Trends in mortality from coronary heart and cerebrovascular diseases in the Americas: 1970-2000

Details

Serval ID
serval:BIB_40D4C6C6335F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Trends in mortality from coronary heart and cerebrovascular diseases in the Americas: 1970-2000
Journal
Heart
Author(s)
Rodriguez  Teresa, Malvezzi  Matteo, Chatenoud  Liliane, Bosetti  Cristina, Levi  Fabio, Negri  Eva, La Vecchia  Carlo
ISSN
1355-6037
Publication state
Published
Issued date
2006
Volume
92
Number
4
Pages
453-460
Notes
SAPHIRID:57580
Abstract
OBJECTIVE: To describe trends in mortality from coronary heart disease (CHD) and cerebrovascular accidents (CVAs) over the period 1970 to 2000 in the Americas. METHODS: Age standardised mortality rates were derived from the World Health Organization database and grouped according to the International classification of diseases, ninth revision. Joinpoint analysis was used to identify changes in trends. RESULTS: In the USA and Canada, CHD mortality rates declined by about 60% in both sexes. In Latin America, falls in CHD mortality were observed for Argentina, Brazil, Chile, Cuba, and Puerto Rico. In 2000, mortality rates among men were highest in Venezuela (137.3/100,000) and lowest (apart from Ecuador) in Argentina (63.5/100,000). For women, the rates were highest in Cuba (79.4/100,000) and lowest in Argentina (26.5/100,000). For CVA mortality, a decline by about 60% was observed in the USA and Canada for both sexes. The falls were smaller (about -25% to -40% among men and -20% to -50% among women) in Puerto Rico, Argentina, Chile, and Costa Rica and only minor in Ecuador, Mexico, and Venezuela. Around 2000, CVA mortality in Latin America was highest in Brazil (85.5/100,000 among men and 61.7/100,000 among women) and lowest in Puerto Rico (29.3/100,000 among men and 24.1/100,000 among women). CONCLUSIONS: Recent falls in CHD and CVA were less favourable in Latin America than in the USA and Canada. This may reflect unfavourable changes in nutrition (including obesity), physical activity, and smoking in most Latin American countries, together with less effective control of hypertension and management of the diseases. [Authors]
Keywords
Cerebrovascular Accident , Coronary Disease
Pubmed
Web of science
Create date
04/03/2008 14:58
Last modification date
20/08/2019 13:39
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