Literature DB >> 20667050

Seasonal patterns of cardiovascular disease mortality of adults in Burkina Faso, West Africa.

Gisela Kynast-Wolf1, Michael Preuß, Ali Sié, Bocar Kouyaté, Heiko Becher.   

Abstract

OBJECTIVE: To evaluate seasonal patterns of cardiovascular death in adults, which are possibly influenced by hot and dry climate, in a rural setting of Burkina Faso.
METHODS: Cause of death was ascertained by verbal autopsy. Age-specific death rates (cardiovascular death and all-cause) by month of death were calculated. Seasonal trends and temperature effects were modelled with Poisson regression.
RESULTS: In 11,174 adults (40+), 1238 deaths were recorded for the period 1999-2003. All-cause mortality in adults (40-64 years) and the elderly (65+ years) was 1269 per 100,000 (95% CI 1156-1382) and 7074 (95% CI 6569-7579), respectively. Cardiovascular death was the fourth most frequent cause of death in adults (40+), with a mortality of 109.9 (95% CI 76.6-143.1) for ages 40-64 and 544.9 (95% CI 404.6-685.1) for ages 65+. For all-causes, the mortality was highest in March and for cardiovascular death highest in April, the hot dry season (March-May). Mean monthly temperature was significantly related to mortality in old ages.
CONCLUSIONS: Cardiovascular mortality varies by season, with higher mortality rates in the hot dry season. The pattern seems to be consistent with other studies suggesting association between hot weather and cardiovascular disease. A 'heat-wave' effect appears to be observable also in areas with hot average temperatures.
© 2010 Blackwell Publishing Ltd.

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Year:  2010        PMID: 20667050     DOI: 10.1111/j.1365-3156.2010.02586.x

Source DB:  PubMed          Journal:  Trop Med Int Health        ISSN: 1360-2276            Impact factor:   2.622


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