Date of Award

12-2013

Document Type

Capstone

Degree Name

Master of Public Policy and Management (PPM)

Department

Public Policy and Management

First Advisor

Prof. Lisa Morris

Keywords

ischemic heart disease, risk factors, Penobscot, Piscataquis, Muskie School of Public Service

Abstract

This study examines a significant reduction in cardiovascular disease (CVD) mortality1 in two rural, white, low-income counties in Maine over 1999-2009: Washington County and Aroostook County. Two similar counties with similarly high rates of CVD mortality– Penobscot and Piscataquis - were selected as comparators. The study considers different factors known to correlate with CVD mortality, including behavioral risk factors, co-morbid conditions, insurance coverage, and social determinants of health.

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