Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022)
The objective of this study was to investigate spatiotemporal variability of cardiovascular disease (CVD) occurrence and identify spatial clusters on Attica region (Greece), over a 20-year period (2002-2022). The 10- and 20-year occurrence of fatal and non-fatal cardiovascular disease was obtained...
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| Format: | Article |
| Language: | English |
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European Association of Geographers
2024-12-01
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| Series: | European Journal of Geography |
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| Online Access: | https://www.eurogeojournal.eu/index.php/egj/article/view/698 |
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| author | Antigoni Faka Christos Chalkias Evangelia Damigou Christina Chrysohoou Fotios Barkas Dimitris Dalmyras Konstantina Kyrilli Christos Pitsavos Evangelos Liberopoulos Costas Tsioufis Petros Sfikakis Demosthenes Panagiotakos |
| author_facet | Antigoni Faka Christos Chalkias Evangelia Damigou Christina Chrysohoou Fotios Barkas Dimitris Dalmyras Konstantina Kyrilli Christos Pitsavos Evangelos Liberopoulos Costas Tsioufis Petros Sfikakis Demosthenes Panagiotakos |
| author_sort | Antigoni Faka |
| collection | DOAJ |
| description |
The objective of this study was to investigate spatiotemporal variability of cardiovascular disease (CVD) occurrence and identify spatial clusters on Attica region (Greece), over a 20-year period (2002-2022). The 10- and 20-year occurrence of fatal and non-fatal cardiovascular disease was obtained from the ATTICA study, which was conducted between 2002 and 2022. The sample used in this analysis included 1,935 (49,8% males) and 1,902 participants (49.5% males), respectively. CVD occurrence rate at the municipality level were mapped, and spatial autocorrelation analysis was performed to identify statistically significant clusters and outliers in the Attica region. The mapping of CVD occurrence rates revealed an observable increase in most municipalities during the observation period. In addition, a statistically significant clustering of high CVD occurrence rates was found in the most urbanized municipalities of the study area over the period under study. These findings underscore the need for targeted interventions, focusing on urban populations, to effectively address this trend.
Highlights:
• This study addresses the research gap on CVD trends in Attica, Greece, over 20 years.
• CVD rates rose notably in the most urbanized municipalities of central Athens, while suburban areas maintained lower levels.
• Positive spatial autocorrelation analysis was revealed for both the 10-year and 20-year CVD occurrence rates.
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| format | Article |
| id | doaj-art-35a05939c6a946a4b481c5020baea7e9 |
| institution | Kabale University |
| issn | 1792-1341 2410-7433 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | European Association of Geographers |
| record_format | Article |
| series | European Journal of Geography |
| spelling | doaj-art-35a05939c6a946a4b481c5020baea7e92025-01-01T06:56:52ZengEuropean Association of GeographersEuropean Journal of Geography1792-13412410-74332024-12-0115410.48088/ejg.a.fak.15.4.271.280709Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022)Antigoni Faka0Christos Chalkias1Evangelia Damigou2Christina Chrysohoou3Fotios Barkas4Dimitris Dalmyras5Konstantina Kyrilli6Christos Pitsavos7Evangelos Liberopoulos8Costas Tsioufis9Petros Sfikakis10Demosthenes Panagiotakos11Department of Geography, Harokopio University, Athens, GreeceDepartment of Geography, Harokopio University, Athens, GreeceDepartment of Nutrition and Dietetics, Harokopio University, Athens, GreeceFirst Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, GreeceDepartment of Internal Medicine, Medical School, University of Ioannina, Ioannina, GreeceDepartment of Nutrition and Dietetics, Harokopio University, Athens, GreeceDepartment of Internal Medicine, Medical School, University of Ioannina, Ioannina, GreeceFirst Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, GreeceFirst Department of Propaedeutic Internal Medicine, Medical School, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, GreeceFirst Department of Propaedeutic Internal Medicine, Medical School, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, GreeceDepartment of Nutrition and Dietetics, Harokopio University, Athens, Greece The objective of this study was to investigate spatiotemporal variability of cardiovascular disease (CVD) occurrence and identify spatial clusters on Attica region (Greece), over a 20-year period (2002-2022). The 10- and 20-year occurrence of fatal and non-fatal cardiovascular disease was obtained from the ATTICA study, which was conducted between 2002 and 2022. The sample used in this analysis included 1,935 (49,8% males) and 1,902 participants (49.5% males), respectively. CVD occurrence rate at the municipality level were mapped, and spatial autocorrelation analysis was performed to identify statistically significant clusters and outliers in the Attica region. The mapping of CVD occurrence rates revealed an observable increase in most municipalities during the observation period. In addition, a statistically significant clustering of high CVD occurrence rates was found in the most urbanized municipalities of the study area over the period under study. These findings underscore the need for targeted interventions, focusing on urban populations, to effectively address this trend. Highlights: • This study addresses the research gap on CVD trends in Attica, Greece, over 20 years. • CVD rates rose notably in the most urbanized municipalities of central Athens, while suburban areas maintained lower levels. • Positive spatial autocorrelation analysis was revealed for both the 10-year and 20-year CVD occurrence rates. https://www.eurogeojournal.eu/index.php/egj/article/view/698cardiovascular diseasespatial epidemiologyspatial autocorrelationspatial clusteringAtticaGreece |
| spellingShingle | Antigoni Faka Christos Chalkias Evangelia Damigou Christina Chrysohoou Fotios Barkas Dimitris Dalmyras Konstantina Kyrilli Christos Pitsavos Evangelos Liberopoulos Costas Tsioufis Petros Sfikakis Demosthenes Panagiotakos Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022) European Journal of Geography cardiovascular disease spatial epidemiology spatial autocorrelation spatial clustering Attica Greece |
| title | Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022) |
| title_full | Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022) |
| title_fullStr | Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022) |
| title_full_unstemmed | Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022) |
| title_short | Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022) |
| title_sort | exploring spatiotemporal patterns of cardiovascular disease in greece insights from the attica study 2002 2022 |
| topic | cardiovascular disease spatial epidemiology spatial autocorrelation spatial clustering Attica Greece |
| url | https://www.eurogeojournal.eu/index.php/egj/article/view/698 |
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