Recent changes in mortality of Israeli Jews from coronary heart disease (CHD), cerebrovascular disease (CVD) and all causes are analyzed. CHD mortality declined between 1974 fand 1978. Age-adjusted rates declined from 441 to 377 per 100,000 males and from 303 to 238 among females 25 and over. During the same period, mortality from CVD showed an even more remarkable decrease, from 160 to 127 and from 184 to 132 per 100,000, among males and females, respectively. These changes are fully expressed in a decrease in total mortality. Age-adjusted rates per 10,000 inhabitants over 25 are now 116 (males) and 81 (females), compared to 126 and 105 in 1974, respectively. While male mortality returned to the low 1961/62 levels, female mortality is even lower than at that time. The decrease was evident in all age groups above 45 for males and above 55 for females. Trends within area of birth are erratic due to small numbers, nevertheless an overall trend of decrease was observed. Mortality from CVD remained very much higher among the African-born than among those born elsewhere, and African-born women also showed a clear excess of CHD mortality. Asian-born men (CHD mortality) and Israeli-born persons of both sexes displayed the lowest rates. In the absence of recent morbidity data, it is difficult to find support for either primary or secondary prevention as the major determinant in the observed trends. The findings should encourage persistent efforts in both fields.
|State||Published - 1980|