Inequalities in mortality due to ischaemic heart disease among people over 65 years, 1990–2016
█ Original article
DOI: 10.26430/CHUNGARICA.2023.53.1.29
Authors:
Németh Noémi1, Boncz Imre1, Elmer Diána1, Horváth Lilla1, Csákvári Tímea3, Endrei Dóra1,2
1Pécsi Tudományegyetem, Egészségtudományi Kar ,Egészségbiztosítási Intézet, Pécs
2Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, I. sz. Belgyógyászati Klinika, Pécs
3Pécsi Tudományegyetem, Egészségtudományi Kar, Egészségbiztosítási Intézet, Zalaegerszeg
Levelezési cím:
Németh Noémi PhD-hallgató,
e-mail: noemi.nemeth@etk.pte.hu
Summary
Aims: Ischaemic heart disease is the most common cause of death worldwide according to data of the World Health Organization. Our aim was to analyse national and international data regarding ischaemic heart disease mortality per region in the age group 65years and above.
Methods: We performed a retrospective, quantitative analysis on age-specific, ischaemic heart disease mortality between 1990–2016 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, ischaemic heart disease mortality per 100,000 population was the lowest in Western European countries (males: 1990: 1391.00; 2016: 513.00; females: 1990: 746.91; 2016: 264.93), and the highest in former Soviet Union countries (males: 1990: 3133.51; 2016: 2204.41; females: 1990: 2257.45; 2016: 1566.44). Significant differences were found in age-specific, ischaemic heart disease mortality in both sexes between Eastern and Western European countries and former Soviet Union countries (1990, 2004, 2016: p<0.05). Between 1990–2016, age-specific, standardized ischaemic heart disease mortality showed the biggest decrease in Western European countries (males: –63.12%, females: –64.53%) followed by Eastern European (males: –29.93%; females: –31.50%) and former Soviet Union countries (males: –29.65%; females: –30.61%).
Conclusions: Age-specific, ischaemic heart disease mortality decreased in both sexes in all regions analysed. Hungary was found to have seen a decrease lower than the Eastern European average ischaemic heart disease mortality decreased by 11.57% in males and 10.26% in females aged 65 and over between 1990–2016.
ISSUE: CARDIOLOGIA HUNGARICA | 2023 | VOLUME 53, ISSUE 1
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