International Journal of Epidemiology, Vol 18, S46-S55, Copyright © 1989 by International Epidemiological Association
U Keil and K Kuulasmaa
The WHO MONICA Project was designed to measure trends and determinants in
cardiovascular disease mortality and coronary heart disease and
cerebrovascular disease morbidity, and to assess the extent to which these
trends are related to changes in known risk factors in 39 collaborative
centres in 26 countries. Results of the baseline population surveys are
presented. Use of standardized methods allows cross-sectional comparisons
to be made of data from the 39 collaborating centres. The proportion of
smokers varied between 34-62% among men and 3-52% among women. The median
systolic blood pressure (SBP) values varied from 121 mmHg to 145 mmHg in
men and from 117 mmHg to 143 mmHg in women. Median diastolic blood pressure
(DBP) values varied from 74 mmHg to 91 mmHg in men and from 72 mmHg to 89
mmHg in women. The prevalence of actual hypertension, defined as SBP and/or
DBP greater than 159/94 mmHg, or on antihypertensive medication, varied
between 8.4% and 45.3% in men and between 12.6% and 40.5% in women. Median
serum total cholesterol values varied from 4.1 mmol/l to 6.4 mmol/l in men
and from 4.2 mmol/l to 6.4 mmol/l in women. The results show that there is
a large variability in the risk-factor patterns among the MONICA
populations. They also indicate that populations with low levels of risk
factors are in the minority.
ARTICLES
WHO MONICA Project: risk factors [published erratum appears in Int J Epidemiol 1990 Sep;19(3):following 775]
Ruhr-Universitat Bochum, Abteilung fur Sozialmedizin und Epidemiologie, Neuherberg, Federal Republic of Germany.
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