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Incidence of Coronary Heart Disease by Ethnic Group, Social Class, and Sex
John Cassel, MD, MPH;
Siegfried Heyden, MD;
Alan G. Bartel, MD;
Berton H. Kaplan, PhD;
Herman A. Tyroler, MD;
Joan C. Cornoni, MPH, PhD;
Curtis G. Hames, MD
Arch Intern Med. 1971;128(6):901-906.
Abstract
In a seven-year follow-up of 3,102 Evans County, Georgia, residents examined in the prevalence survey of 1960 through 1962, 143 new cases of coronary heart disease (CHD) occurred, 56 of which resulted in death during the interval. Ethnic differences in CHD among males discovered during 1960 through 1962 were again confirmed. Excess of white males could not be explained by differences in case fatality, diagnostic criteria, missed cases, or by a competing cause of death. In contrast to ethnic differences, differences by social class found in the prevalence survey among white males were not found in the incidence study. Various analyses suggested that the excess prevalence found in the high social class was a reflection of prior high incidence rates in this class. Over time these class differences are disappearing, particularly among younger men.
Author Affiliations
Chapel Hill, NC; Durham, NC; Chapel Hill, NC; Claxton, Ga
From the departments of epidemiology (Drs. Cassel, Tyroler, and Cornoni), University of North Carolina, Chapel Hill; and the departments of cardiology, Duke University Medical Center (Dr. Bartel) and community health sciences, Duke University Medical School (Dr. Heyden), Durham, NC. Dr. Hames is a practicing physician, Evans County, Georgia.
Footnotes
Received for publication May 13, 1971; accepted Aug 3.
Reprint requests to Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27514 (Dr. Cassel).
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