International Journal of Epidemiology, Vol 18, S159-S163, Copyright © 1989 by International Epidemiological Association
SC Tao, ZD Huang, XG Wu, BF Zhou, ZK Xiao, JS Hao, YH Li, RC Cen and XX Rao
Mortality data obtained from the Health Statistics Office of the Ministry
of Health, People's Republic of China (PRC), were compared to data for
other countries taken from the World Health Statistics Annual. The crude
death rate for coronary heart disease (CHD) in China in 1984 is estimated
to be about one-tenth of that for North America and Australia. However, a
high stroke to CHD ratio of about 5.0 was observed in China. The
age-standardized CHD mortality rates were significantly higher for Beijing
in north China than for Shanghai and Guangzhou in the south, and for urban
than rural populations in all years from 1976 to 1986. Data on hospital
admissions and autopsy material provide evidence for an increase in CHD
incidence and prevalence in the last three to four decades. A low mean
serum total cholesterol, related to a low habitual dietary intake of fat
and cholesterol, is considered to be the main cause underlying low CHD
mortality rates in China.
ARTICLES
CHD and its risk factors in the People's Republic of China
Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
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