دورية أكاديمية

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: Ferrandiz, Juan, Abellan, Juan J, Gomez-Rubio, Virgilio, Lopez-Quilez, Antonio, Sanmartin, Pilar, Abellan, Carlos, Martinez-Beneito, Miguel A, Melchor, Inmaculada, Vanaclocha, Hermelinda, Zurriaga, Oscar, Ballester, Ferran, Gil, Jose M, Perez-Hoyos, Santiago, Ocana, Ricardo
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).
بيانات النشر: National Institute of Environmental Health Science
سنة النشر: 2004
المجموعة: Sistema Sanitario Público de Andalucía (SSPA): Repositorio
مصطلحات موضوعية: Adulto, Anciano, Calcio, Enfermedades Cardiovasculares, Trastornos Cerebrovasculares, Niño, Preescolar, Análisis por Conglomerados, Exposición a Riesgos Ambientales, Estudios Epidemiológicos, Sistemas de Información Geográfica, Humanos, Lactante, Magnesio, Masculino, Mediana Edad, Valores de Referencia, Medición de Riesgo, Agua, Abastecimiento de agua, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged, Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Metals::Metals, Alkaline Earth::Calcium, Medical Subject Headings::Diseases::Cardiovascular Diseases, Medical Subject Headings::Diseases::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders, Medical Subject Headings::Named Groups::Persons::Age Groups::Child, Medical Subject Headings::Named Groups::Persons::Age Groups::Child::Child, Preschool, Medical Subject Headings::Analytical
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 ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 0091-6765
1552-9924
العلاقة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1247198Test/; Ferrandiz J, Abellan JJ, Gomez-Rubio V, Lopez-Quilez A, Sanmartin P, Abellan C, et al. Spatial analysis of the relationship between mortality from cardiovascular and cerebrovascular disease and drinking water hardness Environ Health Perspect. 2004; 112(9): 1037-44; http://hdl.handle.net/10668/1954Test; PMC1247198
الإتاحة: http://hdl.handle.net/10668/1954Test
حقوق: open access
رقم الانضمام: edsbas.1908DC71
قاعدة البيانات: BASE