Changes in morbidity and mortality during comprehensive community programme to control cardiovascular diseases during 1972-7 in North Karelia.
Changes in morbidity and mortality during comprehensive community programme to control cardiovascular diseases during 1972-7 in North Karelia.
复制标题
1972 年 7 月北卡累利阿控制心血管疾病的综合社区计划期间发病率和死亡率的变化。
DOI：
10.1136/bmj.2.6199.1178
复制
发表时间：
1979
影响因子：
--
通讯作者：
H. Mustaniemi
中科院分区：
文献类型：
--
作者：
J. Salonen;P. Puska;H. Mustaniemi
1972年至1977年，在芬兰北卡雷利亚开展了一项研究心血管疾病控制的综合社区方案。主要目标是减少心血管疾病的死亡率和发病率，特别是在中年男性中。通过以社区为基础的急性心肌梗死(AMI)和中风病例登记以及死亡证明数据监测死亡率和心血管疾病发病率的变化。在该方案期间，该地区的总死亡率下降了5%，30岁-年龄段的男性和女性的心血管疾病死亡率分别下降了13%和31%。急性心肌梗死的发病率在男性和女性中分别下降了16%和5%，而中风的发病率在男性和女性中分别下降了38%和50%。将北卡雷利亚的死亡率变化与匹配的对照地区进行比较；两个地区之间的差异并不显著。从这些结果中无法推断该计划的真正效果，但在研究的五年中，心血管疾病的死亡率以及急性心肌梗死和中风的发生率都有所下降。因此，心血管疾病死亡率和发病率的变化符合该方案的最初目标。
A comprehensive community programme studying the control of cardiovascular diseases (CVD) was carried out in North Karelia, Finland, between 1972 and 1977. The main objective was to reduce the mortality and morbidity of CVD, particularly in middle-aged men. Changes in the mortality and incidence of CVD were monitored by community-based registers of cases of acute myocardial infarction (AMI) and stroke and data on death certificates. During the programme the total mortality in the area decreased by 5% and the mortality from CVD decreased by 13% among men and 31% among women aged 30-64 years. The incidence of AMI fell by 16% among men and 5% among women, while that of cerebral stroke fell by 38% among men and 50% among women. Changes in mortality in North Karelia were compared with those in a matched control area; the difference between the two areas was not significant. The true effect of the programme cannot be deduced from these results, but mortality from CVD and the incidence of AMI and stroke fell during the five years studied. Thus the changes in mortality and morbidity of CVD accorded with the initial objectives of the programme.