Adam S Vaughan, Nicholas Sutton, Rebecca C Woodruff, LaTonia C Richardson, Janet S Wright, Fátima Coronado
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Cardiovascular disease mortality trends in young adults aged 18-34 years, United States, 2000-2023.
Purpose: This study examines national trends in mortality from cardiovascular disease (CVD) and select subtypes among U.S. young adults aged 18-34 years from 2000 to 2023.
Methods: National mortality data from the National Vital Statistics System were used to identify CVD, heart disease, stroke, and hypertension-related CVD deaths among U.S. residents aged 18-34 from 2000 to 2023. Crude and age-standardized death rates were calculated overall and by age group, sex, and race and ethnicity. Temporal trends were calculated as percent change using a log-linear model.
Results: From 2000 to 2023, age-standardized CVD and heart disease death rates among young adults did not statistically change (percent change: -2.2% [95% CI: -7.8, 3.7] and -2.4% [95% CI: -8.3%, 3.8%], respectively). Stroke death rates decreased (percent change: -15.7% [-21.0%, -10.0%])). However, hypertension-related CVD death rates increased by 78.5% [95% CI: 63.6%, 94.7%]). Patterns across demographic groups were broadly similar.
Conclusion: Despite stability or modest declines in CVD death rates among young adults, hypertension-related CVD death rates increased sharply during 2000-2023. These findings merit public health action and underscore the need for better identification and management of hypertension and other CVD risk factors among young adults.
期刊介绍：
The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.
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