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CVD mortality, 1968-1978: observations and implications.

K G Manton, H M Baum

    Stroke
    |May 1, 1984
    PubMed
    Summary
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    Cerebrovascular disease mortality declined faster as an underlying cause than an associated cause. Eliminating stroke as a cause of death had less impact in 1978 than 1968, with varying effects across demographics.

    Area of Science:

    • Epidemiology
    • Public Health
    • Gerontology

    Background:

    • Examined U.S. multiple cause of death data from 1968-1978.
    • Focused on cerebrovascular disease (CVD) mortality's role as an underlying and associated cause of death.
    • Observed a faster decline in CVD as an underlying cause compared to an associated cause.

    Purpose of the Study:

    • To analyze trends in cerebrovascular disease mortality.
    • To assess the changing role of CVD as an associated cause of death.
    • To evaluate the impact of eliminating CVD as a cause of death on life expectancy.

    Main Methods:

    • Utilized U.S. multiple cause of death data (1968-1978).
    • Employed cause elimination life table analysis.
    • Calculated life expectancy gains from eliminating CVD as a cause of death.

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    Main Results:

    • CVD mortality declined significantly as an underlying cause versus an associated cause.
    • Projected impact of eliminating stroke as a cause of death decreased from 1968 to 1978.
    • Life expectancy gains from eliminating CVD ranged from 9 years (white males) to 18 years (nonwhite females).

    Conclusions:

    • Suggests a potential shift in CVD's role as an associated cause of death.
    • The impact of stroke elimination on life expectancy is diminishing over time.
    • Significant disparities exist in life expectancy gains across demographic groups.