Declining stroke and myocardial infarction mortality between 1989 and 2010 in a country of the african region.

TitleDeclining stroke and myocardial infarction mortality between 1989 and 2010 in a country of the african region.
Publication TypeJournal Article
Year of Publication2012
AuthorsStringhini, S, Sinon, F, Didon, J, Gedeon, J, Paccaud, F, Bovet, P
JournalStroke
Volume43
Issue9
Pagination2283-8
Date Published2012 Sep
DOI10.1161/STROKEAHA.112.658468
ISSN1524-4628
KeywordsAdult, Age Factors, Aged, Aging, Cause of Death, Female, Humans, International Classification of Diseases, Male, Middle Aged, Myocardial Infarction, Population, Sex Factors, Seychelles, Stroke, World Health Organization
Abstract

BACKGROUND AND PURPOSE: In low- and middle-income countries, the total burden of cardiovascular diseases is expected to increase due to demographic and epidemiological transitions. However, data on cause-specific mortality are lacking in sub-Saharan Africa. Seychelles is one of the few countries in the region where all deaths are registered and medically certified. In this study, we examine trends in mortality for stroke and myocardial infarction (MI) between 1989 and 2010.

METHODS: Based on vital statistics, we ascertained stroke and MI as the cause of death if appearing in any of the 4 fields for immediate, intermediate, underlying, and contributory causes in death certificates.

RESULTS: Mortality rates (per 100 000, age-standardized to World Health Organization standard population) decreased from 1669/710 (men/women) in 1989 to 1991 to 1113/535 in 2008-10 for all causes, from 250/140 to 141/86 for stroke, and from 117/51 to 59/24 for MI, corresponding to proportionate decreases of 33%/25% for all-cause mortality, 44%/39% for stroke, and 50%/53% for MI over 22 years. The absolute number of stroke and MI deaths did not increase over time. In 2008 to 2010, the median age of death was 65/78 years (men/women) for all causes, 68/78 for stroke, and 66/73 for MI.

CONCLUSIONS: Between 1989 and 2010, age-standardized stroke and MI mortality decreased markedly and more rapidly than all-cause mortality. The absolute number of cardiovascular disease deaths did not increase over time because the impact of population aging was fully compensated by the decline in cardiovascular disease mortality. Stroke mortality remained high, emphasizing the need to strengthen cardiovascular disease prevention and control.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/22700529?dopt=Abstract

Alternate JournalStroke
Citation Key / SERVAL ID3254
PubMed ID22700529

                         

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