Cent Eur J Public Health 2023, 31(2):120-126 | DOI: 10.21101/cejph.a7287

Inequalities in premature mortality from ischaemic heart disease in the WHO European region

Noémi Németh1, Imre Boncz1, Annamária Pakai2, Diána Elmer1, Lilla Horváth1, Róbert Pónusz1, Tímea Csákvári1, Zsuzsa Kívés1, Iván Gábor Horváth3, Dóra Endrei1
1 Institute for Health Insurance, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
2 Faculty of Health Sciences, Szombathely Campus, University of Pécs, Pécs, Hungary
3 Heart Institute, Clinical Centre, Medical School, University of Pécs, Pécs, Hungary

Objectives: Ischaemic heart disease (IHD) is one of the leading causes of premature mortality. Our aim was to analyse standardised premature mortality rates from IHD by geographical groups in the age group 45-59 years.

Methods: We performed a retrospective, quantitative analysis of age-standardized mortality rates from IHD between 1990-2014 per 100,000 population in Western European (WE: N = 17), Eastern European countries (EE: N = 10), and countries of the former Soviet Union (fSU: N = 15) within the European Region of the World Health Organisation (WHO) based on data retrieved from the WHO European Mortality Database. Descriptive statistics, time series analysis and statistical tests were used for the analyses (ANOVA, Kruskal-Wallis test, Mann-Whitney test, paired t-test).

Results: On average, age-standardized death rates (ASDR) from IHD per 100,000 population were the lowest in WE (men 1990: 143.67, 2014: 50.29; women 1990: 29.06, 2014: 9.89), and the highest in fSU (men 1990: 358.69, 2014: 253.25; women 1990: 99.78, 2014: 57.85). Between 1990 and 2014, all three groups experienced significant decrease in ASDR both in men and women (fSU: -29.39%, -42.02%; EE: -49.41%, -50.57%; WE: -64.99%, -65.97%, respectively) (p < 0.05). Between 1990 and 2004, ASDR decreased in WE in both sexes (p < 0.001), in EE among males (p = 0.032). Between 2004 and 2014, ASDR from IHD decreased significantly in both sexes in fSU and WE, in EE only among women (p < 0.05).

Conclusions: During the whole period analysed, ischaemic heart disease mortality significantly decreased in both sexes in all the groups.

Keywords: epidemiology, ischaemic heart disease, premature mortality

Received: January 16, 2022; Revised: June 15, 2023; Accepted: June 15, 2023; Published: June 30, 2023  Show citation

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Németh N, Boncz I, Pakai A, Elmer D, Horváth L, Pónusz R, et al.. Inequalities in premature mortality from ischaemic heart disease in the WHO European region. Cent Eur J Public Health. 2023;31(2):120-126. doi: 10.21101/cejph.a7287. PubMed PMID: 37451245.
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