Political changes and trends in cardiovascular risk factors in the Czech Republic, 1985-92.

Bobák, Martin; S̆kodová, Z; Písa, Z; Poledne, R.; Marmot, Michael

doi:10.1136/jech.51.3.272

Cited by 53 publications

(28 citation statements)

References 11 publications

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“…A similar development of the health situation was observed in this period in the Czech Republic and Slovakia [23,24]. The main reason for the decline in adult premature mortality in these countries was also the rapid decrease of cardiovascular disease mortality.…”

Section: Health Improvement After 1991supporting

confidence: 74%

Democracy is healthier – health in Poland in the late 1980s and 1990s

Zatoński¹,

Zatoński²

2016

jhi

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The collapse of the communist regime in Poland at the end of the 1980s, followed by the opening of the country to market economy, precipitated a "natural experiment" in population health. Poland emerged from communism with very poor health indicators, high rates of lung cancer and cardiovascular diseases. In the years immediately following the collapse of communism the situation deteriorated further, as a surge in alcohol consumption led to a dramatic increase in premature mortality. However, after 1991 the health situation of the Polish population began to improve. Mortality rates began to decline for all age groups, driven mainly by the decline in cardiovascular disease morbidity and mortality. One reason for this health improvement can be sought in the 10% decrease in smoking prevalence that took place in the 1990s, and was stimulated by the implementation of very progressive anti-tobacco legislation. Another contributor was the reversal in alcohol consumption trends, with alcohol consumption falling from 11 litres in 1991 to 8.5-9 litres in 1995. However, the chief reason for the rapid improvement in health were the revolutionary changes in the diet of Poles -the fall in animal fat consumption compensated by the increase in vegetable fat consumption, and the increase in the consumption of fruits and vegetable. The resulting increase in life expectancy between 1991 and 2002 among Polish women was the fastest in Europe, and among Polish men it was the third fastest.

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Section: Health Improvement After 1991supporting

confidence: 74%

Democracy is healthier – health in Poland in the late 1980s and 1990s

Zatoński¹,

Zatoński²

2016

jhi

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“…Also, although the Eastern European countries that participated in OPUS-TIMI 16 have experienced different socioeconomic environments and trends in coronary mortality during the 1990s, the small number of patients enrolled in each country did not permit intra-region analysis [4,22,23].…”

Section: Limitationsmentioning

confidence: 99%

Treatment and outcomes of eastern Europeans with coronary syndromes in OPUS-TIMI 16

Gurjeva¹,

Bukhman

Murphy

et al. 2005

International Journal of Cardiology

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“…In Poland, CHD mortality approximately doubled from 1970 to 1991 (135). But starting in 1992, CHD mortality decreased rapidly during a time of swift political and economic changes, and an examination of the potential factors that could have contributed to this reduction concluded that dietary changes best explained this reduction (11). Subsidies for dairy and animal fats decreased and consumption of vegetable oils rose rapidly, transforming the polyunsaturated/saturated fatty acid ratio (136).…”

Section: Natural Experimentsmentioning

confidence: 99%

“…The "natural experiments" of Cuba and several countries in Central and Eastern Europe provide fascinating insights into the modifiable and dynamic nature of CHD mortality (11,53,135). During the 1990s, Cuba experienced its "special period" after losing the Soviet Union as a trading partner.…”

Section: Natural Experimentsmentioning

confidence: 99%

Proportion of the Decline in Cardiovascular Mortality Disease due to Prevention Versus Treatment: Public Health Versus Clinical Care

Ford

Capewell

2011

Annu. Rev. Public Health

255

179

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Mortality rates from coronary heart disease (CHD), which had risen during the twentieth century in many countries, started declining in some countries during the 1960s. Once initial skepticism about the validity of the observed trends dissipated, researchers attempted to generate explanations about the events that had transpired using a variety of techniques, including ecological examinations of the trends in risk factors for CHD and changes in management of CHD, multivariate risk equations, and increasingly sophisticated modeling techniques. Improvements in risk factors as well as changes in cardiac treatments have both contributed to the reductions in CHD mortality, although estimates of their contributions have varied among countries. Models suggest that additional large reductions in CHD mortality are feasible by either improving the distribution of risk factors in the population or raising the percentage of patients receiving evidence-based treatments.

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Political changes and trends in cardiovascular risk factors in the Czech Republic, 1985-92.

Cited by 53 publications

References 11 publications

Democracy is healthier – health in Poland in the late 1980s and 1990s

Democracy is healthier – health in Poland in the late 1980s and 1990s

Treatment and outcomes of eastern Europeans with coronary syndromes in OPUS-TIMI 16

Proportion of the Decline in Cardiovascular Mortality Disease due to Prevention Versus Treatment: Public Health Versus Clinical Care

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