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Constituent country inequalities in myocardial infarction incidence and case fatality in men and women in the United Kingdom, 1996–2005

Davies, Alisha Ruth, Grundy, Emily, Nitsch, Dorothea and Smeeth, Liam (2011) Constituent country inequalities in myocardial infarction incidence and case fatality in men and women in the United Kingdom, 1996–2005. Journal of Public Health, 33 (1). pp. 131-138. ISSN 1741-3842

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Identification Number: 10.1093/pubmed/fdq049

Abstract

Background: Understanding myocardial infarction (MI) incidence and case fatality trends across the four UK constituent countries is of importance following devolution of the government of health-care services. Methods: Retrospective cohort study using a primary care database (5.19 million patients) examining trends in incidence of first MI and 30-day case fatality. Results: From 1996 to 2005, the incidence of MI decreased in all countries, but reductions were greater in England (men, −3.1%; women, −2.8%) and Wales (men, −3.3%; women, −4.6%) than in Scotland (men, −1.9%; women, −0.6%) and Northern Ireland (men no change, women, −0.8%) (average annual percentage change). Greater reductions in England and Wales than Scotland and Northern Ireland meant a widening of north–south difference in MI incidence over the study period. Downward trends in 30-day case fatality were found in each country but less regional variation was evident (England men, −12.0%, women, −11.0%; Wales men, −18.4%, women, −12.6%; Scotland men, −9.5%, women, −9.0%; Northern Ireland men, −8.6%, women, −13.0%). Conclusion: From 1996 to 2005, downward trends in the incidence of first MI and 30-day case fatality were evident in each constituent country. Greater improvements in case fatality, compared with incidence, were found within each country.

Item Type: Article
Official URL: http://jpubhealth.oxfordjournals.org/
Additional Information: © 2010 The Authors; Faculty of Public Health of the Royal Colleges of Physicians of the United Kingdom
Divisions: Social Policy
Lifecourse, Ageing & Population Health
Subjects: H Social Sciences > HM Sociology
H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > ALPHA (Ageing, Lifecourse and Population Health Analysis)
Date Deposited: 29 Oct 2013 09:33
Last Modified: 20 Jan 2020 04:31
URI: http://eprints.lse.ac.uk/id/eprint/53845

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