Cohort-specific trends in stroke mortality in seven European countries were related to infant mortality rates

被引:23
作者
Amiri, M.
Kunst, A. E.
Janssen, F.
Mackenbach, J. P.
机构
[1] Erasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, Netherlands
[2] Univ Groningen, Fac Spatial Sci, Populat Res Ctr, NL-9700 AV Groningen, Netherlands
关键词
Europe; mortality trends; ischemic heart disease; stroke; cohort analysis; infant mortality rate;
D O I
10.1016/j.jclinepi.2006.03.007
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives: To assess, in a population-based study, whether secular trends in cardiovascular disease mortality in seven European countries were correlated with past trends in infant mortality rate (IMR) in these countries. Study Design and Setting: Data on ischemic heart disease (IHD) and stroke mortality in 1950-1999 in the Netherlands, England & Wales, France, and four Nordic countries were analyzed. We used Poisson regression to describe trends in mortality according to birth cohort, for the cohorts born between 1860 and 1939. Pearson correlation coefficients were calculated to determine associations between IMR and IHD, or stroke mortality. Results: IHD mortality increased for successive cohorts up to 1900, and then started to decline. Stroke mortality levels were virtually stable among birth cohorts up to 1880, but declined rapidly among later cohorts. A strong positive association was found between cohort-specific IMR levels and stroke mortality rates. There were no strong cohort-wise associations between IMR and IHD mortality. Conclusion: These results support other studies in suggesting that living conditions in early childhood may influence population levels of stroke mortality. Future studies should determine the contribution of specific early life factors to the mortality decline in IHD and especially stroke. (C) 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:1295 / 1302
页数:8
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