CLINICAL RESEARCH: CORONARY ARTERY DISEASE
Coronary Heart Disease Mortality Among Young Adults in the U.S. From 1980 Through 2002Concealed Leveling of Mortality Rates
Earl S. Ford, MD, MPH*,* and
Simon Capewell, MD
* Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Department of Public Health, University of Liverpool, Liverpool, United Kingdom.
Manuscript received February 14, 2007;
revised manuscript received April 24, 2007,
accepted May 14, 2007.
* Reprint requests and correspondence: Dr. Earl S. Ford, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, Georgia 30341. (Email: eford{at}cdc.gov).
Objectives: The objective of our study was to examine age-specific mortality rates from coronary heart disease (CHD), particularly those among younger adults.
Background: Trends for obesity, diabetes, blood pressure, and metabolic syndrome among young adults raise concerns about the mortality rates from CHD in this group.
Methods: We used mortality data from 1980 to 2002 to calculate age-specific mortality rates from CHD for U.S. adults age  35 years.
Results: Overall, the age-adjusted mortality rate decreased by 52% in men and 49% in women. Among women age 35 to 54 years, the estimated annual percentage change (EAPC) in mortality was –5.4% (95% confidence interval [CI] –5.8 to –4.9) from 1980 until 1989, –1.2% (95% CI –1.6 to –0.8) from 1989 until 2000, and 1.5% (95% CI –3.4 to 6.6) from 2000 until 2002. Among men age 35 to 54 years, the EAPC in mortality was –6.2% (95% CI –6.4 to –5.9) from 1980 until 1989, –2.3% (95% CI –2.6 to –2.1) from 1989 until 2000, and –0.5% (95% CI –3.7 to 2.9) from 2000 until 2002. Among women and men age 55 years, the estimated annual percentage decrease in mortality from CHD accelerated in more recent years compared with earlier periods.
Conclusions: The mortality rates for CHD among younger adults may serve as a sentinel event. Unfavorable trends in several risk factors for CHD provide a likely explanation for the observed mortality rates.
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Abbreviations and Acronyms
| | CHD = coronary heart disease | | CI = confidence interval | | EAPC = estimated annual percentage change | | ICD = International Classification of Diseases |
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