PL EN


Preferences help
enabled [disable] Abstract
Number of results
Journal
2008 | 3 | 3 | 315-321
Article title

Effects of age, period, and cohort on stroke mortality among the Lithuanian urban population during the 24-year follow-up period

Content
Title variants
Languages of publication
EN
Abstracts
EN
The main purpose of this paper was to assess the effects of age, period, and cohort on stroke mortality among the urban Lithuanian population. Routine stroke mortality data among the Lithuanian urban population aged 25–64 years (1041 men and 724 women) between 1980 and 2004 were obtained from the official Kaunas region mortality register and classified by codes 430–438 and 160–169 in the 9th and 10th revisions of the International Classifications of Diseases (ICD), respectively. Mortality rates per 100,000 persons for men and women were age-adjusted using the age distribution of the European Standard Population. Goodness of fit of the Poisson regression models was evaluated using the Pearson and Freeman-Tukey residuals. During the study period, mortality rates decreased from 46.8 to 33.0 per 100,000 for men, and from 20.2 to 18.1 per 100,000 for women (average annual decrease of −1.3%, p<0.1 for men, and −1.6%, p<0.03 for women). An age effect was present in both sexes. The definite upward period effect was observed from 1990 to 1994 both among men and women, and was followed by a sharp fall during 2000–2004. Cohort and period effects have contained relevant information that partially explained trends in stroke mortality among 25–64 year-olds in the Lithuanian urban population. The Poisson regression models could be applied for the examination and explanation of the different causes of the population mortality.
Publisher
Journal
Year
Volume
3
Issue
3
Pages
315-321
Physical description
Dates
published
1 - 9 - 2008
online
10 - 7 - 2008
References
  • [1] Harwood R.H., The epidemiology of stroke, Brit. J. Cardiol., 2001, 8, 507–513
  • [2] Peltonen M., Asplund K., Age-period-cohort effects on stroke mortality in Sweden 1969–1993 and forecasts up to the year, Stroke, 2003, 27, 1981–1985
  • [3] WHO/Europe, European mortality database MDB, 2006
  • [4] Levi F., Lucchini F., Negri E., La Vecchia C., Trends in mortality from cardiovascular and cerebrovascular diseases in Europe and other areas of the world, Heart, 2002, 88, 119–124 http://dx.doi.org/10.1136/heart.88.2.119[Crossref]
  • [5] The SAS System Online Doc. Cary, NC, USA, SAS Institute Inc., 2006
  • [6] Domarkiene S., Tamošiūnas A., Rėklaitienė R., Šidlauskienė D., Jurėnienė K., Margevičienė L., et al., Trends in main cardiovascular risk factors among middle-aged Kaunas population between 1983 and 2002, Medicina, 2003, 39, 1193–1199
  • [7] Grabauskas V., Klumbienė R., Petkevičienė J., Šakytė E., Kriaučionienė V., Paalanen L., et al., Health behaviour among Lithuanian adult population, 2006, Helsinki, Finland, 2007
  • [8] Asplund K., Mahonen M., Bonita R., A multinational comparison of subarachnoidal hemorrhage epidemiology in the WHO MONICA stroke study, Stroke, 2000, 31, 1054–1061
  • [9] Stegmayr B., Asplund K., Wester P.O., Trends in incidence, case fatality rate, and severity of stroke in northern Sweden, 1985–1991, Stroke, 1994, 25, 1738–1745
  • [10] Dyall L., Carter K., Bonita R., Anderson C., Feigin V., Kerse N., Incidence of stroke in women in Auckland, New Zealand, Ethnic trends over two decades 1981–2003, N. Z. Med. J., 2006, 19, U2309. D
  • [11] Rastenyte D., Sopagiene D., Virviciute D., Jureniene K., Diverging trends in the incidence and mortality of stroke during the period 1986–2002: A study from the stroke register in Kaunas, Lithuania, Scand. J. Public Health, 2006, 34, 488–495 http://dx.doi.org/10.1080/14034940600551640[Crossref]
  • [12] Evci E.D., Memis S., Ergin F., Beser E., A population-based study on awareness of stroke in Turkey, Eur. J. Neuro., 2007, 14, 517–522 http://dx.doi.org/10.1111/j.1468-1331.2007.01723.x[Crossref][WoS]
  • [13] Amiri M., Kunst A.E., Jansen F., Mackenbach J.P., Cohort-specific trends in stroke mortality in seven European countries were related to infant mortality rates, J. Clin. Epidemiol., 2006, 59, 1295–1230 http://dx.doi.org/10.1016/j.jclinepi.2006.03.007[Crossref]
  • [14] Barker D.J.P., Lackland D.T., Prenatal influences on stroke mortality in England and Wales, Stroke, 34, 2003, 1598–1603 http://dx.doi.org/10.1161/01.STR.0000077257.27430.7E[Crossref]
  • [15] Howard V.J., Anderson R., Johnson N.J., Sorlie P., Russell G., Evaluation of social status as a contributing factor to the stroke belt region of the United States, Stroke, 1997, 28, 936–940 [PubMed][Crossref]
  • [16] Lackland D.J., Egan B.M., The association birth weight and stroke in the US stroke belt, Stroke, 2003, 34, 289
  • [17] Lithuanian health program (in Lithuanian), Lithuanian Health Ministry, 1997
  • [18] Medrano J., Lopez-Abente G., Barrado G., Pollan M., Almazan J., Effects of age birth cohort, and period of death on cerebrovascular mortality in Spain, 1952 through 1991, Stroke, 1997, 28, 40–44
  • [19] Harmsen P., Tsipogani A., Wilhemsen L., Stroke incidence rates were unchanged, while fatality rates declined, during 1971–1987 in Geteborg, Sweden, Stroke, 1992, 23, 1410–1415
  • [20] Bonita R., Broad J.B., Beaglehole R., Changes in stroke incidence and case-fatality in Auckland, New Zealand, 1981–9, Lancet, 1993, 342, 1470–1473 http://dx.doi.org/10.1016/0140-6736(93)92938-P[Crossref]
  • [21] Tuomilehto J., Bonita R., Stewart A., Nissinen A., Salonen J.T., Hypertension, cigarette smoking, and the decline in stroke incidence in eastern Finland, Stroke, 1991, 22, 7–11 [Crossref]
  • [22] Anderson R.N., Rosenberg H.M., Disease classification: Measuring the effect of the tenth Revision of the International Classification of Diseases on cause-of-death data in the United States, Stat. Med., 2003, 22, 1551–1570 http://dx.doi.org/10.1002/sim.1511[Crossref]
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0037-7
Identifiers
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.