| Titre : | The incidence of coronary heart disease among Palestinians and Israelis in Jerusalem. (2006) |
| Auteurs : | Jeremy-D KARK ; Bella ADLER ; Rita FINK ; Nehama GOLDBERGER ; Sylvie GOLDMAN ; Hadassah Medical Organization. Epidemiology Unit. Jerusalem. ISR ; Hebrew University Hadassah School of Public Health and Community Medicine. Ein Kerem. Jerusalem. ISR |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 35, n° 2, 2006) |
| Pagination : | 448-457 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Israël ; Asie ; Epidémiologie ; Incidence ; Registre ; Homme ; Appareil circulatoire [pathologie] ; Myocarde [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS aGJ81R0x. Diffusion soumise à autorisation]. Background : Lifestyle factors relevant to coronary risk factors differ between Palestinians and Israelis. Both have been exposed, albeit differently, to the stressors of the long-term conflict. We determined the incidence of coronary heart disease, previously unreported in Palestinians, in these Mediterranean populations and made international comparisons with the MONICA Programme. Methods : We applied the rigorous World Health Organization MONICA protocol, which enables standardized international population-based comparisons, to determine all acute myocardial infarction events and coronary deaths among Palestinians and Israelis aged 25-74, residents of the Jerusalem district in 1997. Results : We confirmed a total of 265 coronary events among 76200 Arabs and 698 among 226 500 Jews. Rates among Arabs were substantially higher than in Jews, particularly so in women. Age-adjusted rate ratios (RRs) for coronary events were 1.58 [95% confidence interval (95% CI) 1.34-1.87] among men and 2.37 (95% CI 1.81-3.10) among women. When restricted to coronary deaths, Arab : Jewish RRs were 2.79 (95% CI 2.09-3.73) in men and 2.66 (95% CI 1.77-4.00) in women. Compared with MONICA populations in 20 countries, Arabs ranked first in total coronary event rates and first in non-fatal myocardial infarction rates, exceeded populations in Finland, Scotland, and Northern Ireland, and showed striking differences from the participating Mediterranean centres. Conclusions : Coronary risk appears to be particularly high in Palestinian Arabs. Determinants of these unexpected findings should be sought and prevention programmes initiated. |
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