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Decreasing trends in cardiovascular mortality in Turkey between 1988 and 2008.

Dinç, G; Sözmen, K; Gerçeklioğlu, G; Arık, H; Critchley, J; Unal, B (2013) Decreasing trends in cardiovascular mortality in Turkey between 1988 and 2008. BMC Public Health, 13 (896). ISSN 1471-2458 https://doi.org/10.1186/1471-2458-13-896
SGUL Authors: Critchley, Julia

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Abstract

BACKGROUND: Cardiovascular 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. METHODS: The 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. RESULTS: The 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). CONCLUSIONS: A 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.

Item Type: Article
Additional Information: Copyright © 2013 Dinç et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Coronary heart disease mortality, Stroke mortality, Cardiovascular mortality, Trends, Trends
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: BMC Public Health
ISSN: 1471-2458
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Dates:
DateEvent
30 September 2013Published
PubMed ID: 24079269
Web of Science ID: 24079269
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URI: https://openaccess.sgul.ac.uk/id/eprint/103766
Publisher's version: https://doi.org/10.1186/1471-2458-13-896

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