Coronary disease & ACS

Differences in urban vs. non-urban trends in mortality from ischaemic heart disease and diabetes in Italy and Spain, 2003–19

Eur J Prev CardiolPublished Population-based trend study

Authors' conclusion

Mortality from both ischaemic heart disease and diabetes have shown a greater reduction in urban areas compared with non-urban areas since the first years of the 21st century in Spain and Italy.

Study context

Population
Populations of Italy and Spain (national statistics institutes), 2003–2019
Exposure
Urban vs non-urban areas
Outcome
Average annual percentage change (APC) in age-standardized mortality from ischaemic heart disease and diabetes mellitus
Follow-up
2003 to 2019

Main finding

As reported in the abstract

APC in age-standardized mortality
GroupItaly, ischaemic heart diseaseItaly, DMSpain, ischaemic heart diseaseSpain, DM
Urban−4.0%−1.5%−4.4%−3.3%
Non-urban−3.6%−1.3%−3.7%−2.0%

Italy, ischaemic heart disease

Urban−4.0%
Non-urban−3.6%

Italy, DM

Urban−1.5%
Non-urban−1.3%

Spain, ischaemic heart disease

Urban−4.4%
Non-urban−3.7%

Spain, DM

Urban−3.3%
Non-urban−2.0%

Observational data: associations, not effects.

Original publication

Differences in urban vs. non-urban trends in mortality from ischaemic heart disease and diabetes in Italy and Spain, 2003–19. Eur J Prev Cardiol. Published 10 June 2024. doi:10.1093/eurjpc/zwae197

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