Document Detail


Ethnic differences in mortality from cardiovascular disease in the UK: do they persist in people with diabetes?
MedLine Citation:
PMID:  8762376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To determine whether ethnic differences in cardiovascular disease mortality persist in people with non-insulin-dependent diabetes mellitus. DESIGN: This was an ecological study in which routine mortality data from 1985-86, which coded all mentioned causes of death, provided the numerator. The UK population derived from 1981 census formed the denominator. SETTING: United Kingdom. PARTICIPANTS: Records of all deaths in people aged 45 years and above were extracted if diabetes was mentioned anywhere on the death certificate. The denominator was aged five years to approximate to the 1986 population. Mortality rates where a cardiovascular underlying cause was given were compared between South Asians, African-Caribbeans, and those born in England and Wales. The latter group formed the standard for directly standardised rate ratios. MAIN RESULTS: Mortality from heart disease was approximately three times higher in diabetic South Asian born men and women than in those with diabetes born in England and Wales. This ethnic difference was greatest in the younger age group. Conversely, stroke mortality rates in African-Caribbeans were 3.5-4 times higher than those in the England and Wales population. Despite this high mortality from stroke, ischaemic heart disease death rates were not high in African-Caribbean men. CONCLUSIONS: Ethnic differences in cardiovascular mortality persisted and were greater in those with diabetes. Thus the high risk of heart disease should be targeted for intervention in South Asians, and the high rates of stroke targeted in African-Caribbeans.
Authors:
N Chaturvedi; J H Fuller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  50     ISSN:  0143-005X     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-10-03     Completed Date:  1996-10-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  137-9     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Public Health, University College London.
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Asia, Southeastern / ethnology
Cardiovascular Diseases / ethnology*,  mortality
Diabetes Mellitus, Type 2 / ethnology*,  mortality
Female
Great Britain / epidemiology
Humans
Male
Middle Aged
West Indies / ethnology
Comments/Corrections

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