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A multiple cause of death analysis of hypertension-related mortality in North Carolina, 1968-1977

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  • Wing, S.
  • Manton, K.G.

Abstract

In this paper, records of all medical conditions on death certificates are used to evaluate hypertension-related mortality in North Carolina over the decade 1968-1977. Use of both an inclusive hypertension recode category and multiple cause data resulted in gains in information of over 750 per cent in all four race/sex groups compared to the commonly used underlying cause, hypertensive disease category. Race, sex and age specific 10-year trends in death rates for all mentions of hypertension are analyzed, with comparisons to underlying cause mortality from ischemic heart disease and stroke. Age-adjusted declines of 19 to 24 per cent between 1968 and 1977 were observed for all race/sex groups, although non-White declines occurred mainly at younger ages while White declines (especially White males) occurred mainly at older ages. The non-White excess of hypertension mentions (compared to Whites) increased for males and decreased for females. The decline in hypertension mentions, in spite of the increased awareness of hypertension as a public health problem which would make it more likely to be mentioned on death certificates, suggests that there was a real reduction in the contribution of hypertension to total mortality over the period.

Suggested Citation

  • Wing, S. & Manton, K.G., 1981. "A multiple cause of death analysis of hypertension-related mortality in North Carolina, 1968-1977," American Journal of Public Health, American Public Health Association, vol. 71(8), pages 823-830.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.71.8.823_7
    DOI: 10.2105/AJPH.71.8.823
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    Cited by:

    1. Aline F. Désesquelles & Michele Antonio Salvatore & Marilena Pappagallo & Luisa Frova & Monica Pace & France Meslé & Viviana Egidi, 2012. "Analysing Multiple Causes of Death: Which Methods For Which Data? An Application to the Cancer-Related Mortality in France and Italy [Analyse des causes multiples de décès: quelles méthodes pour qu," European Journal of Population, Springer;European Association for Population Studies, vol. 28(4), pages 467-498, November.
    2. Viviana Egidi & Michele Antonio Salvatore & Giulia Rivellini & Silvia D'Angelo, 2018. "A network approach to studying cause-of-death interrelations," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(16), pages 373-400.

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