Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population
Abstract Objective: To evaluate the impact of repeated community‐wide mass health examinations on cardiovascular mortality and hospital morbidity trends in Busselton. Method: Population census, hospital admission and death data were used to calculate and compare cardiovascular mortality rates from 1...
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| Format: | Article |
| Language: | English |
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Elsevier
2004-06-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Online Access: | https://doi.org/10.1111/j.1467-842X.2004.tb00706.x |
| _version_ | 1797763789388513280 |
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| author | Matthew W. Knuiman Johanna P. Clarkson Max Bulsara Helen C. Bartholomew |
| author_facet | Matthew W. Knuiman Johanna P. Clarkson Max Bulsara Helen C. Bartholomew |
| author_sort | Matthew W. Knuiman |
| collection | DOAJ |
| description | Abstract Objective: To evaluate the impact of repeated community‐wide mass health examinations on cardiovascular mortality and hospital morbidity trends in Busselton. Method: Population census, hospital admission and death data were used to calculate and compare cardiovascular mortality rates from 1965 to 1998 and hospital morbidity rates from 1971 to 1998 in Busselton residents aged 40 to 84 years with the remainder of the south‐west region of Western Australia. Results: Among men aged 40–69 years, the calendar year trends in standardised cardiovascular mortality and morbidity ratios were relatively flat and nonsignificant. Among women aged 40–69 years, the mortality ratio declined significantly up to 1989 (p=0.03) but not over the whole period (p=0.12), and the downward trend in the morbidity ratio did not reach statistical significance (p=0.21). Among men aged 70–84 years, both the mortality and morbidity ratios rose significantly over time, whereas among women aged 70–84 years the mortality ratios showed a flat trend and the morbidity ratios a rising trend. These increasing trends were opposite to what was expected if the surveys had a beneficial impact. Conclusion: This analysis of trends, while failing to demonstrate a clear benefit of repeated mass health screenings on cardiovascular event rates, also highlights the difficulties in evaluating the longer‐term impact on event rates of such programs and suggests that negative conclusions should be made with caution. |
| first_indexed | 2024-03-12T19:47:22Z |
| format | Article |
| id | doaj.art-94a91814bb1543ffb815ecd988fb2b5e |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T19:47:22Z |
| publishDate | 2004-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-94a91814bb1543ffb815ecd988fb2b5e2023-08-02T03:29:18ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052004-06-0128326727210.1111/j.1467-842X.2004.tb00706.xEvaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton populationMatthew W. Knuiman0Johanna P. Clarkson1Max Bulsara2Helen C. Bartholomew3School of Population Health, University of Western AustraliaSchool of Population Health, University of Western AustraliaSchool of Population Health, University of Western AustraliaSchool of Population Health, University of Western AustraliaAbstract Objective: To evaluate the impact of repeated community‐wide mass health examinations on cardiovascular mortality and hospital morbidity trends in Busselton. Method: Population census, hospital admission and death data were used to calculate and compare cardiovascular mortality rates from 1965 to 1998 and hospital morbidity rates from 1971 to 1998 in Busselton residents aged 40 to 84 years with the remainder of the south‐west region of Western Australia. Results: Among men aged 40–69 years, the calendar year trends in standardised cardiovascular mortality and morbidity ratios were relatively flat and nonsignificant. Among women aged 40–69 years, the mortality ratio declined significantly up to 1989 (p=0.03) but not over the whole period (p=0.12), and the downward trend in the morbidity ratio did not reach statistical significance (p=0.21). Among men aged 70–84 years, both the mortality and morbidity ratios rose significantly over time, whereas among women aged 70–84 years the mortality ratios showed a flat trend and the morbidity ratios a rising trend. These increasing trends were opposite to what was expected if the surveys had a beneficial impact. Conclusion: This analysis of trends, while failing to demonstrate a clear benefit of repeated mass health screenings on cardiovascular event rates, also highlights the difficulties in evaluating the longer‐term impact on event rates of such programs and suggests that negative conclusions should be made with caution.https://doi.org/10.1111/j.1467-842X.2004.tb00706.x |
| spellingShingle | Matthew W. Knuiman Johanna P. Clarkson Max Bulsara Helen C. Bartholomew Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population Australian and New Zealand Journal of Public Health |
| title | Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population |
| title_full | Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population |
| title_fullStr | Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population |
| title_full_unstemmed | Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population |
| title_short | Evaluating the impact of repeated community‐wide health surveys on cardiovascular morbidity and mortality in the Busselton population |
| title_sort | evaluating the impact of repeated community wide health surveys on cardiovascular morbidity and mortality in the busselton population |
| url | https://doi.org/10.1111/j.1467-842X.2004.tb00706.x |
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