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Spatial analysis of the relationship between mortality from cardiovascular and cerebrovascular disease and drinking water hardness

التفاصيل البيبلوغرافية
العنوان: Spatial analysis of the relationship between mortality from cardiovascular and cerebrovascular disease and drinking water hardness
المؤلفون: Antionio Lopez-Quilez, J.J. Abellán, Hermelinda Vanaclocha, Pilar Sanmartín, Virgilio Gómez-Rubio, Ricardo Ocaña, Santiago Pérez-Hoyos, Inmaculada Melchor, Ferran Ballester, Oscar Zurriaga, Miguel A. Martinez-Beneito, Juan Ferrándiz, Jose M. Gil, Carlos Abellan
المساهمون: [Ferrandiz,J, Abellán,JJ, Gómez-Rubio,V, López-Quílez,A] Departamento d’Estadística i Investigació Operativa, Universitat de València, Valencia, Spain. [Abellán,JJ] Instituto Valenciano de Estadística, Generalitat Valenciana, Valencia, Spain. [Sanmartín,P] Departamento de Matemática Aplicada y Estadística, Universidad Politécnica de Cartagena, Cartagena, Spain. [Abellán,C, Martínez-Beneito,MA, Melchor,I, Vanaclocha,H, Zurriaga,O] Departamento de Epidemiología, Dirección General de Salud Pública, Generalitat Valenciana, Valencia, Spain. [Ballester,F, Gil,JM, Pérez-Hoyos,S] Unidad de Epidemiología y Estadística, Escuela Valenciana de Estudios para la Salud, Generalitat Valenciana, Valencia, Spain. [Ocaña,R] Escuela Andaluza de Salud Pública, Consejería de Salud, Junta de Andalucía, Granada, Spain., This research was funded partially by the Dirección General de Salud Pública, the Escuela Valenciana de Estudios para la Salud (grant IVESP99/066), and the EUROHEIS project (grant SI2.329122, 2001CVG2-604).
المصدر: ENVIRONMENTAL HEALTH PERSPECTIVES
r-FISABIO: Repositorio Institucional de Producción Científica
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Scopus-Elsevier
Environmental Health Perspectives
r-FISABIO. Repositorio Institucional de Producción Científica
instname
بيانات النشر: US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE, 2004.
سنة النشر: 2004
مصطلحات موضوعية: Gerontology, Male, Mini-Monograph: Information Systems, Health, Toxicology and Mutagenesis, Water supply, Named Groups::Persons::Age Groups::Adult::Middle Aged [Medical Subject Headings], Disease, Health Care::Environment and Public Health::Public Health::Sanitation::Sanitary Engineering::Water Supply [Medical Subject Headings], Magnesio, Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings], Preescolar, Mediana Edad, Reference Values, Exposición a Riesgos Ambientales, Medicine, Cluster Analysis, Magnesium, Masculino, Child, Enfermedades Cardiovasculares, geographic information systems, Named Groups::Persons::Age Groups::Child::Child, Preschool [Medical Subject Headings], Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Weights and Measures::Reference Values [Medical Subject Headings], Adulto, Agua, Epidemiologic Surveillance, Environmental exposure, Middle Aged, Humanos, Health Care::Environment and Public Health::Public Health::Environmental Pollution::Environmental Exposure [Medical Subject Headings], Abastecimiento de agua, relative risk, Information Science::Information Science::Information Storage and Retrieval::Databases as Topic::Databases, Factual::Geographic Information Systems [Medical Subject Headings], Cardiovascular Diseases, Niño, Child, Preschool, Diseases::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders [Medical Subject Headings], Female, Named Groups::Persons::Age Groups::Infant [Medical Subject Headings], Risk assessment, Adult, hierarchical spatial models, Adolescent, Anciano, Sistemas de Información Geográfica, Check Tags::Male [Medical Subject Headings], Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Cluster Analysis [Medical Subject Headings], Named Groups::Persons::Age Groups::Infant::Infant, Newborn [Medical Subject Headings], Risk Assessment, Calcio, Water Supply, Chemicals and Drugs::Inorganic Chemicals::Metals::Metals, Alkaline Earth::Calcium [Medical Subject Headings], Environmental health, Named Groups::Persons::Age Groups::Adult [Medical Subject Headings], Chemicals and Drugs::Inorganic Chemicals::Metals::Metals, Light::Magnesium [Medical Subject Headings], Humans, Chemicals and Drugs::Inorganic Chemicals::Hydroxides::Water [Medical Subject Headings], Named Groups::Persons::Age Groups::Adult::Aged [Medical Subject Headings], Diseases::Cardiovascular Diseases [Medical Subject Headings], Socioeconomic status, Named Groups::Persons::Age Groups::Child [Medical Subject Headings], Aged, business.industry, Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Assessment [Medical Subject Headings], Public Health, Environmental and Occupational Health, Infant, Newborn, Infant, Water, Lactante, Environmental Exposure, Valores de Referencia, Análisis por Conglomerados, Estudios Epidemiológicos, environmental epidemiology, Cerebrovascular Disorders, Epidemiologic Studies, Trastornos Cerebrovasculares, Check Tags::Female [Medical Subject Headings], Relative risk, spatial smoothing, Calcium, business, Medición de Riesgo, Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies [Medical Subject Headings], Environmental epidemiology
الوصف: Journal Article; Research Support, Non-U.S. Gov't; Reproduced with permission from Environmental Health Perspectives. Previously published scientific papers have reported a negative correlation between drinking water hardness and cardiovascular mortality. Some ecologic and case-control studies suggest the protective effect of calcium and magnesium concentration in drinking water. In this article we present an analysis of this protective relationship in 538 municipalities of Comunidad Valenciana (Spain) from 1991-1998. We used the Spanish version of the Rapid Inquiry Facility (RIF) developed under the European Environment and Health Information System (EUROHEIS) research project. The strategy of analysis used in our study conforms to the exploratory nature of the RIF that is used as a tool to obtain quick and flexible insight into epidemiologic surveillance problems. This article describes the use of the RIF to explore possible associations between disease indicators and environmental factors. We used exposure analysis to assess the effect of both protective factors--calcium and magnesium--on mortality from cerebrovascular (ICD-9 430-438) and ischemic heart (ICD-9 410-414) diseases. This study provides statistical evidence of the relationship between mortality from cardiovascular diseases and hardness of drinking water. This relationship is stronger in cerebrovascular disease than in ischemic heart disease, is more pronounced for women than for men, and is more apparent with magnesium than with calcium concentration levels. Nevertheless, the protective nature of these two factors is not clearly established. Our results suggest the possibility of protectiveness but cannot be claimed as conclusive. The weak effects of these covariates make it difficult to separate them from the influence of socioeconomic and environmental factors. We have also performed disease mapping of standardized mortality ratios to detect clusters of municipalities with high risk. Further standardization by levels of calcium and magnesium in drinking water shows changes in the maps when we remove the effect of these covariates. Yes
وصف الملف: application/pdf
تدمد: 1991-1998
0091-6765
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c9bb1516b097974dec48c65ef25650dTest
https://fundanet.fisabio.san.gva.es/publicaciones/ProdCientif/PublicacionFrw.aspx?id=4079Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....7c9bb1516b097974dec48c65ef25650d
قاعدة البيانات: OpenAIRE
الوصف
تدمد:19911998
00916765