International Journal of Epidemiology, Vol 18, S174-S179, Copyright © 1989 by International Epidemiological Association
G Rose
Rapid changes in national rates, with little evidence of cohort effects,
must substantially reflect changes in incidence rates due to socioeconomic
and behavioral influences, operating with a rather short incubation period.
Every newly-rich society usually experiences its epidemic of coronary heart
disease. Rate changes for men and women are correlated, but the regression
is asymmetrical: greater falls in women seem to reflect some rather uniform
widespread sex-specific change, on top of which is another and highly
variable factor common to both sexes. Trends are correlated with diet
(especially with the constitution of fats). A correlation with stroke
trends suggests a common link with population changes in blood pressure, in
which obesity may play a part. Other important influences on population
trends and differences remain unidentified or unconfirmed.
ARTICLES
Causes of the trends and variations in CHD mortality in different countries
Department of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine, UK.
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