GEOGRAPHICAL DIFFERENCES IN MYOCARDIAL-INFARCTION INCIDENCE IN 8 SWEDISH COUNTIES, 1976-1981

被引：17

作者：

HAMMAR, N

AHLBOM, A

THEORELL, T

机构：

[1] Department of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm

[2] National Institute for Psychosocial Factors and Health, Stockholm

来源：

EPIDEMIOLOGY | 1992年 / 3卷 / 04期

关键词：

MYOCARDIAL INFARCTION; GEOGRAPHICAL VARIATION; TIME TREND; REGISTRY STUDIES;

D O I：

10.1097/00001648-199207000-00010

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Considerable regional variation in coronary heart disease mortality has been observed in Sweden. This variation is of public health concern and is also a point of departure for etiologic studies. The central aim of the present study was to investigate whether there are also regional differences in myocardial infarction incidence and to evaluate whether these are likely to be explained by regional differences in smoking, blood pressure, and serum cholesterol. The study base consisted of subjects age 30-64 living in eight Swedish counties during 1976-1981. Cases of myocardial infarction were identified using both hospital discharge and death records. A 30-40% increased incidence of myocardial infarction was found in the two northernmost counties compared with Stockholm county.The regional differences in myocardial infarction incidence were not related to differences in smoking but might be due in part to differences in serum cholesterol and blood pressure, and to socioeconomic factors as well.

引用

页码：348 / 355

页数：8

共 43 条

[1]

Pisa Z., Uemura K., Trends of mortality from ischaemic heart disease and other cardiovascular diseases in 27 countries, 1968–1977, World Health Stat Q, 35, pp. 11-47, (1982)

[2]

Menotti A., Keys A., Aravanis C., Blackburn H., Dontas A., Fidanza F., Karvonen M.J., Jromhout D., Nedeljkovic S., Nissinen A., Pekkanen J., Punsar S., Seccareccia F., Toshima T., Seven Countries Study: First 20-year mortality data in 12 cohorts of six countries Ann Med, 21, pp. 175-179, (1989)

[3]

Myocardial infarction community registers, (1976)

[4]

Furberg C., Romo M., Linko E., Sittanen P., Tibblin G., Wilhelmsen L., Sudden coronary death in Scandinavia, Acta Med Scand, 201, pp. 553-557, (1977)

[5]

WHO MONICA Project: Objectives and design, Int J Epidemiol, 18, pp. S29-S37, (1989)

[6]

Ingram D.D., Gillum R.F., Regional and urbanization differentials in coronary heart disease mortality in the United States, 1968–85, J Clin Epidemiol, 42, pp. 857-868, (1989)

[7]

Salonen J.T., Puska P., Kottke T.E., Tuomilehto J., Nissinen A., Decline in mortality from coronary heart disease in Finland from 1969 to 1979, Br Med J, 286, pp. 1857-1859, (1983)

[8]

Gibberd R.W., Dobson A.J., Florey Du Ve C., Leeder S.R., Differences and comparative declines in ischaemic heart disease mortality among subpopulations in Australia, 1969–1978, Int J Epidemiol, 13, pp. 25-31, (1984)

[9]

Crombie I.K., Kenicer M.B., Smith W., Tunstall-Pedoe H.D., Unemployment, socioenvironmental factors, and coronary heart disease in Scotland, Br Heart J, 61, pp. 172-177, (1989)

[10]

Shaper A.G., Geographic variations in cardiovascular mortality in Great Britain, Br Med Bull, 40, pp. 366-373, (1984)

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