Time Trend and Age-Period-Cohort Effects on Acute Myocardial Infarction Mortality in Korean Adults from 1988 to 2007

Jhun, Hyung-Joon; Kim, Ho; Cho, Sung-Il

doi:10.3346/jkms.2011.26.5.637

Cited by 15 publications

(14 citation statements)

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“…Our study is similar to many others in showing that the decline in IHD is mainly due to a cohort effect [25], [26], [27], [28], [29], [30], although there are exceptions, for example in Australia [31] and New Zealand [32]. However, almost all these studies relate to settings (Figure 1) where an epidemic of ischemic heart disease occurred in the mid 20 th century, and thus do not elucidate why the original epidemic occurred [33].…”

Section: Discussionsupporting

confidence: 91%

Age-Period-Cohort Projections of Ischaemic Heart Disease Mortality by Socio-Economic Position in a Rapidly Transitioning Chinese Population

et al. 2013

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BackgroundWith economic development and population aging, ischaemic heart disease (IHD) is becoming a leading cause of mortality with widening inequalities in China. To forewarn the trends in China we projected IHD trends in the most economically developed part of China, i.e., Hong Kong.MethodsBased on sex-specific IHD mortality rates from 1976 to 2005, we projected mortality rates by neighborhood-level socio-economic position (i.e., low- or high-income groups) to 2020 in Hong Kong using Poisson age-period-cohort models with autoregressive priors.ResultsIn the low-income group, age-standardized IHD mortality rates among women declined from 33.3 deaths in 1976–1980 to 19.7 per 100,000 in 2016–2020 (from 55.5 deaths to 34.2 per 100,000 among men). The rates in the high-income group were initially higher in both sexes, particularly among men, but this had reversed by the end of the study periods. The rates declined faster for the high-income group than for the low-income group in both sexes. The rates were projected to decline faster in the high-income group, such that by the end of the projection period the high-income group would have lower IHD mortality rates, particularly for women. Birth cohort effects varied with sex, with a marked upturn in IHD mortality around 1945, i.e., for the first generation of men to grow up in a more economically developed environment. There was no such upturn in women. Birth cohort effects were the main drivers of change in IHD mortality rates.ConclusionIHD mortality rates are declining in Hong Kong and are projected to continue to do so, even taking into account greater vulnerability for the first generation of men born into a more developed environment. At the same time social disparities in IHD have reversed and are widening, partly as a result of a cohort effect, with corresponding implications for prevention.

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Section: Discussionsupporting

confidence: 91%

Age-Period-Cohort Projections of Ischaemic Heart Disease Mortality by Socio-Economic Position in a Rapidly Transitioning Chinese Population

et al. 2013

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“…The standardized incidence rate of myocardial infarction in this study is high compared with a 30-year study in Japan that reported myocardial infarction incidence rates of 7.4 and 27 per 100 000 in 1979 and 2008 respectively (25). Our results are also higher compared with age-adjusted, standardized mortality rates due to myocardial infarction in Korea in 2003 and 2007 at 30.86 and 28.5 per 100 000 respectively (26). However, the incidence rate was lower compared with a study in Finland reporting myocardial infarction incidence rates in men and women of 738.8 and 292.9 per 100 000 individuals respectively in a population of 35-to 84-year-olds (9).…”

Section: Discussioncontrasting

confidence: 65%

5 Incidence of acute myocardial infarction in Islamic Republic of Iran: a study using national registry data in 2012

Ahmadi¹,

Soori²,

Mehrabi³

et al. 2015

Easter Mediterr Health J

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Population-based data on myocardial infarction rates in the Islamic Republic of Iran have not been reported on a national or provincial scale. In a cross-sectional study, data were collected on 20 750 new cases of myocardial infarction (ICD10 codes I21-22) admitted to hospitals and registered by the Iranian Myocardial Infarction Registry in 2012. The crude and age-adjusted incidence for the 31 provinces and the whole country were directly calculated per 100 000 people using the WHO standard population. Overall, males comprised 72.4% of cases and had a significantly lower mean age at incidence than women [59.6 (SD 13.3) years versus 65.4 (SD 12.6) years]. The male:female incidence ratio was 2.63. The age-standardized myocardial infarction incidence rate was 73.3 per 100 000 in the whole country (95% CI: 72.3%-74.3%) and varied significantly from 24.5 to 152.5 per 100 000 across the 31 provinces. The study provides baseline data for monitoring and managing cardiovascular diseases in the country.

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“…A recent study carried out in Brazil evidenced a progressive increase in mortality due to acute myocardial infarction with age, with higher mortality in men when compared to women in all regions of the country and both genders 44 . The progressive increased mortality has also been found in several other studies, such as those carried out in countries like South Korea 45 , Japan 46 , China 47 and Australia 48 . As with age, the association between overweight and increased cardiovascular risk has substantial evidence in the literature.…”

Section: Discussionsupporting

confidence: 74%

Fatores de risco cardiovascular em uma população rural brasileira

Luz

Cattafesta

Petarli

et al. 2020

Ciênc. saúde coletiva

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Resumo Diante da extensão dos custos decorrentes das doenças cardiovasculares e do aumento na prevalência dessas doenças em agricultores este estudo tem como objetivo estimar a prevalência de fatores de risco cardiovascular nesta população e avaliar seus fatores associados. Foi realizado estudo transversal envolvendo 790 agricultores do município de Santa Maria de Jetibá-ES. Seis em cada dez agricultores avaliados apresentaram pelo menos um fator de risco cardiovascular (FRC). A hipertensão arterial foi o fator de risco mais prevalente, presente em 35,8% (IC95% 32-39, n=283) dos agricultores seguido pela dislipidemia (34,4%, IC95% 31-38, n = 272). Ter mais que 50 anos aumentou em 5,6 vezes (IC95% 2,03-15,43) a chance de apresentar dois ou mais FRC, possuir perímetro da cintura elevado ou dobra cutânea triciptal indicando excesso de peso aumentou esta chance em 2,35 vezes (IC95% 1,47-3,76) e em 1,6 vezes (IC95% 1,05-2,44), respectivamente. Estes achados revelam a elevada prevalência de FRC em trabalhadores rurais e o significativo impacto da idade e do acúmulo de gordura corporal no desenvolvimento destes fatores, demonstrando a necessidade de intensificar políticas públicas de saúde voltadas para esta população.

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Time Trend and Age-Period-Cohort Effects on Acute Myocardial Infarction Mortality in Korean Adults from 1988 to 2007

Cited by 15 publications

References 15 publications

Age-Period-Cohort Projections of Ischaemic Heart Disease Mortality by Socio-Economic Position in a Rapidly Transitioning Chinese Population

Age-Period-Cohort Projections of Ischaemic Heart Disease Mortality by Socio-Economic Position in a Rapidly Transitioning Chinese Population

5 Incidence of acute myocardial infarction in Islamic Republic of Iran: a study using national registry data in 2012

Fatores de risco cardiovascular em uma população rural brasileira

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