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[Oral contraceptives and cardiovascular mortality]
Revue D'Epidemiologie Et De Sante Publique
|January 1, 1984
Summary
Oral contraceptives may increase individual cardiovascular death risk. However, widespread use has not led to a detectable increase in national cardiovascular deaths, suggesting a complex relationship.
Area of Science:
- Cardiovascular epidemiology
- Reproductive health
- Public health
Context:
- Epidemiological studies indicate an elevated cardiovascular death risk for individual women using oral contraceptives.
- Despite this, a widespread increase in oral contraceptive use has not correlated with a detectable rise in national cardiovascular mortality rates over the past 15 years.
Purpose:
- To analyze the apparent contradiction between individual risk and population trends regarding oral contraceptives and cardiovascular death.
- To discuss the causal nature of the relationship between oral contraceptive use and cardiovascular mortality.
Summary:
- This paper reviews relevant epidemiological studies on oral contraceptives and cardiovascular death.
- It includes an analysis of cardiovascular death trends among women in France between 1968 and 1975 to investigate the observed discrepancy.
Impact:
- Provides insights into the complex relationship between oral contraceptive use and cardiovascular health outcomes.
- Informs public health strategies and clinical recommendations regarding oral contraceptive prescriptions and cardiovascular risk assessment.
Keywords:
BiologyCardiovascular EffectsCauses Of DeathCerebrovascular EffectsContraception--complicationsContraceptive Agents, Female--complicationsContraceptive Agents--complicationsContraceptive Methods--complicationsDemographic FactorsDiseasesEuropeFamily PlanningFranceHeart DiseasesHypertensionMortalityOral Contraceptives, Combined--complicationsOral Contraceptives--complicationsPhysiologyPopulationPopulation DynamicsVascular DiseasesWestern Europe