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dc.contributor.authorOrzel, Bartosz
dc.date.accessioned2017-08-01T13:45:35Z
dc.date.available2017-08-01T13:45:35Z
dc.identifier.urihttp://hdl.handle.net/10222/73075
dc.description.abstractThis study assessed small area rate variation (SARV) in cardiovascular disease (CVD) prevalence in Nova Scotia, Canada. It described how estimates varied according to population demographics and estimated the contribution of area socioeconomic status (SES) to between-area variation. Applying multilevel logistic regression to healthcare utilization databases, pronounced spatial variation was observed across forward sortation areas (FSAs) in the prevalence of ischemic heart disease, congestive heart failure, and hypertension. Pockets of FSAs were identified with above-average and below-average prevalence estimates. Age-sex standardization resulted in noticeably different estimates in many areas. Stratified comparisons between relatively older and younger age groups revealed SARV that generally followed variation in the overall population, although younger age groups typically had greater variation in prevalence. Statistical associations were observed between area-level variables and variation in prevalence. This study contributes to the knowledge base on CVD and has policy implications for a disease that significantly impacts Nova Scotia.en_US
dc.language.isoenen_US
dc.subjectCardiovascular diseaseen_US
dc.subjectSmall area rate variationen_US
dc.subjectPrevalenceen_US
dc.subjectSpatial epidemiologyen_US
dc.subjectDisease mappingen_US
dc.subjectGeographic information systemsen_US
dc.titleSMALL AREA RATE VARIATION IN CARDIOVASCULAR DISEASE PREVALENCE IN NOVA SCOTIA, CANADAen_US
dc.date.defence2017-07-21
dc.contributor.departmentDepartment of Community Health & Epidemiologyen_US
dc.contributor.degreeMaster of Scienceen_US
dc.contributor.external-examinerDr. Paul A. Petersen_US
dc.contributor.graduate-coordinatorDr. Kathleen MacPhersonen_US
dc.contributor.thesis-readerDr. Mikiko Terashimaen_US
dc.contributor.thesis-readerDr. Iqbal Bataen_US
dc.contributor.thesis-supervisorDr. George Kepharten_US
dc.contributor.ethics-approvalReceiveden_US
dc.contributor.manuscriptsNot Applicableen_US
dc.contributor.copyright-releaseNot Applicableen_US
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