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. 2023 Jun;31(2):120-126.
doi: 10.21101/cejph.a7287.

Inequalities in premature mortality from ischaemic heart disease in the WHO European region

Noémi Németh  1 , Imre Boncz  1 , Annamária Pakai  2 , Diána Elmer  1 , Lilla Horváth  1 , Róbert Pónusz  1 , Tímea Csákvári  1 , Zsuzsa Kívés  1 , Iván Gábor Horváth  3 , Dóra Endrei  1
Affiliations

Inequalities in premature mortality from ischaemic heart disease in the WHO European region

Noémi Németh et al. Cent Eur J Public Health. 2023 Jun.

Abstract

Objectives: Ischaemic heart disease (IHD) is one of the leading causes of premature mortality. Our aim was to analyse standardised premature mortality rates from IHD by geographical groups in the age group 45-59 years.

Methods: We performed a retrospective, quantitative analysis of age-standardized mortality rates from IHD between 1990-2014 per 100,000 population in Western European (WE: N = 17), Eastern European countries (EE: N = 10), and countries of the former Soviet Union (fSU: N = 15) within the European Region of the World Health Organisation (WHO) based on data retrieved from the WHO European Mortality Database. Descriptive statistics, time series analysis and statistical tests were used for the analyses (ANOVA, Kruskal-Wallis test, Mann-Whitney test, paired t-test).

Results: On average, age-standardized death rates (ASDR) from IHD per 100,000 population were the lowest in WE (men 1990: 143.67, 2014: 50.29; women 1990: 29.06, 2014: 9.89), and the highest in fSU (men 1990: 358.69, 2014: 253.25; women 1990: 99.78, 2014: 57.85). Between 1990 and 2014, all three groups experienced significant decrease in ASDR both in men and women (fSU: -29.39%, -42.02%; EE: -49.41%, -50.57%; WE: -64.99%, -65.97%, respectively) (p < 0.05). Between 1990 and 2004, ASDR decreased in WE in both sexes (p < 0.001), in EE among males (p = 0.032). Between 2004 and 2014, ASDR from IHD decreased significantly in both sexes in fSU and WE, in EE only among women (p < 0.05).

Conclusions: During the whole period analysed, ischaemic heart disease mortality significantly decreased in both sexes in all the groups.

Keywords: epidemiology; ischaemic heart disease; premature mortality.

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