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  1. Ethnic differences in mortality from cardiovascular disease in the UK : do they persist in people with diabetes ?

    Article - En anglais

    Study objective

    To determine whether ethnic differences in cardiovascular disease mortality persist in people with non-insulin-dependent diabetes mellitus.

    Design

    This was an ecological study in which routine mortality data from 1985-86, which coded all mentioned causes ofdeath, provided the numerator.

    The UK population derived from 1981 census formed the denominator.

    Setting

    United Kingdom.

    Participants

    Records of all deaths in people aged 45 years and above were extracted if diabetes was mentioned anywhere on the death certificate.

    The denominator was aged five years to approximate to the 1986 population.

    Mortality rates where a cardiovascular underlying cause was given were compared between South Asians, African-Caribbeans, and those born in England and Wales.

    The latter group formed the standard for directly standardised rate ratios.

    Main results

    Mortality from heart disease was approximately three times higher in diabetic South Asian born men and women than in those with diabetes born in England and Wales.

    This ethnic difference was greatest in the younger age group.

    Conversely, stroke mortality rates in African-Caribbeans were 3.5-4 times higher than those in the England and Wales population.

    Despite this high mortality from stroke, ischaemic heart disease death rates were not high in African-Caribbean men.

    Conclusions

    Ethnic differences in cardiovascular mortality persisted and were greater in those with diabetes.

    Thus the high risk of h...

    Mots-clés Pascal : Cardiopathie coronaire, Accident cérébrovasculaire, Epidémiologie, Mortalité, Ethnie, Diabète non insulinodépendant, Association, Homme, Royaume Uni, Europe, Appareil circulatoire pathologie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Vaisseau sanguin pathologie, Endocrinopathie

    Mots-clés Pascal anglais : Coronary heart disease, Stroke, Epidemiology, Mortality, Ethnic group, Non insulin dependent diabetes, Association, Human, United Kingdom, Europe, Cardiovascular disease, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Vascular disease, Endocrinopathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0232240

    Code Inist : 002B12A09. Création : 199608.