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  1. Time trends, cohort effect and spatial distribution of cerebrovascular disease mortality in Spain.

    Article - En anglais

    Study objective 

    This study describes mortality due to cerebrovascular disease (CVD) in Spain, based on time-series analysis in the period 1951 1995 by age, sex, and cohort of birth ; spatial distribution observed for the five-year period 1991-1995, and time-spatial analysis in the period 1992-1995 vs. 1988-1991.

    Special attention is paid to risk of medium aged population.

    Design 

    Longitudinal and cross-sectional observational study.

    Setting and participants 

    Spanish population.

    All mortality data used were taken from official statistics.

    Time trends and spatial distribution were analyzed using log-linear Poisson regression models.

    Main results 

    CVD mortality declined over the last two decades of the study period (1974-1995) by an annual average of 4.16% (95% CI : 3.95-4.36) and 4.00% (95% CI : 3.77-4.24) in men and women, respectively.

    The downward trends were accelerated in last decade.

    An excess of male mortality was in evidence.

    For all age groups mortality declined with more recent cohorts, but the decline was less marked among ages 35-64.

    Spatial distribution of CVD mortality revealed a north-south pattern, but this is being difuminated by increasing rates in the lower risk provinces.

    Internationally, Spain ranks midway to low in terms of its overall CVD mortality.

    Conclusions 

    Efforts to reduce CVD incidence and case fatality are the essential prerequisite for any long-term improvement in mortality. (...)

    Mots-clés Pascal : Accident cérébrovasculaire, Mortalité, Variation géographique, Epidémiologie, Evolution, Homme, Espagne, Europe, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie

    Mots-clés Pascal anglais : Stroke, Mortality, Geographical variation, Epidemiology, Evolution, Human, Spain, Europe, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease

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

    Cote : 99-0350868

    Code Inist : 002B17C. Création : 14/12/1999.