Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Sep 30:13:896.
doi: 10.1186/1471-2458-13-896.

Decreasing trends in cardiovascular mortality in Turkey between 1988 and 2008

Gönül Dinç  1 , Kaan Sözmen, Gül Gerçeklioğlu, Hale Arık, Julia Critchley, Belgin Unal
Affiliations

Decreasing trends in cardiovascular mortality in Turkey between 1988 and 2008

Gönül Dinç et al. BMC Public Health. .

Abstract

Background: Cardiovascular disease (CVD) mortality increased in developed countries until the 1970s then started to decline. Turkey is about to complete its demographic transition, which may also influence mortality trends. This study evaluated trends in coronary heart disease (CHD) and stroke mortality between 1988 and 2008.

Methods: The number of deaths by cause (ICD-8), age and sex were obtained from the Turkish Statistical Institute (TurkStat) annually between 1988 and 2008. Population statistics were based on census data (1990 and 2000) and Turkstat projections. European population standardised mortality rates for CHD and stroke were calculated for men and women over 35 years old. Joinpoint Regression was used to identify the points at which a statistically significant (p < 0.05) change of the trend occurred.

Results: The CHD mortality rate increased by 2.9% in men and 2.0% in women annually from 1988 to 1994, then started to decline. The annual rate of decline for men was 1.7% between 1994-2008, whilst in women it was 2.8% between 1994-2000 and 6.7% between 2005-2008 (p < 0.05 for all periods).Stroke mortality declined between 1990-1994 (annual fall of 3.8% in both sexes), followed by a slight increase between 1994-2004 (0.6% in men, 1.1% in women), then a further decline until 2008 (annual reduction of 4.4% in men, 7.9% in women) (p < 0.05 for all periods).

Conclusions: A decrease in CVD mortality was observed from 1995 onwards in Turkey. The causes need to be explored in detail to inform future policy priorities in noncommunicable disease control.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Age-standardised (European population) coronary heart disease (CHD) and stroke mortality in Turkey for men and women aged ≥35, 1988–2008.
Figure 2
Figure 2
Observed and modelled coronary heart disease (CHD) mortality rate per 100 000, by age group for men and women, 1988–2008.
Figure 3
Figure 3
Observed and modelled stroke mortality rate per 100 000, for men and women by age group, 1988–2008.
See this image and copyright information in PMC

References

    1. WHO. Global status report on noncommunicable diseases 2010. Geneva: WHO Press; 2011. http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf.
    1. WHO. The global burden of disease: 2004 update. Geneva: WHO Press; 2008. http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004updat....
    1. Committee on Preventing the Global Epidemic of Cardiovascular Disease. Meeting the challenges in developing countries, board on global health: promoting cardiovascular health in the developing world a critical challenge to achieve global health. Washington DC: The National Academies Press; 2010. - PubMed
    1. Koc I, Eryurt MA, Adalli T, Seckiner P. Türkiye’nin demografik dönüşümü Doğurganlık, Aile Planlaması, Anne-Çocuk Sağlığı ve Beş Yaş Altı Ölümlerdeki Değişimler: 1968–2008. Ankara: Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü; 2010. http://www.hips.hacettepe.edu.tr/TurkiyeninDemografikDonusumu_220410.pdf.
    1. World Bank. Turkey Overview. http://www.worldbank.org/en/country/turkey/overview.

Publication types