Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #104603

Francisco J. López Antuñano, MD, MPH¹, Victor Josè Tovar-Guzman, MD, MPH, MSc¹, José RaúL. Vieyra Cerrillo, BSc², and Norma Elena Rodríguez Salgado, BSc³. (1) Center for Populational Health Research, National Institute of Public Health, Mexico, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico, 52777112463, alantu@insp.mx, (2) Tobacco Research, National Institute of Public Health, c/o Avenida Universidad No 655, Santa María Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico, (3) Center for Populational Health Research, National Institute of Public Health, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico

Objective. To analyze the ischaemic heart disease (IHD) mortality trends in Mexico, 1980-2002. Method. Variables calculated: change percentage and annual mean increase of mortality rates by age groups and gender; age adjusted mortality rates for each year and Mexican States, Standardized Mortality Ratio (SMR), and Years of Potential Life Lost Index for the 32 Mexican States. The mortality was analysed by age-period-cohort. A correlation analysis was made with mortality by states, and indexes of social marginalization, external migration, fertility and ethnic. Results. 679,624 IHD cases aging >35 years old were studied, (56% men). The crude mortality rate (CMR), varied from 109 (1980) to 154 per 100,000 men (2002), and increase from 78(1980) to 120 deaths per 100,000 women (2002). The specific mortality rates increased from 622 cases in 35-39 years old age group, up to 24,817 deaths in >75 years old. As the age of death is lower and the birth cohort increases, the absolute values descend. At the Mexican States located in the Northern border and central areas of the country, the risk is higher to die from AICS. The annual mean growth is 874 cases in men, and 769 cases in women (35 or more years old). Conclusions. The older cohorts of the studied population showed the highest IHD mortality rates. The geographic risk to die from IHD is concentrated in states with higher economic income in the northern part of the country limiting to the United States of America. Mortality rates increase with time.

Learning Objectives:

• We are accumulating evidences to demonstrate the importance of the increasing AICS mortality rates and their association to social and behavior variables in order to develop permanent and effective public health programs

Keywords: Heart Disease, Mortality

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.