Abstract
BackgroundCardiovascular disease (CVD) mortality increased in developed countries until the 1970s then started to decline. Turkey is about to complete its demographic transition, which may also influence mortality trends. This study evaluated trends in coronary heart disease (CHD) and stroke mortality between 1988 and 2008.MethodsThe number of deaths by cause (ICD-8), age and sex were obtained from the Turkish Statistical Institute (TurkStat) annually between 1988 and 2008. Population statistics were based on census data (1990 and 2000) and Turkstat projections. European population standardised mortality rates for CHD and stroke were calculated for men and women over 35 years old. Joinpoint Regression was used to identify the points at which a statistically significant (p < 0.05) change of the trend occurred.ResultsThe CHD mortality rate increased by 2.9% in men and 2.0% in women annually from 1988 to 1994, then started to decline. The annual rate of decline for men was 1.7% between 1994–2008, whilst in women it was 2.8% between 1994–2000 and 6.7% between 2005–2008 (p < 0.05 for all periods).Stroke mortality declined between 1990–1994 (annual fall of 3.8% in both sexes), followed by a slight increase between 1994–2004 (0.6% in men, 1.1% in women), then a further decline until 2008 (annual reduction of 4.4% in men, 7.9% in women) (p < 0.05 for all periods).ConclusionsA decrease in CVD mortality was observed from 1995 onwards in Turkey. The causes need to be explored in detail to inform future policy priorities in noncommunicable disease control.
Highlights
Cardiovascular disease (CVD) mortality increased in developed countries until the 1970s started to decline
Similar trends were found in the coronary heart disease (CHD) and stroke agestandardized (Turkish population 2008) mortality data (Additional file 1: Table S3–S4)
Age- and sex-specific CHD mortality trends Age- and sex-specific trends in CHD mortality were similar to the overall CHD mortality trend
Summary
Cardiovascular disease (CVD) mortality increased in developed countries until the 1970s started to decline. This study evaluated trends in coronary heart disease (CHD) and stroke mortality between 1988 and 2008. By 2030, non-communicable diseases (NCDs) will account for more than three-quarters of deaths worldwide. A recent WHO report predicted that the Eastern Mediterranean Region would experience the largest increase in NCD deaths between 2010 and 2020 (>20%) [1]. Cardiovascular Diseases (CVD) accounted for almost half (48%) of the NCD deaths in 2008. CVD alone is responsible for more deaths in low income countries than infectious diseases, maternal and perinatal conditions, and nutritional disorders combined [2]. 7.6 million were attributed to coronary heart disease (CHD) and 5.7 million to stroke [3].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
