Abstract
In this paper, we use a bivariate choropleth map to investigate the relationship between mortality from cardiovascular disease (CVD) and gross domestic product (GDP) per capita, by sex, in Japanese prefectures from 1996 to 2015. The overall results show a decline in age-standardized CVD mortality rates in all prefectures, for both men and women, and suggest that GDP per capita has varied over the period. We also observed that the relationship between CVD mortality rates and GDP per capita at the prefecture level does not have an overall pattern of the same or inverse association, but is instead a heterogeneous relationship. We argue that this study provides useful clues to policy makers for establishing effective measures for public health planning and the prevention of deaths from CVD. As demonstrated by this study, mapping of the CVD burden in Japan helps to clarify regional differences in life expectancy and health status across regions and identify prefectures where more targeted policy attention may be needed.
Highlights
Non-communicable diseases (NCDs) accounted for approximately 73% of all deaths worldwide in 2017 [1]
The overall results show a decline in age-standardized cardiovascular disease (CVD) mortality rates in all prefectures over the period for both men and women
We used a bivariate choropleth map that is new to health studies to investigate the relationship between mortality from cardiovascular disease (CVD) and gross domestic product (GDP) per capita, by sex, in Japanese prefectures from 1996 to 2015
Summary
Non-communicable diseases (NCDs) accounted for approximately 73% of all deaths worldwide in 2017 [1]. In the last 27 years of available data, the estimated number of people who die from CVDs annually increased from approximately 12.0 million in 1990 to 17.8 million in 2017. These numbers represent around 25.6% and 31.8% of all global deaths, respectively [1]. In high-income countries, where the decline in CVD mortality was
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