Spatial distribution of stroke mortality in Spain, 1975-1986.

Abstract:

:Cerebrovascular diseases (CVDs) constitute the most frequent cause of death in Spain. In order to identify the geographical pattern of CVD mortality, age- and sex-specific as well as age-adjusted mortality rates (ICD-8,9 rubrics 430-438) were calculated for the period 1975-1986 for each province in the country. Maps were constructed after categorization of mortality rates by quintile levels. In general, the geographical pattern was similar for the different age and sex strata. While most provinces in the northern half presented low or medium mortality, geographical areas located in the south, displayed rates in the uppermost quintiles. These results suggest that the spatial distribution of CVD mortality in Spain is not random and that the potential determinants underlying this geographical distribution, such as type of stroke, incidence, fatality, diagnostic or certification practices and competing causes of death, have an impact that is independent of age and sex and strongly associated with spatial location. Furthermore, these results can help in identifying high-risk populations.

journal_name

Neuroepidemiology

journal_title

Neuroepidemiology

authors

Barrado-Lanzarote MJ,Almazan-Isla J,Medrano-Albero MJ,de Pedro-Cuesta J

doi

10.1159/000109792

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

165-73

issue

4

eissn

0251-5350

issn

1423-0208

journal_volume

14

pub_type

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