Discordant age and sex-specific trends in the incidence of a first coronary heart disease event in Western Australia from 1996 to 2007 Briffa, Tom, Nedkoff, Lee, Peeters, Anna, Tonkin, Andrew, Hung, Joseph, Ridout, Stephen C. and Knuiman, Matthew 2011, Discordant age and sex-specific trends in the incidence of a first coronary heart disease event in Western Australia from 1996 to 2007, Heart, vol. 97, no. 5, pp. 400-404, doi: 10.1136/hrt.2010.210138. Attached Files Name Description MIMEType Size Downloads Title Discordant age and sex-specific trends in the incidence of a first coronary heart disease event in Western Australia from 1996 to 2007 Author(s) Briffa, Tom Nedkoff, Lee Peeters, Anna orcid.org/0000-0003-4340-9132 Tonkin, Andrew Hung, Joseph Ridout, Stephen C. Knuiman, Matthew Journal name Heart Volume number 97 Issue number 5 Start page 400 End page 404 Total pages 5 Publisher BMJ Group Publishing Place of publication London, Eng. Publication date 2011-03 ISSN 1468-201X Keyword(s) Adult Age Distribution Aged Aged, 80 and over Coronary Disease Female Humans Incidence Male Middle Aged Retrospective Studies Sex Distribution Western Australia Science & Technology Life Sciences & Biomedicine Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology ACUTE MYOCARDIAL-INFARCTION CARDIOVASCULAR-DISEASE POPULATION TRENDS MORTALITY DECLINE OBESITY RISK RATES US PREVALENCE Summary OBJECTIVE: To determine age- and sex-specific population trends in fatal and non-fatal first coronary heart disease (CHD) events in Western Australia from 1996 to 2007. DESIGN: Longitudinal retrospective population study. SETTING: State-wide population. PATIENTS: All residents aged 35-84 years during 1996-2007 who died or were hospitalised with a principal diagnosis of acute CHD. DATA SOURCES: Person-linked file of mortality and morbidity records. MAIN OUTCOME MEASURES: Age-standardised (35-84 years) and age-specific (35-54, 55-69, 70-84 years) rates by gender for a first CHD event were calculated with a 10-year lead-in period to define first events. RESULTS: From 1996 to 2007 there were 36 631 first CHD events, including 8518 (23%) fatal cases in those aged 35-84 years. Overall, age-adjusted rates for fatal first CHD declined 5.3%/year in men (95% CI -6.1% to -4.6%) and 6.5%/year in women (95% CI -7.5% to -5.5%). However, age-specific fatal first CHD rates were neutral in both men aged 35-54 years (0.1%/year; 95% CI -1.8% to 2.1%) and women of the same age, (-1.6%/year; 95% CI -5.6% to 2.5%). Age-specific trends in non-fatal CHD rates reflected the same trends in fatal CHD events in men and women, with rates reportedly increasing in women aged 35-54 years (2.5%/year (95% CI 1.1% to 3.9%). CONCLUSION: The age-specific decline in fatal and non-fatal first CHD rates in older men and women was not observed in those aged 35-54 years. These novel findings provide evidence for a levelling in the CHD incidence rates in younger adults and puts renewed importance on primary prevention in this group. Language eng DOI 10.1136/hrt.2010.210138 Field of Research 111799 Public Health and Health Services not elsewhere classified 1102 Cardiovascular Medicine And Haematology Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2011, BMJ Publishing Group Persistent URL http://hdl.handle.net/10536/DRO/DU:30081707 Document type: Journal Article Collection: School of Health and Social Development Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Thu, 25 Feb 2016, 07:46:39 EST Fri, 26 Feb 2016, 04:02:44 EST Fri, 26 Feb 2016, 11:23:52 EST Thu, 17 Mar 2016, 05:10:49 EST Fri, 23 Sep 2016, 11:29:19 EST Fri, 23 Sep 2016, 11:31:45 EST Fri, 23 Sep 2016, 11:32:35 EST Tue, 20 Feb 2018, 08:24:06 EST Filtered Full Citation counts:   Cited 21 times in TR Web of Science Cited 24 times in Scopus Search Google Scholar Access Statistics: 157 Abstract Views, 4 File Downloads  -  Detailed Statistics Created: Thu, 25 Feb 2016, 07:46:39 EST

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