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Related Experiment Videos

International mortality trends and secular changes.

F H Epstein

    Preventive Medicine
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Coronary heart disease (CHD) mortality trends vary globally, necessitating international monitoring. Studying CHD alongside total mortality and other chronic diseases offers insights into prevention strategies.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Cardiovascular Disease Research

    Background:

    • Secular trends in coronary heart disease (CHD) mortality, particularly the decline observed in the 1970s in countries like the US, highlight the need for international monitoring.
    • Understanding variations in CHD mortality and morbidity requires examining long-term international trends and identifying contributing factors to observed changes.

    Purpose of the Study:

    • To analyze international mortality trends for coronary heart disease (CHD) and nonrheumatic and hypertensive heart disease (HD) from the 1950s to the 1970s.
    • To investigate the relationship between CHD/HD trends and total mortality (TM) and cancer mortality trends across various countries.
    • To underscore the importance of a comprehensive approach to studying chronic disease trends for effective prevention.

    Main Methods:

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    • Analysis of mortality data for CHD and a broader category of heart disease (HD) in 27 countries.
    • Comparison of CHD/HD mortality trends with total mortality and cancer mortality trends over several decades.
    • Utilizing historical data, including a broader diagnostic category (HD) to extend the analysis back to the 1950s.

    Main Results:

    • Mortality trends for CHD showed wide variations across the 27 countries studied, with similar patterns observed for both men and women.
    • Trends in nonrheumatic and hypertensive heart disease (HD) generally paralleled CHD trends and often influenced total mortality (TM).
    • The relationship between heart disease trends and cancer trends was variable, indicating distinct etiological factors or differing impacts of interventions.

    Conclusions:

    • International monitoring of CHD mortality and morbidity trends is crucial for understanding and addressing cardiovascular disease.
    • Viewing CHD trends in the context of total mortality and other chronic diseases provides a more complete picture of population health.
    • Preventive measures for CHD may have broader benefits, suggesting that studying trends across multiple chronic disorders is a valuable research approach.