Skip Navigation

The European Journal of Public Health 2003 13(3):226-229; doi:10.1093/eurpub/13.3.226
© 2003 by European Journal of Public Health
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Bonneux, L.
Right arrow Articles by Looman, C.W.N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bonneux, L.
Right arrow Articles by Looman, C.W.N.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Health Patterns and Determinants

High coronary heart disease rates among Dutch women of the baby boom, born 1945–1959

Age-cohort analysis and projection

L. Bonneux1,* and C.W.N. Looman1

1 Department of Public Health, Erasmus University Rotterdam, the Netherlands

Background: After a steep decline in older generations, coronary heart disease mortality is stagnating in female cohorts born after the Second World War. We analysed past trends and predicted future health care needs for coronary heart disease in the Dutch population. Methods: A loglinear age-cohort model relates numbers of deaths and hospital admissions for coronary heart disease to sex, age, birth cohort and population size, and projects age-cohort changes over the future population. Population size, population forecasts and coronary heart disease mortality (period 1970–1999) are from vital statistics. Numbers of hospitalised acute coronary events are from the nationwide hospital register (period 1980–1999). Results: Among men, the rate ratios of deaths and hospital admissions were, respectively, 0.21 (death) and 0.78 (survivors at discharge) in the cohorts born in the period 1948–1962 compared to the period 1918–1922. Among women, the same rate ratios were 0.41 and 1.89. The projection model predicts 22% less deaths from coronary heart disease and 22% more survivors of an infarction in 2015, among men. Among women, there will be 5% less deaths and 70% more survivors of an infarction, most of these being middle age members of the baby boom cohorts. Conclusions: Stagnating all-cause mortality is correlated with an upward trend in coronary heart disease risk in the female baby boomers. Heart health care needs among middle-aged women will increase sharply. These changes are correlated to high lung cancer mortality and high smoking rates in these cohorts.

Keywords: baby boom cohorts, coronary heart disease, lung cancer, smoking, women

Received 13 December 2001. Accepted 22 May 2002.

* Correspondence: Luc Bonneux, Department of Public Health, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands, tel. +31 10 408 7714, fax +31 10 408 9449, e-mail: l.bonneux{at}jc.azu.nl


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am J EpidemiolHome page
H. Chen, P. Cohen, and S. Kasen
Cohort Differences in Self-Rated Health: Evidence from a Three-Decade, Community-Based, Longitudinal Study of Women
Am. J. Epidemiol., August 15, 2007; 166(4): 439 - 446.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.