de Lolio C A, Laurenti R, Buchala C M, Santo A H, Jorge M H
Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade São Paulo, Brasil.
Rev Saude Publica. 1991 Feb;25(1):37-40. doi: 10.1590/s0034-89101991000100008.
Further to a research project into the accuracy of death given on the causes of death given on the death certificates of women of fertile age (10-49), resident in the City of S. Paulo, SP, Brazil, in 1986, the main causes of death for the population according to age, with remarks on the mortality from cardiovascular diseases (CVD), malignant neoplasms and external causes are presented. The CVD were responsible for 23.6% of all deaths in this age group, strokes occupying the position of greatest importance (51.1% of all CVD deaths) and coronary heart disease coming second (18.2% of all CVD deaths, the greater number of them being due to acute myocardial infarction). Comparing these results with those of a similar research project undertaken in the 60s, in the same place and using the same methodology, a decline of mortality from chronic rheumatic disease of the heart is to be noted, as also a rise in the mortality from stroke and coronary heart disease, but with a global reduction in age-adjusted rates for CVD overall. There was also a great number of references to arterial hypertension both combined with stroke (78.3% of all deaths due to this cause were of hypertensives) and with coronary heart disease (where this proportion was of 63.4%). The importance of the supposedly high prevalence of high blood pressure in the fertile female population and the indiscriminate use of oral contraceptives are discussed.
关于一项针对1986年居住在巴西圣保罗市的育龄妇女（10 - 49岁）死亡证明上所给出的死因准确性的研究项目，本文呈现了按年龄划分的该人群主要死因，并对心血管疾病（CVD）、恶性肿瘤和外部原因导致的死亡率进行了评述。心血管疾病占该年龄组所有死亡人数的23.6%，中风最为重要（占所有心血管疾病死亡人数的51.1%），冠心病次之（占所有心血管疾病死亡人数的18.2%，其中大多数是由于急性心肌梗死）。将这些结果与60年代在同一地点采用相同方法进行的类似研究项目结果相比较，可注意到慢性风湿性心脏病死亡率下降，中风和冠心病死亡率上升，但心血管疾病的年龄调整率总体呈下降趋势。同时，有大量病例提到动脉高血压既与中风相关（该病因导致的所有死亡中78.3%为高血压患者），也与冠心病相关（这一比例为63.4%）。文中还讨论了育龄女性人群中高血压患病率可能较高以及滥用口服避孕药的问题。
