Trends in age- and sex-specific prevalence and incidence of cardiovascular disease in Western Australia

Danja Sarink, Lee Nedkoff, Tom Briffa, Jonathan E. Shaw, Dianna J. Magliano, Christopher Stevenson, Haider Mannan, Matthew Knuiman, Joseph Hung, Graeme J. Hankey, Paul Norman, Anna Peeters

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Temporal trends in incidence and mortality of cardiovascular disease (CVD) have been well described, with recent data suggesting declining improvements in those aged under 55 years. However, little is known about the combined impact of incidence and mortality trends on disease prevalence, an important indicator of disease burden and cost. We analysed changes in age-specific and age-standardised temporal trends in prevalence and incidence of CVD subtypes. Methods: Annual prevalence and incidence rates of coronary heart disease, cerebrovascular disease and peripheral arterial disease for the Western Australian population for 1995–2010 were calculated using data from the Western Australian Data Linkage System. Joinpoint regression analyses were used to identify joinpoints in trends in age-specific and age-standardised annual prevalence and incidence rates for each CVD subtype. Results: Between 1995 and 2010, age- and sex-specific incidence and prevalence of the CVD subtypes generally decreased among middle-aged and older adults, but were stable or increased among younger adults. In < 55 year olds, increases in incidence tended to occur from 2003, while increases in prevalence were from 2007/2008. Declines in age-standardised incidence were greater than those in crude incidence, with changes in population structure having a greater impact among men than women. Conclusions: The majority of CVDs occurs in older adults. Our findings of generally worsening trends in prevalence in younger adults across most CVD subtypes were in contrast to generally declining trends in older age groups. These data highlight the importance of monitoring prevalence and incidence, particularly in younger adults.

Original languageEnglish
Pages (from-to)1280-1290
JournalEuropean Journal of Preventive Cardiology
Volume25
Issue number12
Early online dateJul 2018
DOIs
Publication statusPublished - 1 Aug 2018

Fingerprint

Western Australia
Cardiovascular Diseases
Incidence
Young Adult
Cerebrovascular Disorders
Cost of Illness
Mortality
Information Storage and Retrieval
Peripheral Arterial Disease
Information Systems
Population
Coronary Disease
Age Groups
Regression Analysis

Cite this

Sarink, Danja ; Nedkoff, Lee ; Briffa, Tom ; Shaw, Jonathan E. ; Magliano, Dianna J. ; Stevenson, Christopher ; Mannan, Haider ; Knuiman, Matthew ; Hung, Joseph ; Hankey, Graeme J. ; Norman, Paul ; Peeters, Anna. / Trends in age- and sex-specific prevalence and incidence of cardiovascular disease in Western Australia. In: European Journal of Preventive Cardiology. 2018 ; Vol. 25, No. 12. pp. 1280-1290.
@article{4a7c0ffeeed84871959eed8204125048,
title = "Trends in age- and sex-specific prevalence and incidence of cardiovascular disease in Western Australia",
abstract = "Background: Temporal trends in incidence and mortality of cardiovascular disease (CVD) have been well described, with recent data suggesting declining improvements in those aged under 55 years. However, little is known about the combined impact of incidence and mortality trends on disease prevalence, an important indicator of disease burden and cost. We analysed changes in age-specific and age-standardised temporal trends in prevalence and incidence of CVD subtypes. Methods: Annual prevalence and incidence rates of coronary heart disease, cerebrovascular disease and peripheral arterial disease for the Western Australian population for 1995–2010 were calculated using data from the Western Australian Data Linkage System. Joinpoint regression analyses were used to identify joinpoints in trends in age-specific and age-standardised annual prevalence and incidence rates for each CVD subtype. Results: Between 1995 and 2010, age- and sex-specific incidence and prevalence of the CVD subtypes generally decreased among middle-aged and older adults, but were stable or increased among younger adults. In < 55 year olds, increases in incidence tended to occur from 2003, while increases in prevalence were from 2007/2008. Declines in age-standardised incidence were greater than those in crude incidence, with changes in population structure having a greater impact among men than women. Conclusions: The majority of CVDs occurs in older adults. Our findings of generally worsening trends in prevalence in younger adults across most CVD subtypes were in contrast to generally declining trends in older age groups. These data highlight the importance of monitoring prevalence and incidence, particularly in younger adults.",
keywords = "Coronary heart disease, epidemiology, peripheral vascular disease, stroke",
author = "Danja Sarink and Lee Nedkoff and Tom Briffa and Shaw, {Jonathan E.} and Magliano, {Dianna J.} and Christopher Stevenson and Haider Mannan and Matthew Knuiman and Joseph Hung and Hankey, {Graeme J.} and Paul Norman and Anna Peeters",
year = "2018",
month = "8",
day = "1",
doi = "10.1177/2047487318786585",
language = "English",
volume = "25",
pages = "1280--1290",
journal = "European Journal of Cardiovascular Prevention & Rehabilitation",
issn = "1350-6277",
publisher = "SAGE Publications Ltd",
number = "12",

