Inequalities in premature mortality from ischaemic heart disease in the WHO European region.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Central European journal of public health Pub Date : 2023-06-01 DOI:10.21101/cejph.a7287

Noémi Németh, Imre Boncz, Annamária Pakai, Diána Elmer, Lilla Horváth, Róbert Pónusz, Tímea Csákvári, Zsuzsa Kívés, Iván Gábor Horváth, Dóra Endrei

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引用次数: 0

Abstract

Objectives: Ischaemic heart disease (IHD) is one of the leading causes of premature mortality. Our aim was to analyse standardised premature mortality rates from IHD by geographical groups in the age group 45-59 years.

Methods: We performed a retrospective, quantitative analysis of age-standardized mortality rates from IHD between 1990-2014 per 100,000 population in Western European (WE: N = 17), Eastern European countries (EE: N = 10), and countries of the former Soviet Union (fSU: N = 15) within the European Region of the World Health Organisation (WHO) based on data retrieved from the WHO European Mortality Database. Descriptive statistics, time series analysis and statistical tests were used for the analyses (ANOVA, Kruskal-Wallis test, Mann-Whitney test, paired t-test).

Results: On average, age-standardized death rates (ASDR) from IHD per 100,000 population were the lowest in WE (men 1990: 143.67, 2014: 50.29; women 1990: 29.06, 2014: 9.89), and the highest in fSU (men 1990: 358.69, 2014: 253.25; women 1990: 99.78, 2014: 57.85). Between 1990 and 2014, all three groups experienced significant decrease in ASDR both in men and women (fSU: -29.39%, -42.02%; EE: -49.41%, -50.57%; WE: -64.99%, -65.97%, respectively) (p < 0.05). Between 1990 and 2004, ASDR decreased in WE in both sexes (p < 0.001), in EE among males (p = 0.032). Between 2004 and 2014, ASDR from IHD decreased significantly in both sexes in fSU and WE, in EE only among women (p < 0.05).

Conclusions: During the whole period analysed, ischaemic heart disease mortality significantly decreased in both sexes in all the groups.

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世卫组织欧洲区域缺血性心脏病导致过早死亡的不平等。

目的:缺血性心脏病(IHD)是过早死亡的主要原因之一。我们的目的是分析45-59岁年龄组中按地理分组的IHD标准化过早死亡率。方法:我们对世界卫生组织(WHO)欧洲区域西欧(We: N = 17)、东欧国家(EE: N = 10)和前苏联国家(fSU: N = 15) 1990-2014年间每10万人中IHD的年龄标准化死亡率进行了回顾性定量分析。采用描述性统计、时间序列分析和统计检验(方差分析、Kruskal-Wallis检验、Mann-Whitney检验、配对t检验)进行分析。结果:平均每10万人中IHD的年龄标准化死亡率(ASDR)在WE中最低(男性1990:143.67,2014:50.29;女性1990年:29.06,2014年:9.89)，fSU最高(男性1990年:358.69,2014年:253.25;女性1990:99.78,2014:57.85)。在1990年至2014年期间，所有三组男性和女性的ASDR均显著下降(fSU: -29.39%， -42.02%;Ee: -49.41%， -50.57%;WE: -64.99%， -65.97%) (p < 0.05)。在1990年至2004年间，男女的WE (p < 0.001)和男性的EE (p = 0.032)在ASDR中都有所下降。在2004年至2014年期间，IHD患者的ASDR在fSU和WE患者中男女均显著下降，仅在女性中出现EE患者(p < 0.05)。结论:在整个分析期间，所有组中男女缺血性心脏病死亡率均显著下降。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Central European journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： The Journal publishes original articles on disease prevention and health protection, environmental impacts on health, the role of nutrition in health promotion, results of population health studies and critiques of specific health issues including intervention measures such as vaccination and its effectiveness. The review articles are targeted at providing up-to-date information in the sphere of public health. The Journal is geographically targeted at the European region but will accept specialised articles from foreign sources that contribute to public health issues also applicable to the European cultural milieu.