Wilson A, Siskind V
Department of Social and Preventive Medicine, University of Queensland Medical School, Herston, Australia.
Int J Epidemiol. 1995 Aug;24(4):678-84. doi: 10.1093/ije/24.4.678.
There has been a major decline in mortality from coronary heart disease (CHD) in Australia from about 1967 through to 1989, occurring across all age groups simultaneously. We have analysed data up until 1992 to examine for trends within age cohorts.
Death registrations for acute myocardial infarction and CHD were used to construct male and female 5-year age- and cohort-specific mortality rates starting at 1900-1904 for cohorts and 25-29 years for age. Trends within age group and within cohort were compared across time.
Across all female and most male birth cohorts there was a decrease in CHD mortality across the time period. In the youngest male cohorts there was a significant flattening in the rate of decline in the most recent periods. Comparison of age-specific mortality across cohorts showed the mortality at any period to be lower in the most recent cohort.
This analysis demonstrates a continuing decline in mortality from CHD among females of all ages in Australia although the rate of decline appears to have slowed or even ceased in younger males.
从1967年到1989年，澳大利亚冠心病（CHD）死亡率大幅下降，所有年龄组同时出现这种情况。我们分析了截至1992年的数据，以研究年龄队列中的趋势。
使用急性心肌梗死和冠心病的死亡登记数据，构建男性和女性从1900 - 1904年开始的队列以及从25 - 29岁开始的年龄别5年队列特异性死亡率。比较不同时间年龄组和队列中的趋势。
在所有女性和大多数男性出生队列中，在此期间冠心病死亡率均有所下降。在最年轻的男性队列中，最近时期下降速率显著趋平。各队列年龄别死亡率比较显示，任何时期最新队列的死亡率都更低。
该分析表明，澳大利亚所有年龄段女性的冠心病死亡率持续下降，尽管年轻男性的下降速率似乎已经放缓甚至停止。
