SEX-DIFFERENCES IN CORONARY HEART-DISEASE MORTALITY TRENDS - THE MINNESOTA HEART SURVEY, 1970-1988

被引：14

作者：

DEMIROVIC, J ^{[1
]}

BLACKBURN, H ^{[1
]}

MCGOVERN, P ^{[1
]}

SPRAFKA, JM ^{[1
]}

DOLISZNY, K ^{[1
]}

机构：

[1] UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL,1300 S 2ND ST,SUITE 300,MINNEAPOLIS,MN 55454

来源：

EPIDEMIOLOGY | 1993年 / 4卷 / 01期

关键词：

CORONARY HEART DISEASE; MORTALITY; TIME TRENDS; SEX DIFFERENCE;

D O I：

10.1097/00001648-199301000-00015

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Recent U.S. national statistics indicate a slowing of the rate of decline in coronary heart disease (CHD) deaths among women. To examine recent sex-specific rates of mortality decline in the Minnesota Heart Survey, we computed the average annual percentage change in age-adjusted CHD death rate for the periods 1970-1978 and 1979-1988. We fit a log-linear regression model to the yearly CHD death rates, with separate sex-specific slopes estimated simultaneously for the two calendar periods. The average annual percentage decline in age-adjusted CHD death rate among men was slightly greater in the period 1979-1988 [4.8%; 95% confidence interval (CI) = 5.2-4.3] than in the period 1970-1978 (3.9%; 95% CI = 4.6-3.1). In contrast, among women, the rate of decline was less in the period 1979-1988 (3.6%; 95% CI = 4.8-2.3) than in 1970-1978 (4.8%; 95% CI = 5.6-4.0). We found a slowing of the rate of decline in out-of-hospital CHD deaths in both men and women. We observed a large increase in the rate of decline in the CHD death rate in hospital among men in the period 1979-1988 (8.3%; 95% CI = 9.3-7.2), compared with the period 1970-1978 (2.4%; 95% CI = 3.2-1.7). This increase did not occur among women (4.1% 95% CI = 5.7-2.5 in 1970-1980 vs 3.8%; 95% CI = 4.9-2.7 in 1970-1978); this difference is a major factor in the steeper recent decline in overall CHD mortality among men compared with women.

引用

页码：79 / 82

页数：4

共 9 条

[1]

Thom T.J., Cardiovascular disease mortality among United States women, Coronary Heart Disease in Women, pp. 33-41, (1987)

[2]

Gillum R.F., Jacobs D.R., Luepker R.V., Prineas J.R., Hannan P., Baxter J., Gomez-Marin O., Kottke T.E., Blackburn H., Cardiovascular mortality trends in Minnesota, 1960–1978: The Minnesota Heart Survey, J Chron Dis, 37, pp. 301-309, (1984)

[3]

Burke G.L., Sprafka J.M., Folsom A.R., Luepker R.V., Norsted S.W., Blackburn H., Trends in coronary heart disease mortality, morbidity, and risk factor levels from 1960 to 1986: The Minnesota Heart Survey, Int J Epidemiol, 18, pp. S73-S81, (1989)

[4]

Sempos C., Cooper R., Kovar M.G., McMillen M., Divergence of the recent trends in coronary mortality for the four major race-sex groups in the United States, Am J Public Health, 78, pp. 1422-1427, (1988)

[5]

Gillum R.F., Prineas R.J., Luepker R.V., Taylor H.L., Jacobs D.R., Kottke T.E., Blackburn H., Decline in coronary deaths: A search for explanations: The Minnesota mortality and morbidity surveillence programme, Minn Med, 65, pp. 235-238, (1982)

[6]

Gillum R.F., Blackburn H., Feinleib M., Current strategies for explaining the decline in ischemic heart disease mortality, J Chron Dis, 35, pp. 467-474, (1982)

[7]

Gillum R.F., Folsom A., Luepker R.V., Jacobs D.R., Kottke T.E., Gomez-Marin O., Prineas R.J., Taylor H.L., Blackburn H., Sudden death and acute myocardial infarction in metropolitan area, 1970–1980: The Minnesota Heart Survey, N Engl J Med, 309, pp. 1353-1358, (1983)

[8]

Kleinman J.C., State trends in infant mortality, 1968–83, Am J Public Health, 76, pp. 681-687, (1986)

[9]

Blackburn H., Trends and determinants of CHD mortality: Changes in risk factors and their effects, Int J Epidemiol, 18, pp. S210-S215, (1989)

← 1 →