10 results found
Fontana M, Asaria P, Moraldo M, et al., 2014, Patient-Accessible Tool for Shared Decision Making in Cardiovascular Primary Prevention Balancing Longevity Benefits Against Medication Disutility, CIRCULATION, Vol: 129, Pages: 2539-2546, ISSN: 0009-7322
Cook C, Cole G, Asaria P, et al., 2014, The annual global economic burden of heart failure, INTERNATIONAL JOURNAL OF CARDIOLOGY, Vol: 171, Pages: 368-376, ISSN: 0167-5273
Finegold JA, Asaria P, Francis DP, 2013, Mortality from ischaemic heart disease by country, region, and age: Statistics from World Health Organisation and United Nations, INTERNATIONAL JOURNAL OF CARDIOLOGY, Vol: 168, Pages: 934-945, ISSN: 0167-5273
Di Cesare M, Khang Y-H, Asaria P, et al., 2013, Inequalities in non-communicable diseases and effective responses, LANCET, Vol: 381, Pages: 585-597, ISSN: 0140-6736
Asaria P, Fortunato L, Fecht D, et al., 2012, Trends and inequalities in cardiovascular disease mortality across 7932 English electoral wards, 1982-2006: Bayesian spatial analysis, International Journal of Epidemiology, Vol: 41, Pages: 1737-1749, ISSN: 1464-3685
Background Cardiovascular disease (CVD) mortality has more than halved in England since the 1980s, but there are few data on small-area trends. We estimated CVD mortality by ward in 5-year intervals between 1982 and 2006, and examined trends in relation to starting mortality, region and community deprivation.Methods We analysed CVD death rates using a Bayesian spatial technique for all 7932 English electoral wards in consecutive 5-year intervals between 1982 and 2006, separately for men and women aged 30–64 years and ≥65 years.Results Age-standardized CVD mortality declined in the majority of wards, but increased in 186 wards for women aged ≥65 years. The decline was larger where starting mortality had been higher. When grouped by deprivation quintile, absolute inequality between most- and least-deprived wards narrowed over time in those aged 30–64 years, but increased in older adults; relative inequalities worsened in all four age–sex groups. Wards with high CVD mortality in 2002–06 fell into two groups: those in and around large metropolitan cities in northern England that started with high mortality in 1982–86 and could not ‘catch up’, despite impressive declines, and those that started with average or low mortality in the 1980s but ‘fell behind’ because of small mortality reductions.Conclusions Improving population health and reducing health inequalities should be treated as related policy and measurement goals. Ongoing analysis of mortality by small area is essential to monitor local effects on health and health inequalities of the public health and healthcare systems.
Beaglehole R, Bonita R, Horton R, et al., 2011, Priority actions for the non-communicable disease crisis, LANCET, Vol: 377, Pages: 1438-1447, ISSN: 0140-6736
Asaria P, Francis DP, 2011, Heart Forecast for cardiovascular risk assessment, HEART, Vol: 97, Pages: 173-174, ISSN: 1355-6037
Ferenczi EA, Asaria P, Hughes AD, et al., 2010, Can a Statin Neutralize the Cardiovascular Risk of Unhealthy Dietary Choices?, AMERICAN JOURNAL OF CARDIOLOGY, Vol: 106, Pages: 587-592, ISSN: 0002-9149
Asaria P, Beaglehole R, Chisholm D, et al., 2010, Chronic disease prevention: the importance of calls to action., Int J Epidemiol, Vol: 39, Pages: 309-310
Asaria P, Chisholm D, Mathers C, et al., 2007, Chronic disease prevention: health effects and financial costs of strategies to reduce salt intake and control tobacco use., Lancet, Vol: 370, Pages: 2044-2053
In 2005, WHO set a global goal to reduce rates of death from chronic (non-communicable) disease by an additional 2% every year. To this end, we investigated how many deaths could potentially be averted over 10 years by implementation of selected population-based interventions, and calculated the financial costs of their implementation. We selected two interventions: to reduce salt intake in the population by 15% and to implement four key elements of the WHO Framework Convention on Tobacco Control (FCTC). We used methods from the WHO Comparative Risk Assessment project to estimate shifts in the distribution of risk factors associated with salt intake and tobacco use, and to model the effects on chronic disease mortality for 23 countries that account for 80% of chronic disease burden in the developing world. We showed that, over 10 years (2006-2015), 13.8 million deaths could be averted by implementation of these interventions, at a cost of less than US$0.40 per person per year in low-income and lower middle-income countries, and US$0.50-1.00 per person per year in upper middle-income countries (as of 2005). These two population-based intervention strategies could therefore substantially reduce mortality from chronic diseases, and make a major (and affordable) contribution towards achievement of the global goal to prevent and control chronic diseases.
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