By Stephen Leeder, Susan Raymond, Henry Greenberg, Hui Liu, Kathy Esson
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Additional info for A Race Against Time:the Challenge of Cardiovascular Disease in Developing Economies
There is variation among countries, and presumably within countries such as India and China, but the sampled countries may not be extreme. The four countries have 30%-40% of their CVD deaths occurring in people of working age. The Philippines has over 50% of its CVD deaths in these ages, eight to ten times Western experience. S. and Portugal. S. or in Portugal. We address the consistent and striking importance of CVD for women’s health in C-3d. below. C-3b. Workforce CVD mortality projections to 2030 The picture becomes even grimmer when we project working age deaths from CVD in the study countries, using the WHO mortality rates and World Bank population projections.
11) In Asia, a steep increase in stroke mortality has accompanied a rapid rise in the prevalence of hypertension. In surveys in India, The Philippines, Thailand, Sri Lanka, Pakistan and Nepal, hypertension prevalence (>140/90 mm mercury) varied between 15% and 35% of the urban population, with rural rates two to three times lower, a matter considered worthy of research by local experts interested in CVD control. (52,53) In India, a rural and urban study as long ago as 1989 found values of body mass index, blood pressure, cholesterol, and diabetes in cities to be approaching those of Indian populations who now live in industrial countries; and there is no evidence that these trends have slowed down.
48) The move to cities is an important factor influencing CVD and its risk factors. In India, risk factor profiles are far more intense in urban populations. Among a sample of 3564 year old men, urban hypertension rates were two to three times those of rural areas. Data from the mid-1990s indicate that two-thirds of urban Indian men aged 3544 have at least one risk factor for coronary disease. By age 45, the percentage is three quarters. While a bit more than a third of urban women age 35-44 have at least one CVD risk factor in India, by age 55 that portion has risen to 80%, being higher in CVD STATUS AND PROJECTIONS IN FIVE DEVELOPING COUNTRIES 38 the cities than in rural areas.
A Race Against Time:the Challenge of Cardiovascular Disease in Developing Economies by Stephen Leeder, Susan Raymond, Henry Greenberg, Hui Liu, Kathy Esson