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Has stroke mortality stopped declining in Spain?

A Cayuela1, L Cayuela2, M J Ortega Belmonte1

  • 1Unidad de Gestión Clínica de Salud Pública, Prevención y Promoción de la Salud, Hospital de Valme, Área de Gestión Sanitaria Sur de Sevilla, Sevilla, España.

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|November 30, 2019
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Summary
This summary is machine-generated.

Stroke mortality trends in Spain varied by region and sex between 1980-2016. While most areas saw declines, some communities experienced stabilizing or increasing stroke death rates, particularly in women.

Keywords:
Cerebrovascular diseasesEnfermedades cerebrovascularesEpidemiologyEpidemiologíaMortalidadMortalityTendenciasTrends

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Area of Science:

  • Epidemiology
  • Public Health
  • Biostatistics

Background:

  • Stroke remains a leading cause of mortality globally and nationally.
  • Understanding regional and sex-specific mortality trends is crucial for targeted public health interventions.
  • Previous analyses may not capture the nuanced, evolving patterns of stroke mortality across Spain's diverse autonomous communities.

Purpose of the Study:

  • To analyze changes in stroke mortality trends in Spain from 1980 to 2016.
  • To investigate these trends by autonomous community and by sex.
  • To identify significant shifts in mortality patterns using joinpoint regression models.

Main Methods:

  • Utilized mortality data from the Spanish National Statistics Institute.
  • Calculated crude and standardized stroke mortality rates for each autonomous community and sex.
  • Applied joinpoint regression analysis to detect statistically significant changes in mortality trends over time.

Main Results:

  • Continuous declines in stroke mortality were observed in both sexes in specific communities (e.g., Asturias, Cantabria).
  • Significant divergence in trends was noted: some communities showed continued declines, while others experienced stabilization or increases, especially in the Canary Islands for both sexes.
  • Sex-specific analyses revealed varied patterns, with women in Andalusia showing decreased mortality, while women in Extremadura and Murcia saw stabilization, and increases in the Canary Islands.

Conclusions:

  • Stroke mortality trends in Spain exhibit significant heterogeneity across autonomous communities and sexes.
  • While overall declines are evident in many regions, concerning increases or stabilization in mortality rates necessitate further investigation.
  • Identifying the underlying causes for these divergent trends is essential for future public health strategies and stroke prevention efforts.