Cerebrovascular disease mortality in Spain, 1955-1992

An age-period-cohort analysis

Pilar Guallar Castillón, Fernando Rodríguez Artalejo, José Ramón Banegas Banegas, Eliseo Guallar, Juan Del Rey Calero

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to assess the contributions of period and birth cohort effects to changes in cerebrovascular disease (CVD) mortality in Spain over the period 1955-1992. Poisson regression models were fitted to age- and sex-specific CVD mortality rates obtained from National Vital Statistics. In the period 1955-1975, CVD mortality remained stable. In the period 1975-1992, CVD mortality declined by 54% (rate ratio, RR: 0.46; 95% confidence interval, Cl: 0.43-0.49) in males and 62% (RR: 0.38; 95% Cl: 0.34-0.42) in females. The cohort effect was very small up to the generation born in 1905, moving clearly downward thereafter. CVD mortality for subjects born in the period 1945-1949 was lower than for those born in the period 1905-1909 by 68% (RR: 0.32; 95% Cl: 0.16-0.63) in males and 82% (RR: 0.18; 95% Cl: 0.07-0.45) in females. Among the possible partial explanations for these effects are the decline in ischemic heart discase and rheumatic fever mortality, the drop in salt and alcohol intake, the reduction in smoking among males and blood pressure among females, and the widespread use of antihypertensive treatments in Spain over the last 20 years.

Original languageEnglish (US)
Pages (from-to)116-123
Number of pages8
JournalNeuroepidemiology
Volume16
Issue number3
StatePublished - May 1997
Externally publishedYes

Fingerprint

Cerebrovascular Disorders
Spain
Cohort Studies
Demography
Mortality
Cohort Effect
Chymopapain
Vital Statistics
Rheumatic Fever
Antihypertensive Agents
Salts
Smoking
Alcohols
Parturition
Confidence Intervals
Blood Pressure

Keywords

  • age-period-cohort analysis
  • cerebrovascular disease mortality

ASJC Scopus subject areas

  • Epidemiology
  • Clinical Neurology

Cite this

Castillón, P. G., Rodríguez Artalejo, F., Banegas, J. R. B., Guallar, E., & Del Rey Calero, J. (1997). Cerebrovascular disease mortality in Spain, 1955-1992: An age-period-cohort analysis. Neuroepidemiology, 16(3), 116-123.

Cerebrovascular disease mortality in Spain, 1955-1992 : An age-period-cohort analysis. / Castillón, Pilar Guallar; Rodríguez Artalejo, Fernando; Banegas, José Ramón Banegas; Guallar, Eliseo; Del Rey Calero, Juan.

In: Neuroepidemiology, Vol. 16, No. 3, 05.1997, p. 116-123.

Research output: Contribution to journalArticle

Castillón, PG, Rodríguez Artalejo, F, Banegas, JRB, Guallar, E & Del Rey Calero, J 1997, 'Cerebrovascular disease mortality in Spain, 1955-1992: An age-period-cohort analysis', Neuroepidemiology, vol. 16, no. 3, pp. 116-123.
Castillón PG, Rodríguez Artalejo F, Banegas JRB, Guallar E, Del Rey Calero J. Cerebrovascular disease mortality in Spain, 1955-1992: An age-period-cohort analysis. Neuroepidemiology. 1997 May;16(3):116-123.
Castillón, Pilar Guallar ; Rodríguez Artalejo, Fernando ; Banegas, José Ramón Banegas ; Guallar, Eliseo ; Del Rey Calero, Juan. / Cerebrovascular disease mortality in Spain, 1955-1992 : An age-period-cohort analysis. In: Neuroepidemiology. 1997 ; Vol. 16, No. 3. pp. 116-123.
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