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Age-specific trends in cardiovascular mortality rates in the Netherlands between 1980 and 2009
Authors:Anna Peeters  Wilma J Nusselder  Christopher Stevenson  Edward J Boyko  Lynelle Moon  Andrew Tonkin
Institution:(1) Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia;(2) Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherland;(3) Epidemiological Modelling Unit, Department of Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia;(4) Department of Medicine, University of Washington, Seattle, WA, USA;(5) Cardiovascular, Diabetes and Kidney Unit, Australian Institute of Health and Welfare, Canberra, Australia;(6) Cardiovascular Research Unit, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
Abstract:Recent analyses suggest the decline in coronary heart disease mortality rates is slowing in younger age groups in countries such as the US and the UK. This work aimed to analyse recent trends in cardiovascular mortality rates in the Netherlands. Analysis was of annual all circulatory, ischaemic heart disease (IHD), and cerebrovascular disease mortality rates between 1980 and 2009 for the Netherlands. Data were stratified by sex and 10-year age group (age 35–85+). The annual rate of change and significant changes in the trend were identified using joinpoint Poisson regression. For almost all age and sex groups examined the rate of IHD and cerebrovascular disease mortality in the Netherlands has more than halved between 1980 and 2009. The decline in mortality from both IHD and cerebrovascular disease is continuing for all ages and sex groups, with anacceleration in the decline apparent from the late 1990s/early 2000s. The decline in age-specific all circulatory, coronary heart disease and cerebrovascular disease mortality rates continues for all age and sex groups in the Netherlands.
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