Female and urban participants demonstrate an adverse trend in overall mortality in Turkey - and a report on the TARF survey 2016

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dc.contributor.authorOnat, Altan
dc.contributor.authorÖzbek, Mehmet
dc.contributor.authorKarakoyun, Süleyman
dc.contributor.authorUzun, Okan
dc.contributor.authorKeskin, Muhammed
dc.contributor.authorKaradeniz, Yusuf
dc.contributor.authorCan, Günay
dc.date.accessioned2020-05-01T12:10:03Z
dc.date.available2020-05-01T12:10:03Z
dc.date.issued2017
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionKeskin, Muhammed/0000-0002-4938-0097;en_US
dc.descriptionWOS: 000411505100002en_US
dc.descriptionPubMed: 28694392en_US
dc.description.abstractObjective: This study is an examination of 1) overall mortality trend in the Turkish Adult Risk Factor (TARF) study stratified by sex and place of residence, and 2) brief report on main aspects of the 2016 survey. Methods: The period of last 18 years was divided into 2 for trend analysis of data. Required information on deaths was obtained. Baseline age >= 40 years at the beginning of each period was the inclusion criterion. Cox regression analyses were performed. Results: Among over 2500 participants in each, deaths were recorded in 281 and 334 individuals in Periods 1 and 2, respectively, and baseline mean age was 54.6 years and 56.4 years, respectively, in each period. Age-adjusted hazard ratio for mortality in Period 2 remained virtually the same for rural males, rose to borderline significance for urban males and rural females (p=0.06, p=0.09), and increased 1.72-fold for urban females (p=0.006), as compared to Period 1. Whereas males gained an average of 3.8 years of survival in the later period compared with the earlier period, females gained only 1.8 years. This narrowed the difference in mean age at death in favor of women from 2.5 years to 0.5 year. Of 1144 participants to be surveyed in the TARF 2016, 48 were lost to follow-up, 695 were examined, and 39 participants were ascertained to be deceased. In 362 cases, verbal information was obtained regarding health status. Conclusion: Gain in survival in Turkish women has distinctly stagnated compared with men, and hazard of death has risen significantly for women and urban residents in the past decade, suggesting interaction between female sex and urban residence. Both phenomena require recognition and adoption of appropriate measures.en_US
dc.description.sponsorshipTurkish Society of Cardiology; TOFAS, Istanbulen_US
dc.description.sponsorshipWe are indebted to the Turkish Society of Cardiology, and particularly to the firm TOFAS, Istanbul, for their partial support for the TARF survey, and to the Turkish Institute of Public Health for logistical support.en_US
dc.identifier.doi10.5543/tkda.2017.76746en_US
dc.identifier.endpage397en_US
dc.identifier.issn1016-5169
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage391en_US
dc.identifier.urihttps://doi.org/10.5543/tkda.2017.76746
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5962
dc.identifier.volume45en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Soc Cardiologyen_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivi-Archives Of The Turkish Society Of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMortality/trenden_US
dc.subjectsexen_US
dc.subjectTurkey/epidemiologyen_US
dc.titleFemale and urban participants demonstrate an adverse trend in overall mortality in Turkey - and a report on the TARF survey 2016en_US
dc.typeArticleen_US

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