Divergence of the recent trends in coronary mortality for the four major race-sex groups in the United States.
- 1 November 1988
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 78 (11), 1422-1427
- https://doi.org/10.2105/ajph.78.11.1422
Abstract
Since 1976 there has been a leveling off or slowdown in the rate of decline in coronary heart disease (CHD) mortality. The age-adjusted absolute annual rate of decline in CHD mortality rates during 1968-75 (delta rate/100,000 population/year) was virtually identical for White males (-7.54), Black males (-7.85), and Black females (-7.20), and somewhat lower for White females (-4.25). During 1976-85, however, the secular trends diverged considerably. Age-adjusted rates continued to decline at the same annual rate for White males, while the decline was approximately half as steep for the other three race-sex groups. During 1976-85 there was also a leveling off in the average annual per cent change in age-adjusted CHD mortality for Black males and females and White females when compared to 1968-75, while there was no change for White males. As a result, more than 40,000 White and Black females and Black males died of CHD in 1985 than would have died if CHD rates would have continued to decline at the 1968-75 trends. All comparisons were based on a reclassification of cause-of-death codes to maximize comparability between the 8th and 9th Revisions of the International Classification of Disease. These results suggest that the factors which have led to the continued decline in coronary heart disease may not have influenced all the demographic groups in this country equally over the last decade.Keywords
This publication has 42 references indexed in Scilit:
- Improvement in Long-Term Survival among Patients Hospitalized with Acute Myocardial Infarction, 1970 to 1980New England Journal of Medicine, 1987
- Coronary Heart Disease: Doing the “Right Things”New England Journal of Medicine, 1985
- Trends in the Incidence of Myocardial Infarction and in Associated Mortality and Morbidity in a Large Employed Population, 1957–1983New England Journal of Medicine, 1985
- Acute myocardial infarction: Period prevalence, case fatality, and comparison of black and white cases in urban and rural areas of South CarolinaAmerican Heart Journal, 1985
- Psychosocial Influences on Mortality after Myocardial InfarctionNew England Journal of Medicine, 1984
- Sudden Death and Acute Myocardial Infarction in a Metropolitan Area, 1970–1980New England Journal of Medicine, 1983
- Evidence that hospital care for acute myocardial infarction has not contributed to the decline in coronary mortality between 1973-1974 and 1978-1979.Circulation, 1982
- Rising Death Rates in the Soviet UnionNew England Journal of Medicine, 1981
- Echocardiographic examination of the left ventricle.Circulation, 1975
- Incidence of Myocardial Infarction and Sudden Death from Coronary Heart Disease in Nashville, TennesseeCirculation, 1971