Literature DB >> 3630638

Cerebrovascular deaths before and after the appearance of oral contraceptives.

O Lidegaard.   

Abstract

The mortality of cerebrovascular diseases in Denmark was analysed for men and women 15-44 years of age, in a 14-year period before and after the appearance of oral contraceptives (OC) in 1966. 1,670 deaths were registered over 28 years, during which the female incidence of cerebrovascular deaths increased by 19% (P less than 0.025), while the male mortality was unchanged. Women showed a percentage increase in deaths from cerebral thromboembolic attacks (CTA) of 33%, men a fall of 14%. The increase of female CTA deaths was most pronounced in the young fertile group, the age group with a high OC use. A relative risk of CTA of 3.3-4.5 for OC users compared with non-users could explain the CTA trend difference between women and men. No other single risk factor responsible for the observed trends could be identified. Both women and men had a significant increase in the mortality of subarachnoidal hemorrhages, and a significant fall in the mortality of intracerebral hemorrhages.

Entities:  

Keywords:  Biology; Cardiovascular Effects; Cerebrovascular Effects--changes; Cerebrovascular Effects--men; Cerebrovascular Effects--women; Contraception; Contraceptive Agents; Contraceptive Agents, Female; Contraceptive Methods--side effects; Correlation Studies; Demographic Factors; Denmark; Developed Countries; Diseases; Embolism; Epidemiologic Methods; Europe; Family Planning; Mortality Determinants; Mortality--changes; Northern Europe; Oral Contraceptives--side effects; Physiology; Population; Population Characteristics; Population Dynamics; Research Methodology; Scandinavia; Sex Factors; Statistical Studies; Studies; Thromboembolism--women; Vascular Diseases

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Substances:

Year:  1987        PMID: 3630638     DOI: 10.1111/j.1600-0404.1987.tb05473.x

Source DB:  PubMed          Journal:  Acta Neurol Scand        ISSN: 0001-6314            Impact factor:   3.209


  4 in total

1.  [Reproductive mortality in Switzerland between 1952 and 1982].

Authors:  B Edye; U Ackermann-Liebrich
Journal:  Soz Praventivmed       Date:  1988

2.  Oral contraception and risk of a cerebral thromboembolic attack: results of a case-control study.

Authors:  O Lidegaard
Journal:  BMJ       Date:  1993-04-10

3.  Case-control study of migraine and risk of ischaemic stroke in young women.

Authors:  C Tzourio; A Tehindrazanarivelo; S Iglésias; A Alpérovitch; F Chedru; J d'Anglejan-Chatillon; M G Bousser
Journal:  BMJ       Date:  1995-04-01

4.  Cerebral infarction in young people. A study of 148 patients with early cerebral angiography.

Authors:  F Lisovoski; P Rousseaux
Journal:  J Neurol Neurosurg Psychiatry       Date:  1991-07       Impact factor: 10.154

  4 in total

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