A dynamic analysis of chronic disease development: a study of sex specific changes in coronary heart disease incidence and risk factors in Framingham.

An analysis of sex differentials in the dynamics of coronary heart disease (CHD) in the Framingham study is conducted using a methodology designed process which aids in the interpretation of the longitudinal results. This methodology permits the analysis of risk variable changes over time to be conducted independently of the analysis of the relation of risk variable values to CHD risk. The independent analyses afford a complete utilisation of information from longitudinal studies of chronic disease risk and produce insights into the dynamics of chronic disease development not available by other analytic strategies. The results of this analysis are compared with results obtained from a similarly structured multiple logistic analysis--a comparison which illustrates some of the technical and conceptual deficiencies of the often employed multiple logistic analysis when applied to longitudinal data.

Duke Scholars

Author Patrick J. Eric Stallard Social Science Research Institute

Author Kenneth G. Manton Trinity College of Arts & Sciences