Poverty Level ◽  
The Government ◽  
The City ◽  
Poverty Levels

PENGARUH BELANJA MODAL, BELANJA SOSIAL, DAN PERTUMBUHAN EKONOMI TERHADAP TINGKAT KEMISKINAN DI KOTA MANADO Agustien Sendouw, Vekie A.Rumate, Debby Ch. Rotinsulu Ekonomi Pembangunan – Fakultas Ekonomi dan BisnisUniversitas Sam ratulangi  ABSTRAKKemiskinan merupakan masalah klasik disetiap negara. Usaha pengentasan kemiskinan telah lama dilakukan oleh pemerintah. Variabel yang mempengaruhi tingkat kemiskinan antara lain adalah pengeluaran pemerintah dan pertumbuhan ekonomi. Pengeluaran pemerintah Kota Manado melalui pos belanja modal, belanja sosial, dan pertumbuhan ekonomi diharapkan juga memberi pengaruh terhadap tingkat kemiskinan. Penelitian ini bertujuan untuk mengetahui pengaruh belanja modal, belanjasosial, dan pertumbuhan ekonomi terhadap tingkat kemiskinan di Kota Manado secara parsial maupun secara bersama-sama. Metodeanalisis yang digunakan adalah analisis regresi berganda. Hasil penelitian menunjukan bahwa belanja modal memiliki pengaruh yang negative dan signifikan secara parsial terhadap tingkat kemiskinan sedangkan belanja social dan pertumbuhan ekonomi tidak memiliki pengaruh secara parsial terhadap tingkat kemiskinan di Kota Manado. Secara bersama-sama belanja modal, belanja sosial, dan pertumbuhan ekonomi  tidak  memiliki  pengaruh  terhadap  tingkat  kemiskinan di Kota Manado. Kata Kunci  :   Belanja Modal,  Belanja  Sosial,  Pertumbuhan  Ekonomi, Tingkat  Kemiskinan.  ABSTRACTPoverty is a classic problem in every country. Poverty eradication efforts have been carried out by the government. Variables that affect the level of poverty among other government are government expenditure and economic growth. Manado City Government expenditure through capital expenditure, social expenditure, and economic growth is expected to also make an impact on poverty levels. This research aimed to determine the effect of capital expenditure, social expenditure, and economic growth on poverty levels in Manado partially or jointly. The analytical method used is multiple regression analysis. The results showed that capital expenditure has a negative and significant effect partially to the poverty level while social spending and economic growth do not have a partial effect on poverty levels in the city of Manado. Taken all research variables found that capital expenditures, social expenditure, and economic growth have no effect on the level of poverty in the city of Manado. Key Words : Regional Expenditure, Social Expenditure, Economic Growth, Poverty Level.

scholarly journals Faktor Perilaku yang Berhubungan dengan Hasil Pemeriksaan Jentik Pasca Keberadaan Surveilans Angka Bebas Jentik di Kecamatan Tembalang Kota Semarang

2019 ◽  
pp. 91-104
Author(s):  
Diana Andriyani Pratamawati ◽  
Widiarti Widiarti ◽  
Wiwik Trapsilowati ◽  
Riyani Setiyaningsih
Keyword(s):  
Case Fatality ◽  
Hemorrhagic Fever ◽  
City Government ◽  
Behavioral Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Monitoring Procedure ◽  
Quota Sampling ◽  
Chi Square Analysis

Tembalang Subdistrict is still ranked as the first highest IR Dengue in Semarang City in 2014-2016. Incidence rate of dengue in Tembalang Sub District in 2016 was Dengue hemorrhagic fever (DHF) IR 166.89/100,000 population with Case Fatality Rate (CFR) 1.02%. The Semarang City Government has implemented PERDA No.5 of 2010 concerning DHF control with the establishment of special larvae monitoring officers namely Semantik (Semarang Bebas Jentik) and Gasurkes (Health Surveillance Officer) to conduct routine larval monitoring and socialize PSN-3M Plus. However, dengue cases in Tembalang District continue to exist.The purpose of the study was to identify behavioral factors related to monitoring larva presence in Tembalang District, Semarang City. This study is based on the cross sectional method, with quota sampling was used to recruit 100 respondents. The criteria for the case were the latest DHF cases recorded in the Semarang City Health Office Data (January to September 2017). Samples were taken in quota with 100 respondents. Data were analyzed by analytic descriptive using chi-square analysis and odds ratio. The results showed behavioral factors to monitor larvae routinely related to the results of larvae examination (p <0,05) with risk factors OR = 5,02 and form observations obtained ABJ in Tembalang District by 89% in 2017. This needs additional attention in the larva monitoring procedure by Semantics and Gasurkes. The more complete the quality of the larvae examination, the existence of larvae can be eradicated, so that the incidence of DHF can be prevented

scholarly journals Perubahan Penggunaan Lahan Di Provinsi Lampung Dan Pengaruhnya Terhadap Insidensi Demam Berdarah Dengue (DBD)

2016 ◽  
Vol 4 (3) ◽  
pp. 35
Author(s):  
Agustin Arisandi Mustika ◽  
Samsul Bakri ◽  
Dyah Wulan S. R. Wardani
Keyword(s):  
Land Use ◽  
Forest Cover ◽  
Land Use Changes ◽  
Hemorrhagic Fever ◽  
Forest Area ◽  
Primary Data ◽  
Forest Conversion ◽  
Housing Conditions ◽  
Poverty Level ◽  
The Impact

