Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1983 Feb;73(2):140–144. doi: 10.2105/ajph.73.2.140

The contribution of hypertension to mortality in the US: 1968, 1977.

S Wing, K G Manton
PMCID: PMC1650511  PMID: 6849471

Abstract

The contribution of hypertension to total mortality in the United States in 1968 and 1977 is assessed through multiple cause death rates for all mentions of hypertension and the death certificate prevalence of hypertension. Age-adjusted declines in the hypertension death rates were 32.8 per cent for non-White females, 30.4 per cent for non-White males, 30.3 per cent for White females, and 25.2 per cent for White males. Declines for younger non-Whites were the greatest, about 50 per cent, although their rates were more than twice the White rates in both years. Death certificate prevalence also declined for all four groups with the greatest (16.5 per cent) for non-White males and the least (10.4 per cent) for White males, who only showed declines at older ages. The age trajectory of death certificate prevalence reached a peak at ages 50-69 for non-Whites and ages 60-79 for Whites, with lower prevalence at the most advanced ages. Large declines in the contribution of hypertension to mortality observed in death certificate data are particularly striking in light of the probability that any bias would be toward better detection and reporting over the 10 years.

Full text

PDF
144

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CASE R. A. Cohort analysis of mortality rates as an historical or narrative technique. Br J Prev Soc Med. 1956 Oct;10(4):159–171. doi: 10.1136/jech.10.4.159. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cooper R., Tsong Y., Hoeksema R., Liu K. Is the recent decline in coronary disease mortality in the United States attributable to lower rates of influenza and pneumonia? Prev Med. 1980 Jul;9(4):559–568. doi: 10.1016/0091-7435(80)90051-1. [DOI] [PubMed] [Google Scholar]
  3. Gordon T., Thom T. The recent decrease in CHD mortality. Prev Med. 1975 Jun;4(2):115–125. doi: 10.1016/0091-7435(75)90077-8. [DOI] [PubMed] [Google Scholar]
  4. Markush R. E., Seigel D. G. Prevalence at death. I. A new method for deriving death rates for specific diseases. Am J Public Health Nations Health. 1968 Mar;58(3):544–557. doi: 10.2105/ajph.58.3.544. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Miettinen O. S. Proportion of disease caused or prevented by a given exposure, trait or intervention. Am J Epidemiol. 1974 May;99(5):325–332. doi: 10.1093/oxfordjournals.aje.a121617. [DOI] [PubMed] [Google Scholar]
  6. Siegel J. S. Estimates of coverage of the population by sex, race, and age in the 1970 census. Demography. 1974 Feb;11(1):1–23. [PubMed] [Google Scholar]
  7. Soltero I., Cooper R. Improved hypertension control and decline in cardiovascular mortality. Compr Ther. 1980 Mar;6(3):60–64. [PubMed] [Google Scholar]
  8. Stamler J., Stamler R., Riedlinger W. F., Algera G., Roberts R. H. Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975. JAMA. 1976 May 24;235(21):2299–2306. doi: 10.1001/jama.235.21.2299. [DOI] [PubMed] [Google Scholar]
  9. Wassertheil-Smoller S., Apostolides A., Miller M., Oberman A., Thom T. Recent status of detection, treatment, and control of hypertension in the community. J Community Health. 1979 Winter;5(2):82–93. doi: 10.1007/BF01324010. [DOI] [PubMed] [Google Scholar]
  10. Wing S., Manton K. G. A multiple cause of death analysis of hypertension-related mortality in North Carolina, 1968-1977. Am J Public Health. 1981 Aug;71(8):823–830. doi: 10.2105/ajph.71.8.823. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES