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American Journal of Epidemiology Vol. 137, No. 3: 301-310
Copyright © 1993 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Secular Trends in Coronary Heart Disease Mortality in Norway, 1966–1986

Jan Marcus Sverre

From the Department of Genatric Medicine, Ullevaal Hospital Oslo, Norway

Reprint requests to Dr. Jan Marcus Sverre, Department of Genatric Medicine, Ullevaal Hospital, 0407 Oslo, Norway

In most countries of the western world, the health statistics demonstrate similar secular trends in coronary heart disease mortality. There was a relatively marked increase in the mortality rates until the 1970s, followed by a decline. A cohort analysis was performed to examine these trends. Poisson regression with models that induded the effects of age, period, and cohort was applied to Norwegian vital statistics. The results demonstrate that cohort effects explain the secular variations in coronary heart disease mortality in Norway from 1966 to 1986. The author relates these findings to the development of primary and secondary preventive means of coronary heart disease mortality.

cohort studies; coronary disease; mortality; Poisson distribution; risk factors


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