Abstract
BackgroundDeaths from coronary heart disease (CHD) have been decreasing in most Western countries over the last few decades. In contrast, a flattening of the decrease in mortality has been recently reported among younger age groups in some countries. We aimed to determine whether the decrease in CHD mortality is flattening among Swedish young adults.MethodsWe examined trends in CHD mortality in Sweden between 1987 and 2009 among persons aged 35 to 84 years using CHD mortality data from the Swedish National Register on Cause of Death. Annual percent changes in rates were examined using Joinpoint software.ResultsOverall, CHD mortality rates decreased by 67.4% in men and 65.1% in women. Among men aged 35–54 years, there was a modest early attenuation from a marked initial decrease. In the oldest women aged 75–84 years, an attenuation in the mortality decrease was observed from 1989 to 1992, followed by a decrease, as in all other age groups.ConclusionsIn Sweden, coronary heart disease deaths are still falling. We were unable to confirm a flattening of the decline in young people. Death rates continue to decline in men and women across all age groups, albeit at a slower pace in younger men since 1991. Continued careful monitoring of CHD mortality trends in Sweden is required, particularly among young adults.
Highlights
Deaths from coronary heart disease (CHD) have been decreasing in most Western countries over the last few decades
Given that a flattening in the decline in CHD mortality in some countries has been demonstrated among young people, the present study aimed to investigate whether this is occurring in the Swedish population
CHD mortality trends in the total population In Sweden, the overall age-adjusted mortality rates from CHD decreased by 65.1% in women from 1987 to 2009 (Figure 1, Table 1)
Summary
Deaths from coronary heart disease (CHD) have been decreasing in most Western countries over the last few decades. A flattening of the decrease in mortality has been recently reported among younger age groups in some countries. We aimed to determine whether the decrease in CHD mortality is flattening among Swedish young adults. In Europe, a north-east to south-west gradient has been reported where mortality from coronary heart disease (CHD) is lower in the southwest regions of Europe [2]. In the last 10 years, research has shown a flattening in the decrease in mortality among younger adults [6,7,8,9,10], or no decline at
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