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Patterns of coronary heart disease mortality over the 20th century in England and Wales : possible plateaus in the rate of decline

Allender, Steven, Scarborough, Peter, O'Flaherty, Martin and Capewell, Simon 2008, Patterns of coronary heart disease mortality over the 20th century in England and Wales : possible plateaus in the rate of decline, BMC public health, vol. 8, pp. 148-148.

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Title Patterns of coronary heart disease mortality over the 20th century in England and Wales : possible plateaus in the rate of decline
Author(s) Allender, Steven
Scarborough, Peter
O'Flaherty, Martin
Capewell, Simon
Journal name BMC public health
Volume number 8
Start page 148
End page 148
Total pages 1
Publisher BioMed Central Ltd.
Place of publication London, England
Publication date 2008-05-01
ISSN 1471-2458
Summary Background
Coronary heart disease (CHD) rates in England and Wales between 1950 and 2005 were high and reasonably steady until the mid 1970s, when they began to fall. Recent work suggests that the rate of change in some groups has begun to decrease and may be starting to plateau or even reverse.

Methods
Data for all deaths between 1931 and 2005 in England and Wales were grouped by year, sex, age at death and contemporaneous ICD code for CHD as cause of death. CHD mortality rates by calendar year and birth cohort were produced for both sexes and rates of change were examined.

Results
The pattern of increased burden of CHD mortality within older age groups has only recently emerged in men, whereas it has been established in women for far longer. CHD mortality rates among younger people showed little variation by birth cohort. For younger women (49 and under), the rate of change in CHD mortality has reversed in the last 20 years, indicating a future plateau and possible reversal of previous improvement in CHD mortality rates. Among younger men the rate of change in CHD mortality has been consistent for the past 15 years indicating that rates in this group have continued to fall steadily.

Conclusion
Although CHD mortality rates continue to drop in older age groups the actual burden of coronary heart disease is increasing due to the ageing of the population. The rate of improvement in CHD mortality appears to be beginning to decline and may even be reversing among younger women.
Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Allender et al
Persistent URL http://hdl.handle.net/10536/DRO/DU:30020461

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.