Sverre J M
Department of Geriatric Medicine, Ullevaal Hospital, Oslo, Norway.
Am J Epidemiol. 1993 Feb 1;137(3):301-10. doi: 10.1093/oxfordjournals.aje.a116677.
In most countries of the western world, the health statistics demonstrate similar secular trends in coronary heart disease mortality. There was a relatively marked increase in the mortality rates until the 1970s, followed by a decline. A cohort analysis was performed to examine these trends. Poisson regression with models that included the effects of age, period, and cohort was applied to Norwegian vital statistics. The results demonstrate that cohort effects explain the secular variations in coronary heart disease mortality in Norway from 1966 to 1986. The author relates these findings to the development of primary and secondary preventive means of coronary heart disease mortality.
在西方世界的大多数国家，健康统计数据显示冠心病死亡率存在类似的长期趋势。直到20世纪70年代死亡率都有相对显著的上升，随后下降。进行了一项队列分析以研究这些趋势。将包含年龄、时期和队列效应的模型的泊松回归应用于挪威的人口动态统计数据。结果表明，队列效应解释了1966年至1986年挪威冠心病死亡率的长期变化。作者将这些发现与冠心病死亡率的一级和二级预防手段的发展联系起来。
