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Updated: May 28, 2026

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Published on: August 18, 2015
Cerebrovascular disease in 48 countries: secular trends in mortality 1950-2005
Masoud Mirzaei1, A Stewart Truswell, Kathryn Arnett
1Yazd Cardiovascular Research Centre, Afshar Hospital, Yazd, Iran. masoud.mirzaei@sydney.edu.au
Stroke mortality has significantly decreased globally between 1950 and 2005. Different patterns of decline suggest varying success of prevention strategies, offering insights for stroke control policies.
Area of Science:
- Epidemiology
- Public Health
- Cardiovascular Disease Research
Background:
- Stroke remains a leading cause of death and disability worldwide.
- Understanding global stroke mortality trends is crucial for public health initiatives.
Purpose of the Study:
- To investigate patterns of increase and decrease in stroke mortality across 48 countries.
- To analyze temporal trends in stroke death rates from 1950 to 2005.
Main Methods:
- Utilized age-standardized death rates (35-74 years) from the World Health Organization (WHO).
- Examined annual mortality data for 48 countries between 1950 and 2005.
- Classified countries based on stroke mortality magnitude, pattern (declining, rise and fall, rising, flat), and timing, analyzing male and female trends separately.
Main Results:
- Significant variations in secular stroke mortality trends were observed among countries.
- Identified distinct patterns: 'declining', 'rise and fall', 'rising', and 'flat' mortality.
- Noted higher epidemic peaks in Asia (e.g., Japan, Russian Federation, Bulgaria) and lower rates in Canada and Australia.
Conclusions:
- Stroke mortality substantially decreased in many countries from 1950 to 2005.
- Divergent timing of mortality decline suggests varied implementation of prevention strategies.
- Findings can inform policy interventions for stroke control, particularly in regions with rising trends.
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