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Stroke mortality trends. An international perspective

T J Thom1

  • 1Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892.

Annals of Epidemiology
|September 1, 1993
PubMed
Summary

Global stroke death rates varied significantly by region and sex. Most industrialized nations saw major declines, especially since 1970, with women experiencing greater reductions in cerebrovascular disease mortality.

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Area of Science:

  • Epidemiology
  • Public Health
  • Cardiovascular Disease Research

Background:

  • Cerebrovascular disease, commonly known as stroke, poses a significant global health burden.
  • Understanding geographical and temporal variations in stroke mortality is crucial for targeted public health interventions.

Purpose of the Study:

  • To present current (1990) and historical (1950-1990) death rates for cerebrovascular disease.
  • To analyze trends and geographical disparities in stroke mortality across different countries and sexes.

Main Methods:

  • Analysis of death rates for cerebrovascular disease by sex for individuals aged 35-74 years.
  • Comparison of stroke mortality data from 52 countries in 1990 and 30 countries from 1950-1990.

Main Results:

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  • Stroke death rates were highest in Asia and Eastern Europe in 1990.
  • Most industrialized nations, excluding Eastern Europe, observed over 50% decline in stroke mortality since 1970, with greater decreases in women.
  • Japan showed a remarkable decline from very high rates in the 1950s.

Conclusions:

  • Significant progress in reducing stroke mortality has been achieved in many industrialized countries.
  • Geographical variations in stroke rates persist, highlighting the need for continued research and tailored prevention strategies.
  • Trends suggest increased uniformity in stroke mortality declines globally since 1970.