Abstract:
BACKGROUND:The use of validated multivariate cardiovascular predictive models in a population setting is of interest for public health policy makers. We aimed to validate the estimations of the CASSANDRA model (coronary heart disease (CHD) incidence and CHD risk distribution), considering the population changes in age, sex and CHD risk factors prevalence in a 10-year period. METHODS:We compared the projected CHD incidence estimated with CASSANDRA with that observed in the Girona Heart Registry (REGICOR) for 1995-2004 and 2000-2009 in the population of Girona (Spain) aged 35-74 years. We used official age and sex distributions for this population. Baseline cardiovascular risk factors prevalence and the distribution of cardiovascular risk were obtained from three cross-sectional studies performed in 1995, 2000 and 2005. To validate the future distribution of cardiovascular risk, we tested the yearly CHD risk variance over the study period. RESULTS:No significant differences between the estimated and observed annual CHD incidence per 100 000 men were found in 1995-2004 (CASSANDRA=457.8 and REGICOR=420.3, incidence rate ratio (IRR) (95% CI)=0.92 (0.89 to 0.96)) and in 2000-2009 (441.4 and 409.6, respectively, IRR=0.93 (0.90 to 0.96)). However, overpredictions of 18% and 22%, respectively, were observed in women (198.8 and 160.4, IRR=0.82 (0.77 to 0.86), and 197.1 and 152.8, IRR=0.78 (0.74 to 0.83), respectively). No significant differences were found in the CHD risk variance in the three different cross-sectional studies. CONCLUSIONS:The CASSANDRA model produces valid estimates, particularly in men, of the future burden of disease and in the distribution of cardiovascular risk in individuals aged 35-74 years.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Grau M,Subirana I,Vila J,Elosua R,Ramos R,Sala J,Dégano IR,Tresserras R,Bielsa O,Marrugat Jdoi
10.1136/jech-2013-203516subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1012-9issue
11eissn
0143-005Xissn
1470-2738pii
jech-2013-203516journal_volume
68pub_type
杂志文章abstract:STUDY OBJECTIVE:The aim of the study was to examine the possible influence of social class on the prevalence of cerebral palsy. DESIGN:The study was a retrospective population based survey of all cases of cerebral palsy. SETTING:The study involved all cases of cerebral palsy born to residents in the Eastern Health Bo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.3.191
更新日期:1990-09-01 00:00:00
abstract:BACKGROUND:HIV incidence estimates are crucial in understanding and predicting the HIV/AIDS epidemic and identifying sub-populations and regions most at risk for the epidemic. However, incidence estimation is a challenge due to the nature of the disease and type of data available. This paper aims to present a simple an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.091959
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Mortality increases during heat waves have been reported worldwide. The magnitude of these increases can vary within regions according to sociodemographic and urban landscape characteristics. The objectives of this study were to explore this variation and its determinants, and to identify the most heat-vulne...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201899
更新日期:2013-06-01 00:00:00
abstract:STUDY OBJECTIVE:This study examined the prevalence of body dissatisfaction as a function of individual level and neighbourhood level indicators of affluence. PARTICIPANTS AND SETTING:A subset of data from a larger random digit dialling telephone survey was used to obtain individual level data on body dissatisfaction, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.3.193
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Innovative strategies beyond the health system are required to reduce the prevalence of smoking. Early child development interventions are examples of interventions that can help set children on positive social and educational trajectories, which in turn may also reduce the prevalence of smoking. The aim of ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.101840
更新日期:2011-12-01 00:00:00
abstract::The comparison of trends in ischaemic heart disease (IHD) mortality in different social classes is confounded by historical changes in diagnostic techniques and statistical classification, and possibly by different standards of diagnostic accuracy in the different social classes. The problems can be circumvented by ta...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.33.1.74
更新日期:1979-03-01 00:00:00
abstract::In February and May 1986, weekly samples of whole pasteurised milk were collected from the 24 dairies supplying seven British towns. A random sample of 96 women aged 25-64 was drawn from general practitioners' lists in each town, and catch specimens of early morning urine were collected by post from 194 subjects in Fe...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.1.72
更新日期:1988-03-01 00:00:00
abstract:OBJECTIVE:To compare a self administered computerised assessment of neurotic psychiatric disorder (psychiatric morbidity) with an identical assessment administered by a human interviewer. In particular, to discover whether a computerised assessment overestimates or underestimates the prevalence of psychiatric morbidity...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.48.2.207
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:Inverse associations between perceived control and cardiovascular disease (CVD) have been reported in studies from Western Europe and the USA. To assess this relationship across different populations, we investigated the association between perceived control and all-cause and CVD mortality in three populatio...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-208992
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Disparities in health among blacks and Hispanics compared to whites individuals exist for a number of health measures; however, the health profile of individuals who are both black and Hispanic is not well known. We sought to determine whether race and ethnicity have synchronous or independent effects on hea...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.103879
更新日期:2012-07-01 00:00:00
abstract:STUDY OBJECTIVE:The acceptability of domestic violence against women (DVAW) plays an important part in shaping the social environment in which the victims are embedded, which in turn may contribute either to perpetuate or to reduce the levels of DVAW in our societies. This study analyses correlates of the acceptability...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.036533
更新日期:2006-02-01 00:00:00
abstract::The Global Polio Eradication Initiative to eradicate polio completely by the year 2000 has been successful, except for three endemic and some non-endemic countries. Pakistan, one of the three endemic polio reservoirs, is posing a serious threat to the success of the initiative. Currently, the expanded programme on imm...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2012-202162
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Low socioeconomic status (SES) has been linked to increased risk of hypertension, a known risk factor for cardiovascular disease. How the risk is altered by intergenerational social mobility is not well known. The aim of this study is to investigate parental SES, adult SES and the intergenerational social mo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.130567
