| Fecha: |
2020 |
| Resumen: |
Surprisingly few attempts have been made to quantify the simultaneous contribution of wellestablished risk factors to CVD mortality diferences between countries. We aimed to develop and critically appraise an approach to doing so, applying it to the substantial CVD mortality gap between Russia and Norway using survey data in three cities and mortality risks from the Emerging Risk Factor Collaboration. We estimated the absolute and relative diferences in CVD mortality at ages 40-69 years between countries attributable to the risk factors, under the counterfactual that the ageand sex-specifc risk factor profle in Russia was as in Norway, and vice-versa. Under the counterfactual that Russia had the Norwegian risk factor profile, the absolute age-standardized CVD mortality gap would decline by 33. 3% (95% CI 25. 1-40. 1) among men and 22. 1% (10. 4-31. 3) among women. In relative terms, the mortality rate ratio (Russia/Norway) would decline from 9-10 to 7-8. Under the counterfactual that Norway had the Russian risk factor profile, the mortality gap reduced less. Well-established CVD risk factors account for a third of the male and around a quarter of the female CVD mortality gap between Russia and Norway. However, these estimates are based on widely held epidemiological assumptions that deserve further scrutiny. |
| Nota: |
Altres ajuts: WTSA/100217/IPCDR |
| Derechos: |
Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.  |
| Lengua: |
Anglès |
| Documento: |
Article ; recerca ; Versió publicada |
| Publicado en: |
Scientific reports, Vol. 10 Núm. 20796 (2020) , ISSN 2045-2322 |
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