2000
DOI: 10.1159/000026264
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Recent Trends of Stroke Mortality in Hong Kong: Age, Period, Cohort Analyses and the Implications

Abstract: This study describes the time trend of cerebrovascular disease (CVD) mortality during the period 1976–1995 in Hong Kong and explores the period and birth cohort effects using Poisson regression models with correction for overdispersion of data. A clear downward trend was observed for age-adjusted CVD mortality rate in both sexes. It decreased from 84 per 100,000 to 41 per 100,000 among men (a 51% drop), and from 56 per 100,000 to 35 per 100,000 among women (a 38% drop). The rate of decline was in general great… Show more

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Cited by 12 publications
(6 citation statements)
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“…Nonetheless, our findings are in concordance with that from the WHO-MSVDD conducted in the early 1980s [8] where Japanese and Chinese type 2 diabetic patients had very low incidence of CHD but high incidence of stroke compared to Caucasians. In our current analysis, the predominant cardiovascular event causing mortality was CHD rather than stroke, an observation in keeping with the global trend, probably due to better control of blood pressure [19]. Apart from age and disease duration, TG was significantly associated with cardiovascular mortality in our Chinese diabetic patients.…”
Section: Discussionsupporting
confidence: 85%
“…Nonetheless, our findings are in concordance with that from the WHO-MSVDD conducted in the early 1980s [8] where Japanese and Chinese type 2 diabetic patients had very low incidence of CHD but high incidence of stroke compared to Caucasians. In our current analysis, the predominant cardiovascular event causing mortality was CHD rather than stroke, an observation in keeping with the global trend, probably due to better control of blood pressure [19]. Apart from age and disease duration, TG was significantly associated with cardiovascular mortality in our Chinese diabetic patients.…”
Section: Discussionsupporting
confidence: 85%
“…As expected, however, if we limited the data to period 1960 to 1990 (ICD-7 to -9) and age range to 30 to 74 years, the model was acceptable (G 2 was 3.2 in men and 5.4 in women with 5 degrees of freedom against a Chi square of 11.1), and the AP interaction was not detected in women (P Ͼ .05) by F test with the quasilikelihood approach of Wedderburn. 35 The APsC model with 7 age classes even had the AP interaction (P Ͻ .001) in both sexes. The mortality pattern in elderly age groups and the transition from ICD-9 to ICD-10 would cause this interaction effect.…”
Section: Discussionmentioning
confidence: 95%
“…The quality of death certificates in Hong Kong is reasonably good; 80% of all deaths occurred in hospitals, and 99.9% of death certificates were signed by medical practitioners (Yu et al 2000). Furthermore, death certificates have to go through a checking process implemented by the Department of Health before the underlying causes of death are submitted to the Census and Statistics Department for compilation of vital statistics.…”
Section: Could Biases and Confounding Factors Have Affected The Result?mentioning
confidence: 99%