Geographic variation in the onset of decline of male ischemic heart disease mortality in The Netherlands.
Geographic variation in the onset of decline of male ischemic heart disease mortality in The Netherlands.
复制标题
荷兰男性缺血性心脏病死亡率下降的地理差异。
DOI：
10.2105/ajph.79.12.1621
复制
发表时间：
1989
影响因子：
12.7
通讯作者：
A. Kunst
中科院分区：
文献类型：
--
作者：
J. Mackenbach;C. Looman;A. Kunst
我们研究了荷兰各地区（n = 39）缺血性心脏病死亡率下降的发病年份的变化。采用对数线性回归方法，在控制人口年龄结构变化的情况下，对1950- 1984年各地区观察到的男性死亡人数进行二次回归模型拟合。二次回归模型不足以描述雌性的死亡经历。就整个国家而言，男性缺血性心脏病死亡率下降的估计年份为1973.9年。最早和最晚的区域相差近9年（1970.0年和1978.9年）。较早开始的下降（少于或等于1972年）只出现在该国城市化的西部地区。较晚（大于或等于1975年）开始下降的特征是在西南部和东南部的较外围地区以及北部。探索性相关分析和回归分析表明，大城市平均收入和人口百分比与男性缺血性心脏病死亡率下降的发病年份存在独立的负相关。我们认为，生活方式改变时间的地区差异比医疗保健改善时间的地区差异更能解释这些观察结果。
We studied variation in the year of onset of ischemic heart disease mortality decline among regions (n = 39) in the Netherlands. Using loglinear regression methods, a quadratic regression model was fitted to the observed numbers of male deaths in each region in the period 1950-84, controlling for changes in age-structure of populations. The quadratic regression model proved inadequate to describe the mortality experience of females. For the country as a whole, the estimated year of onset of male ischemic heart disease mortality decline is 1973.9. The difference between the earliest and the latest region is almost nine years (1970.0 and 1978.9, respectively). An early onset of decline (less than or equal to 1972) is only found in the urbanized, western part of the country. A later (greater than or equal to 1975) onset of decline is characteristically found in more peripheral regions in the South-West and South-East, as well as in the North. Exploratory correlation and regression analyses show that both average income and percent of population living in larger cities have independent, negative associations with the year of onset of male ischemic heart disease mortality decline. We argue that regional variation in the timing of lifestyle changes is a more plausible explanation of these observations than regional variation in the timing of medical care improvements.
1970-1980 年大都市区的猝死和急性心肌梗塞。
DOI：
10.1056/nejm198312013092203
发表时间：
1983
期刊：
The New England journal of medicine
影响因子：
--
作者：
Gillum,RF;Folsom,A;Luepker,RV;JacobsJr,DR;Kottke,TE;Gomez-Marin,O;Prineas,RJ;Taylor,HL;Blackburn,H
通讯作者：
Blackburn,H