Time for a "vision zero" concerning premature death from ischaemic heart disease?

Scand J Prim Health Care. 2002 Mar;20(1):28-32. doi: 10.1080/028134302317282707.


Objective: To study the trend in premature mortality (before 75 years of age) from ischaemic heart disease (IHD) in a Swedish primary health care district compared to communities of similar demographic situation and all Sweden.

Design: Mortality from IHD in men and women was compared between the community of Habo and other Swedish communities of similar size and all Sweden for the period 1984-96.

Setting: The community of Habo in Sweden with about 9600 inhabitants.

Intervention: Intensified efforts by the local primary health care organisation, in co-operation with the community, in respect of primary and secondary cardiovascular prevention since the beginning of the 1980s.

Results: Mortality from IHD has decreased significantly both in Habo and in Sweden during these years. The decrease has been more prominent in Habo than in Sweden as a whole and other Swedish communities of similar demographic situation.

Conclusion: With increased and purposeful efforts in primary and secondary prevention, in co-operation between the community and primary health care, it is possible to substantially decrease mortality from IHD in the community.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Cause of Death / trends*
  • Female
  • Health Promotion / organization & administration*
  • Humans
  • Incidence
  • Life Style
  • Longevity
  • Male
  • Middle Aged
  • Myocardial Ischemia / mortality*
  • Myocardial Ischemia / prevention & control*
  • Population Surveillance
  • Prevalence
  • Primary Prevention / organization & administration*
  • Proportional Hazards Models
  • Retrospective Studies
  • Risk Factors
  • Rural Health / trends
  • Sex Distribution
  • Sweden / epidemiology