}

Trends in age- and sex-specific prevalence and incidence of cardiovascular disease in Western Australia. / Sarink, Danja; Nedkoff, Lee; Briffa, Tom; Shaw, Jonathan E.; Magliano, Dianna J.; Stevenson, Christopher; Mannan, Haider; Knuiman, Matthew; Hung, Joseph; Hankey, Graeme J.; Norman, Paul; Peeters, Anna.

In: European Journal of Preventive Cardiology, Vol. 25, No. 12, 01.08.2018, p. 1280-1290.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Trends in age- and sex-specific prevalence and incidence of cardiovascular disease in Western Australia

AU - Sarink, Danja

AU - Nedkoff, Lee

AU - Briffa, Tom

AU - Shaw, Jonathan E.

AU - Magliano, Dianna J.

AU - Stevenson, Christopher

AU - Mannan, Haider

AU - Knuiman, Matthew

AU - Hung, Joseph

AU - Hankey, Graeme J.

AU - Norman, Paul

AU - Peeters, Anna

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Background: Temporal trends in incidence and mortality of cardiovascular disease (CVD) have been well described, with recent data suggesting declining improvements in those aged under 55 years. However, little is known about the combined impact of incidence and mortality trends on disease prevalence, an important indicator of disease burden and cost. We analysed changes in age-specific and age-standardised temporal trends in prevalence and incidence of CVD subtypes. Methods: Annual prevalence and incidence rates of coronary heart disease, cerebrovascular disease and peripheral arterial disease for the Western Australian population for 1995–2010 were calculated using data from the Western Australian Data Linkage System. Joinpoint regression analyses were used to identify joinpoints in trends in age-specific and age-standardised annual prevalence and incidence rates for each CVD subtype. Results: Between 1995 and 2010, age- and sex-specific incidence and prevalence of the CVD subtypes generally decreased among middle-aged and older adults, but were stable or increased among younger adults. In < 55 year olds, increases in incidence tended to occur from 2003, while increases in prevalence were from 2007/2008. Declines in age-standardised incidence were greater than those in crude incidence, with changes in population structure having a greater impact among men than women. Conclusions: The majority of CVDs occurs in older adults. Our findings of generally worsening trends in prevalence in younger adults across most CVD subtypes were in contrast to generally declining trends in older age groups. These data highlight the importance of monitoring prevalence and incidence, particularly in younger adults.

AB - Background: Temporal trends in incidence and mortality of cardiovascular disease (CVD) have been well described, with recent data suggesting declining improvements in those aged under 55 years. However, little is known about the combined impact of incidence and mortality trends on disease prevalence, an important indicator of disease burden and cost. We analysed changes in age-specific and age-standardised temporal trends in prevalence and incidence of CVD subtypes. Methods: Annual prevalence and incidence rates of coronary heart disease, cerebrovascular disease and peripheral arterial disease for the Western Australian population for 1995–2010 were calculated using data from the Western Australian Data Linkage System. Joinpoint regression analyses were used to identify joinpoints in trends in age-specific and age-standardised annual prevalence and incidence rates for each CVD subtype. Results: Between 1995 and 2010, age- and sex-specific incidence and prevalence of the CVD subtypes generally decreased among middle-aged and older adults, but were stable or increased among younger adults. In < 55 year olds, increases in incidence tended to occur from 2003, while increases in prevalence were from 2007/2008. Declines in age-standardised incidence were greater than those in crude incidence, with changes in population structure having a greater impact among men than women. Conclusions: The majority of CVDs occurs in older adults. Our findings of generally worsening trends in prevalence in younger adults across most CVD subtypes were in contrast to generally declining trends in older age groups. These data highlight the importance of monitoring prevalence and incidence, particularly in younger adults.

KW - Coronary heart disease

KW - epidemiology

KW - peripheral vascular disease

KW - stroke

UR - http://www.scopus.com/inward/record.url?scp=85050204925&partnerID=8YFLogxK

U2 - 10.1177/2047487318786585

DO - 10.1177/2047487318786585

M3 - Article

VL - 25

SP - 1280

EP - 1290

JO - European Journal of Cardiovascular Prevention & Rehabilitation

JF - European Journal of Cardiovascular Prevention & Rehabilitation

SN - 1350-6277

IS - 12

ER -