The conversion of forest area into non-forest area generally can causing the ecology and micro climate change especially rainfall.   The impact of these changes in other side can increasing the probability in occurrence of vector-born disease such as Aedes aegypti mosquito couse of Dengue Hemorrhagic Fever (DHF).   Besides of environmental factors, poverty level, rainfall, and housing conditions the suspected also affect the incidence of dengue.  This research aimed to determine of changes in forest cover and land, poverty level, and housing conditions as well as the impact to the incidence of dengue fever in Lampung. Data collected included primary data of land use changes of Lampung Province and the secondary  data  such  as  the  data  of  precipitation  rapid,  poverty  level,  healthy  house proportion and Incidence Rate of dengue.  The dynamic of changes in forest cover and landper distric/city identified through by Landsat image interpretation 5, 7 and 8  in 2002, 2009 and 2014.   While the impact on DHF analyzed using multiple linear models.   The results showed that there was a significant relationship between the changes of the people forest cover   -1,2634   (p=0,001),   intensive   agricultural   0,5315   (p=0,016),   the   number   of precipitation rapid 0,06869 (p=0,087) and the poverty level -0,2213 (p=0,038) and urbanism region in the towns and villages 28,75 (p=0,010) toward the incidence of dengue in Lampung from the year 2003 to 2014.  Based on the reseacrh result that the goverment should be able to increase the percentage of forest area cause able to decrease the incidence DHF. Keyword: forest conversion, incidence DHF, land use changes

scholarly journals Improving walking speed reduces hospitalization costs in outpatients with cardiovascular disease. An analysis based on a multistrata non-parametric test

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Stefano Bonnini ◽  
Gianni Mazzoni ◽  
Michela Borghesi ◽  
Giorgio Chiaranda ◽  
Jonathan Myers ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Propensity Score ◽  
Walking Speed ◽  
Permutation Test ◽  
Artery Bypass ◽  
Inverse Association ◽  
Homogeneous Groups ◽  
Hospitalization Rates ◽  
Hospitalization Costs ◽  
History Of

Abstract Background To assess the association between walking speed (WS) and its improvement on hospitalization rates and costs in outpatients with cardiovascular disease. Methods Six hundred forty-nine patients participating in an exercise-based secondary prevention program were studied. Patients were divided at baseline into two groups characterized by low and high WS based on the average WS maintained during a moderate 1-km treadmill-walking test. WS and other covariates were grouped into three domains (demographic factors, medical history and risk factors), and used to estimate a propensity score, in order to create homogeneous groups of patients. All-cause hospitalization was assessed 3 years after baseline as a function of WS. Hospitalization and related costs were also assessed during the fourth-to-sixth years after enrollment. To test whether the hospitalization costs were related to changes in WS after 36 months, a multistrata permutation test was performed by combining within strata partial tests. Results The results support the hypothesis that hospitalization costs are significantly reduced in accordance with an improvement in WS. This effect is most evident among older patients, overweight or obese, smokers, and those without a history of coronary artery bypass surgery. Conclusions The present study supports growing evidence of an inverse association between WS, risk of hospitalization and consequent health-care costs. The joint use of propensity score and multistrata permutation approaches represent a flexible and robust testing method which avoids the possible effects of several confounding factors typical of these studies.

scholarly journals Association of Xanthelasma palpebrarum (XP) with cardiovascular disease (CVD) risk factors

2020 ◽  
Vol 5 (4) ◽  
pp. 324-329
Author(s):  
AHM Khairul Imam Suman ◽  
Khadija Begum ◽  
Kaniz Rahman ◽  
Abu Mohammed Talukder ◽  
SM Matiur Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Cardiovascular Disease Risk Factors ◽  
Total Serum ◽  
Control Group ◽  
Total Serum Cholesterol ◽  
Xanthelasma Palpebrarum ◽  
Chi Square Analysis

Xanthelasma palpebrarum (XP) is the most common cutaneous xanthoma occurs over or surrounding the eyelids in yellowish color and various shapes. The objective of this study was to describe the status of cardiovascular disease risk factors in XP patients and determine their association with XP. A case-control study was conducted among 81 cases (have XP) and 81 controls (no XP) among patients attended for cardiac check-up between January 2019 to July 2019 at Ad-Din Women's Medical College Hospital, Dhaka, Bangladesh. Among 162 subjects were interviewed in our study, majority were female (62.3%). XP were found more prevalent among female and several cardiac risk factors were significantly associated with XP. The chi-square analysis indicates gender (p=0.035), BMI (p=0.01), Angina history (p=0.008), and serum LDL (p=0.024) were significantly associated with presence of XP. A higher percentage of patients with high total serum cholesterol, TG levels, and LDL was observed in patients with XP in compared to control group. Our study reveals an increased presence of cardiovascular disease risk factors among patients with xanthelasma. Moreover, a statistically significant association of gender, BMI, angina history, and serum LDL with XP were observed. Asian J. Med. Biol. Res. June 2019, 5(4): 324-329

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