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BMC Public Health

, 13:896

Health behavior, health promotion and society

Abstract

BackgroundCardiovascular disease CVD mortality increased in developed countries until the 1970s then started to decline. Turkey is about to complete its demographic transition, which may also influence mortality trends. This study evaluated trends in coronary heart disease CHD and stroke mortality between 1988 and 2008.

MethodsThe number of deaths by cause ICD-8, age and sex were obtained from the Turkish Statistical Institute TurkStat annually between 1988 and 2008. Population statistics were based on census data 1990 and 2000 and Turkstat projections. European population standardised mortality rates for CHD and stroke were calculated for men and women over 35 years old. Joinpoint Regression was used to identify the points at which a statistically significant p < 0.05 change of the trend occurred.

ResultsThe CHD mortality rate increased by 2.9% in men and 2.0% in women annually from 1988 to 1994, then started to decline. The annual rate of decline for men was 1.7% between 1994–2008, whilst in women it was 2.8% between 1994–2000 and 6.7% between 2005–2008 p < 0.05 for all periods.

Stroke mortality declined between 1990–1994 annual fall of 3.8% in both sexes, followed by a slight increase between 1994–2004 0.6% in men, 1.1% in women, then a further decline until 2008 annual reduction of 4.4% in men, 7.9% in women p < 0.05 for all periods.

ConclusionsA decrease in CVD mortality was observed from 1995 onwards in Turkey. The causes need to be explored in detail to inform future policy priorities in noncommunicable disease control.

KeywordsCoronary heart disease mortality Stroke mortality Cardiovascular mortality Trends Turkey AbbreviationsCHDCoronary heart disease

CVDCardiovascular disease

ICD-8International classification of diseases-8

ICRIschemic heart disease e.g. CHD to cerebro vascular accident e.g. stroke death ratio the IHD to CVA ratio

NCDNoncommunicable disease

NBD StudyThe Turkish National Burden of Disease Study

TurkStatTurkish Statistical Institute

WHOWorld Health Organization.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-13-896 contains supplementary material, which is available to authorized users.

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Author: Gönül Dinç - Kaan Sözmen - Gül Gerçeklioğlu - Hale Arık - Julia Critchley - Belgin Ünal

Source: https://link.springer.com/







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