更新日期:2012-06-01 00:00:00
abstract::In a house-to-house study of 994 urban Zulus the prevalence of hypertension according to WHO criteria was 25% (23% men, 27% women). In a rural Zulu study of 987 the prevalence age corrected to the urban distribution was 9.4% (8.7% men, 10% women). Thus there was a pronounced difference between the prevalence of hypert...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.36.4.256
更新日期:1982-12-01 00:00:00
abstract:STUDY OBJECTIVES:To describe the prevalence of hepatitis B virus (HBV) infection in patients with sexually transmitted diseases (STD) and human immunodeficiency virus (HIV) infection, and to determine the role of sexual transmission of HBV infection in Singapore. DESIGN:A cross sectional study of all consecutive men p...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.3.309
更新日期:1995-06-01 00:00:00
abstract::Blood pressure, pulse rate, body weight, and height were measured on two occasions in the inhabitants of a random 10% sample of households in a Belgian village. Twenty-four-hour urinary excretion of creatinine, sodium, and potassium was also determined. In subjects over the age of 19 there was a significant correlatio...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.35.4.256
更新日期:1981-12-01 00:00:00
abstract:BACKGROUND:The Home Office has recently published estimates which, for the first time, provide a "robust national estimate" of the number of problematic drug users in England. The 2004/05 and 2005/06 estimates are the highest estimates ever produced for England and coincide with the highest ever government annual expen...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.076844
更新日期:2009-01-01 00:00:00
abstract::Since the early 1960s notification rates for tuberculosis in England and Wales for the whole population have been influenced by high rates in certain ethnic groups. Using data based on country of birth from the British (Thoracic and) Tuberculosis Association surveys of 1965 and 1971, and based on ethnic origin from th...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.4.370
更新日期:1988-12-01 00:00:00
abstract:BACKGROUND:This study is the first to examine the relationship between gender and self-assessed health (SAH), and the extent to which this varies by socioeconomic position in different European welfare state regimes (Liberal, Corporatist, Social Democratic, Southern). METHODS:The EUROTHINE harmonised data set (based o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.070292
更新日期:2009-01-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to investigate suicide and "undetermined" deaths by age, economic activity status, and social class in Great Britain among males of working age. DESIGN:The study was a cross sectional analysis of Registrar General's data for England and Wales around 1981, repeated for around 1971, and for S...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.3.195
更新日期:1991-09-01 00:00:00
abstract::A study of 150 hotel prostitutes in Lagos was undertaken to determine their socioeconomic identity and, through an assessment of their health knowledge, attitude, and practice, their probable impact on public health. The subjects were selected from 15 hotels, representing 20% of the estimated hotel universe in Lagos a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.312
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVE:The aim was to study whether women having had caesarean sections (index women) have more subsequent health problems, measured by hospital admissions, than women having had vaginal deliveries (control women). DESIGN:The study involved comparison of hospital admissions before (2-5 years) and after (7-10 years)...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.1.24
更新日期:1991-03-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the associations between frequency of leisure time exercise and cardiovascular risk factors in adolescents. DESIGN:Cross sectional survey carried out over a 3 month period in 1984. SETTING:All 24 schools in North Karelia province and 16 randomly selected schools in Kuopio province. PARTICI...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.3.228
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:Several studies have examined the effects of sample selection on the exposure-outcome association estimates in cohort studies, but the reasons why this selection may induce bias have not been fully explored. AIMS:To investigate how sample selection of the web-based NINFEA birth cohort may change the confoun...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200065
更新日期:2012-11-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to identify any social class differences in health and care in the year before death emerging from a wider study of life before death. DESIGN AND SETTING:Data were collected at interviews, mainly of close relatives, with those who knew most about the people's lives in the year before they d...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.1.54
更新日期:1992-02-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to audit, against agreed standards, the control of bacterial meningitis, in particular completeness of notification and appropriateness of distribution of chemoprophylaxis to contacts; and to implement appropriate changes and monitor their impact. DESIGN:The first phase involved determinati...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.4.329
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:Recent studies from the USA and Europe suggest an association between an individual's political ideology and their health status, with those claiming to be conservatives reporting better health. The presence of this association is examined in Japan. METHODS:Individual-level data from the 2000-3, 2005 and 20...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.097915
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To compare common health experiences of a South Asian (predominantly Punjabi) population with that of the general population, according to sex, and to related patterns of health in the fourth decade of life to the pattern of hospital admission and mortality documented in the published reports. DESIGN AND SET...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.2.96
更新日期:1993-04-01 00:00:00
abstract:BACKGROUND:Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Several studies have found that an increased level of ambient particulate matter (PM) smaller than 2.5 microns (PM2.5) is associated with an increased risk of OHCA. We investigated the relationship between air pollution levels and the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202955
更新日期:2014-01-01 00:00:00
abstract:STUDY OBJECTIVE:To study municipal variations in children's injury risk and to assess the impact of safety promotion measures in general municipal, preschool, school, and leisure activity settings, on injury outcome. DESIGN:A cohort study based on individual data on children's consumption of hospital care as a result ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.57.9.724
更新日期:2003-09-01 00:00:00