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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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Trends in all-cause and cardiovascular mortality: a comparison between Belgium, the Netherlands, and Denmark, 1950–99

Trends in all-cause and cardiovascular mortality: a comparison between Belgium, the Netherlands, and Denmark, 1950–99

Chapter:
(p.187) Chapter 13 Trends in all-cause and cardiovascular mortality: a comparison between Belgium, the Netherlands, and Denmark, 1950–99
Source:
Coronary Heart Disease Epidemiology
Author(s):

J. V. Joossens

H. Kesteloot

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198525738.003.0013

This chapter compares mortality trends and possible explanatory factors in three developed affluent countries: Belgium, the Netherlands, and Denmark. These countries have similar socio-economic systems, and each has a social healthcare system covering the whole population, but they have important differences in employment. All-cause mortality is used as the ‘gold standard’ against which to validate cardiovascular mortality. To explore which factors might explain the observed changes in mortality in the three countries, levels and time-related changes in mortality rates in both sexes are compared with changes in lifestyle and in socio-economic factors, primarily unemployment.

Keywords:   coronary heart disease, mortality rates, Belgium, the Netherlands, Denmark

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