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Cited by 31Healthcare Systems and Public HealthGlobal Health and EpidemiologyCardiovascular Health and Risk Factors

Declining Stroke and Myocardial Infarction Mortality Between 1989 and 2010 in a Country of the African Region

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Stringhini, Silvia, Sinon, Flavie, Didon, Joaquim, Gedeon, Jude, Paccaud, Fred, Bovet, Pascal·2012·Stroke
DOI 10.1161/strokeaha.112.658468
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Abstract

Background and Purpose—: In low- and middle-income countries, the total burden of cardiovascular diseases is expected to increase due to demographic and epidemiological transitions. However, data on cause-specific mortality are lacking in sub-Saharan Africa. Seychelles is one of the few countries in the region where all deaths are registered and medically certified. In this study, we examine trends in mortality for stroke and myocardial infarction (MI) between 1989 and 2010. Methods—: Based on vital statistics, we ascertained stroke and MI as the cause of death if appearing in any of the 4 fields for immediate, intermediate, underlying, and contributory causes in death certificates. Results—: Mortality rates (per 100 000, age-standardized to World Health Organization standard population) decreased from 1669/710 (men/women) in 1989 to 1991 to 1113/535 in 2008–10 for all causes, from 250/140 to 141/86 for stroke, and from 117/51 to 59/24 for MI, corresponding to proportionate decreases of 33%/25% for all-cause mortality, 44%/39% for stroke, and 50%/53% for MI over 22 years. The absolute number of stroke and MI deaths did not increase over time. In 2008 to 2010, the median age of death was 65/78 years (men/women) for all causes, 68/78 for stroke, and 66/73 for MI. Conclusions—: Between 1989 and 2010, age-standardized stroke and MI mortality decreased markedly and more rapidly than all-cause mortality. The absolute number of cardiovascular disease deaths did not increase over time because the impact of population aging was fully compensated by the decline in cardiovascular disease mortality. Stroke mortality remained high, emphasizing the need to strengthen cardiovascular disease prevention and control.

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References 33 · Cited by 31

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Authors
Stringhini, S., Sinon, F., Didon, J., Gedeon, J., Paccaud, F., & Bovet, P.
Affiliations
  • Centre Hospitalier Universitaire Vaudois (CH)
  • From the Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Lausanne, Switzerland (S.S., F.P., P.B.); and the Ministry of Health, Victoria, Republic of Seychelles (F.S., J.D., J.G., P.B.).
ORCID
Venue
Stroke
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012-09
Volume
43
Issue
9
Pages
2283-2288
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
DOI
10.1161/strokeaha.112.658468
OpenAlex
W2051898045
Cited by
31
References
33
Citations by year
2023: 1 · 2021: 1 · 2020: 1 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 9 · 2012: 4
FWCI
4.53
Type
journal article
Language
en
Open access
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (publishedVersion, other-oa)
  • IRIS (submittedVersion)
  • SERVAL (Université de Lausanne) (submittedVersion)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
  • Health Sciences › Health Professions › Health Information Management › Global Health and Epidemiology
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
stroke mortality, myocardial infarction mortality, cardiovascular mortality, mortality trends, Seychelles, sub-Saharan Africa, age-standardized mortality rates, cause-specific mortality, population aging, cardiovascular disease prevention
MeSH terms
Adult, Age Factors, Aged, Aging, Cause of Death, Female, Humans, Male, Middle Aged, Myocardial Infarction, Population, Sex Factors, Seychelles, World Health Organization, Stroke, International Classification of Diseases

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