Opposing national stroke mortality trends in Poland and for African Americans and whites in the United States, 1968 to 1994.
Opposing national stroke mortality trends in Poland and for African Americans and whites in the United States, 1968 to 1994.
复制标题
1968 年至 1994 年，波兰以及美国非裔美国人和白人的全国中风死亡率趋势相反。
DOI：
10.1161/01.str.29.7.1366
复制
发表时间：
1998
期刊：
影响因子：
8.3
通讯作者：
Tyroler,HA
中科院分区：
文献类型：
--
作者：
Massing,MW;Rywik,SL;Jasinski,B;Manolio,TA;Williams,OD;Tyroler,HA
背景和目的--美国经历了中风死亡率的下降，与波兰报告的上升形成对比。作为波兰和美国心血管和心肺研究协议的一部分，波兰和美国亚群的中风死亡率趋势在不同人群的竞争死因和中风决定因素差异的背景下进行了比较。方法-年龄调整后的年度中风、心血管疾病、非心血管疾病和全原因死亡率的测定对象为年龄调整后的35岁至和65岁至74岁的非裔美国人、美国白人和波兰人。结果：美国中风死亡率在1968-1980年和1981-1994年期间分别每年下降3.7%至4.8%和2.0%至3.1%，各种族、性别和年龄组的下降趋势相似。在1968年至1980年期间，波兰所有年龄性别群体的波兰人失业率每年增长3.3%至5.5%。从1981年到1994年，年龄在35岁到之间的波兰男性经历了上升的比率(每年1.6%)，而波兰女性和老年男性经历了轻微的下降或几乎没有变化。在这两个时间段内，只有年龄在35岁到之间的波兰男性表现出卒中、心血管疾病和非心血管疾病死亡率的增加。结论-波兰和美国在1968年至1994年期间经历了相反的中风死亡率趋势。这些仅发生在一代人中的国家和种族趋势表明，生活方式、社会环境和/或医疗保健决定因素的重大影响。
Background and Purpose—The United States (US) has experienced declines in stroke mortality in contrast to the increases reported for Poland. As part of the Poland and US Agreement on Cardiovascular and Cardiopulmonary Research, stroke mortality trends in Polish and US subpopulations were compared in the context of cross-population differences in competing causes of death and determinants of stroke.Methods—Age-adjusted annual stroke, cardiovascular disease (CVD), non-CVD, and all-cause mortality rates were determined for men and women aged 35 to 64 and 65 to 74 years from 1968 to 1994 for African Americans and US whites and in Poland. Mean annual percent changes of mortality rates were estimated during 1968 to 1980 and 1981 to 1994 with the use of piecewise log-linear regression.Results—US stroke mortality rates declined 3.7% to 4.8% annually during 1968 to 1980 and 2.0% to 3.1% during 1981 to 1994, with similar declines in each ethnic, gender, and age group. Polish rates increased 3.3% to 5.5% annually for all age-gender groups in Poland during 1968 to 1980. Polish men aged 35 to 64 experienced increasing rates during 1981 to 1994 (1.6% annually), while Polish women and older men experienced slight declines or little change. Only Polish men aged 35 to 64 years exhibited increases in stroke, CVD, and non-CVD mortality rates during both time intervals.Conclusions—Poland and the US experienced opposing stroke mortality rate trends between 1968 and 1994. These national and ethnic trends occurring in just one generation suggest major effects of lifestyle, socioenvironmental, and/or medical care determinants.