Orv Hetil. 2021 Jan 24;162(4):144-152. doi: 10.1556/650.2021.31980.

Inequalities in premature mortality due to cerebrovascular disease in Europe between 1990 and 2014.

Orvosi hetilap

[Article in Hungarian]
Noémi Németh, Dóra Endrei, Lilla Horváth, Diána Elmer, Tímea Csákvári, Róbert Pónusz, László Szapáry, Imre Boncz

PMID: 33486466 DOI: 10.1556/650.2021.31980

Abstract

INTRODUCTION: Cerebrovascular diseases are a significant public health concern, they are among the leading causes of death worldwide and one of the major causes of disability.

OBJECTIVE: Our aim was to analyse national and international data regarding premature, cerebrovascular disease mortality per region in the 45-59 age group.

METHODS: We performed a retrospective, quantitative analysis on age-specific, premature cerebrovascular disease mortality between 1990 and 2014 per 100 000 population on data derived from the World Health Organisation, European Mortality Database on Western European (n = 17), Eastern European (n = 10) countries, and countries of the former Soviet Union (n = 15). Descriptive statistics, time series analysis and Kruskal-Wallis test were performed.

RESULTS: Age-related, cerebrovascular disease mortality per 100 000 population was the lowest in Western European countries (males: 1990: 35.14, 2014: 14.31; females: 1990: 21.11, 2014: 8.76), and the highest in former Soviet Union countries (males: 1990: 134.19; 2014: 91.13; females: 1990: 83.62, 2014: 41.83) (p<0,05). Significant differences were found in age-specific, cerebrovascular disease mortality in both sexes between Eastern and Western European countries and former Soviet Union countries (1990, 2004, 2014: p<0.05). Between 1990 and 2014, age-specific, standardized cerebrovascular disease mortality showed the biggest decrease in Western European countries (males: -59.28%, females: -58.29%) followed by Eastern European (males: -54.14%, females: -57.53%) and former Soviet Union countries (males: -32.09%, females: -49.97%).

CONCLUSIONS: Age-specific, cerebrovascular disease mortality decreased in both sexes in all regions analysed. Hungary was found to have seen a decrease above the Western European average, premature cerebrovascular mortality decreased by 62.2% in males and 59.1% in females between 1990 and 2014. Orv Hetil. 2021; 162(4): 144-152.

Keywords: age-specific mortality; cerebrovascular diseases; cerebrovascularis betegségek; idő előtti halálozás; korspecifikus mortalitás; premature mortality

MeSH terms

• Cerebrovascular Disorders / mortality*
• Europe / epidemiology
• Female
• Humans
• Male
• Middle Aged
• Mortality, Premature
• Retrospective Studies

Publication Types

• Journal Article