The Distribution of Cardiovascular Disease in the Community
Authors: KERR L. WHITE
Journal: Annals of Internal Medicine (1963)

Article1 April 1963The Distribution of Cardiovascular Disease in the CommunityKERR L. WHITE, M.D., MICHEL A. IBRAHIM, M.D., M.P.H.KERR L. WHITE, M.D.Search for more papers by this author, MICHEL A. IBRAHIM, M.D., M.P.H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-4-627 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLittle is known about the relative distribution of cardiovascular disease in the community (1) as it affects the interests of clinical and epidemiological investigators, the evolution of control programs and treatments, the education of medical students and graduate students, and the availability and utilization of medical care facilities. Berkson (2) introduced the concept of "selective bias" in epidemiologic studies, and Mainland (3) has discussed the pitfalls associated with the use of hospital populations for drawing inferences about the distribution of disease in the community. The importance in medical care studies of defining the population at risk has been critically reviewed...References1. MORRIS JN: Epidemiology and cardiovascular disease of middle age. Mod. Conc. Cardiov. Dis. 29: 625, part I, 1960, and 30: 633, part II, 1961. MedlineGoogle Scholar2. BERKSON J: Limitation of the application of fourfold table analysis to hospital data. Biomet. Bull. 2: 47, 1946. CrossrefMedlineGoogle Scholar3. MAINLAND D: The risk of fallacious conclusions from autopsy data on the incidence of diseases with applications to heart disease. Amer. Heart J. 45: 644, 1953. CrossrefMedlineGoogle Scholar4. Seventh report of the expert committee on health statistics. WHO Techn. Rep. Ser. No. 218, 1961. 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Heart Conditions and High Blood Pressure Reported in Interviews, United States, July, 1957-June, 1958, United States Public Health Service, Washington, D. C., 1960. Google Scholar12. DENSENBALAMUTHDEARDORFF PMENR: Medical care plans as a source of morbidity data. Milbank Mem. Fund Quart. 38: 48, 1960. CrossrefMedlineGoogle Scholar13. LOGANCUSHION WPAA: Studies on Medical and Population Subjects, No. 14, Morbidity Statistics from General Practice, vol. I. (Disease in General Practice), Her Majesty's Stationery Office, London, 1958. Google Scholar14. LERNER M: Hospital use by diagnosis: A comparison of two experiences. Health Information Foundation, Research Series 19, 1961. Google Scholar15. . Report on hospital inpatient inquiry for the two years 1956-1957. Her Majesty's Stationery Office, London, 1961. Google Scholar16. PETERSONANDREWSSPAINGREENBERG OLLPRSBG: Analytical study of North Carolina general practice, 1953-1954. J. Med. Educ. 31: 1, part II, 1956. Google Scholar17. United States National Health Survey. Preliminary Report on Volume of Physician Visits, United States, July-September, 1957. United States Public Health Service, Washington, D. C., 1958. Google Scholar18. LOGAN WP: Studies on Medical and Population Subjects, No. 7, An Analysis of Clinical Records of Eight Practices during the Period April, 1951, to March, 1952. Her Majesty's Stationery Office, London, 1953. Google Scholar19. Leading diagnoses and reasons for patient visits, in National Disease and Therapeutic Index, No. 3, Lea and Associates, Inc., Flourtown, Pa., 1961. Google Scholar20. ANDREWSDIAMONDWHITEWILLIAMSGREENBERGHAMRICKHUNTER LPEKLTFBGAAEA: Study of patterns of patient referral to medical clinic in a rural state: methodology. Amer. J. Public Health 49: 634, 1959. CrossrefGoogle Scholar21. WILLIAMSWHITEFLEMINGGREENBERG TFKLWLBG: The referral process in medical care and the university clinic's role. J. Med. Educ. 36: 899, 1961. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chapel Hill, North CarolinaFrom the Departments of Preventive Medicine and Epidemiology, Schools of Medicine and Public Health, University of North Carolina, Chapel Hill, North Carolina.Supported by research grants from the National Heart Institute (HE 07637) and from the Division of Hospital and Medical Facilities (W-74), United States Public Health Service, Washington, D. C.Requests for reprints should be addressed to Kerr L. White, M.D., Department of Epidemiology and Community Medicine, University of Vermont, Burlington, Vermont. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Economic Benefits of Increased Physical Activity as Seen Through an Objective LensThe epidemiology of coronary heart disease 1 April 1963Volume 58, Issue 4Page: 627-636KeywordsCardiovascular diseasesEpidemiologyGraduate medical educationHypertensionMedical educationMedical servicesPopulation statisticsPrevention, policy, and public healthPreventive medicineResearch grants ePublished: 1 December 2008 Issue Published: 1 April 1963 PDF downloadLoading ...