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12-Month prevalence of coronary heart disease in Germany

Markus A Busch1, Ronny Kuhnert1

  • 1Robert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, Germany.

Journal of Health Monitoring
|May 8, 2023
PubMed

Insights

Coronary heart disease (CHD) affects 3.7% of women and 6.0% of men in Germany. Prevalence significantly increases with age, particularly in those over 75, and is higher in women with lower education levels.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiovascular Disease Research

Background:

  • Coronary heart disease (CHD) represents a significant public health concern globally.
  • Understanding the prevalence and demographic distribution of CHD is crucial for targeted interventions.
  • The European Health Interview Survey (EHIS) provides valuable data on population health trends.

Purpose of the Study:

  • To determine the 12-month prevalence of coronary heart disease (CHD) in Germany.
  • To analyze the age- and education-specific prevalence of CHD in men and women.
  • To establish baseline data for CHD prevalence in Germany using the EHIS 2014/2015 survey.

Main Methods:

  • The study utilized data from the German national component of the 2014/2015 European Health Interview Survey (EHIS).
  • Prevalence was calculated based on self-reported diagnoses of myocardial infarction, chronic consequences of myocardial infarction, or angina pectoris.
  • Data were stratified by age groups, sex, and educational attainment.

Main Results:

  • The 12-month prevalence of CHD was 3.7% for women and 6.0% for men in Germany.
  • CHD prevalence increased sharply with age, reaching 16.0% in women and 24.1% in men aged 75 and over.
  • A notable disparity was observed in women, with CHD prevalence at 7.3% for those with low education versus 1.2% for those with high education.

Conclusions:

  • Coronary heart disease (CHD) prevalence in Germany is substantial, particularly in older populations.
  • Educational attainment is a significant social determinant of CHD prevalence in women.
  • The EHIS 2014/2015 provides essential, novel baseline data for CHD epidemiology in Germany.

Keywords:
CORONARY HEART DISEASEDISEASE OUTCOMESGENERAL POPULATIONGERMANYMYOCARDIAL INFARCTION

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