Background and Purpose The geographic distribution of cerebrovascular disease (CVD) mortality in Spain spans a wide range, from provinces where mortality is low (70/100 000) and close to that of the United States and other Anglo-Saxon countries, to others where mortality is high (180/100 000) and more akin to that of Portugal and the Mediterranean and central European countries.
This report seeks to identify the socioeconomic and lifestyle factors that most contribute to the geographic pattern of CVD mortality in Spain.
Methods We performed a study using data collected at a provincial level.
Mortality data were taken from official vital statistics, and data on risk factors were obtained from surveys of representative large Spanish population samples.
Correlation and multiple linear regression analyses were performed on standardized CVD mortality ratios and potential determinants of mortality for the period 1989 to 1993.
Results CVD mortality, unemployment and illiteracy rates, blond cigarette smoking, and sedentary lifestyle proved substantially higher in the south and east (Mediterranean coast) of Spain.
Saturated fatty acid intake and wine consumption were both lower in these regions, however.
Illiteracy, wine consumption, sedentary lifestyle, high blood pressure, blond cigarette smoking, prevalence of diabetes, and body mass index =30 explained 59% of the variation in CVD mortality. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Mortalité, Répartition géographique, Espagne, Europe, Catégorie socioprofessionnelle, Qualité vie, Consommation, Vin, Degré alcoolique, Epidémiologie, Facteur risque, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Mortality, Geographic distribution, Spain, Europe, Socioeconomic category, Quality of life, Consumption, Wine, Alcohol level, Epidemiology, Risk factor, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0319850
Code Inist : 002B17C. Création : 12/09/1997.