INTRODUCTION: There is abundant evidence of health inequities between urban and rural populations. The purpose of this paper is to describe the socioeconomic characteristics of Québec urban and rural populations and the relation between rurality and incidence of myocardial infarction (MI), care management and outcomes. METHODS: Socioeconomic data by census subdivisions were available from the 1996 Canadian census, representing 7,137,245 individuals. Data on patients with MI were taken from the provincial administrative health database (MED-ECHO), which is managed by the Ministry of Health and contains clinical and demographic information collected when patients are released from acute care hospitals in Québec. RESULTS: We included a total of 37,678 cases compiled over the 3 years of follow-up in the analyses. Residents of rural areas with low urban influence have higher MI incidence rates than all of the other populations in the study. In comparison with urban populations, their observed rural counterparts are at a disadvantage with regard to education, employment and income. Although angioplasty and coronary artery bypass graft surgery rates were higher in more urban areas, the survival rate was lower than in rural areas. CONCLUSION: This study revealed geographic heterogeneity of MI incidence, revascularization rates and survival rates among urban and rural populations.
INTRODUCTION: There is abundant evidence of health inequities between urban and rural populations. The purpose of this paper is to describe the socioeconomic characteristics of Québec urban and rural populations and the relation between rurality and incidence of myocardial infarction (MI), care management and outcomes. METHODS: Socioeconomic data by census subdivisions were available from the 1996 Canadian census, representing 7,137,245 individuals. Data on patients with MI were taken from the provincial administrative health database (MED-ECHO), which is managed by the Ministry of Health and contains clinical and demographic information collected when patients are released from acute care hospitals in Québec. RESULTS: We included a total of 37,678 cases compiled over the 3 years of follow-up in the analyses. Residents of rural areas with low urban influence have higher MI incidence rates than all of the other populations in the study. In comparison with urban populations, their observed rural counterparts are at a disadvantage with regard to education, employment and income. Although angioplasty and coronary artery bypass graft surgery rates were higher in more urban areas, the survival rate was lower than in rural areas. CONCLUSION: This study revealed geographic heterogeneity of MI incidence, revascularization rates and survival rates among urban and rural populations.
Authors: Jia-Rong Wu; Debra K Moser; Mary Kay Rayens; Marla J De Jong; Misook L Chung; Barbara Riegel; Terry A Lennie Journal: Heart Lung Date: 2010 Nov-Dec Impact factor: 2.210
Authors: Paul D Xanthos; Brett A Gordon; Stephen Begg; Voltaire Nadurata; Michael I C Kingsley Journal: BMC Public Health Date: 2016-05-11 Impact factor: 3.295
Authors: Cynthia Wu; Michael Sean McMurtry; Roopinder K Sandhu; Erik Youngson; Justin A Ezekowitz; Padma Kaul; Finlay A McAlister Journal: PLoS One Date: 2015-10-14 Impact factor: 3.240