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January 1, 1989International Journal of Epidemiology

Between 1974 and 1979, the decline in IHD mortality in North Karelian men was steeper than in the rest of Finland, but this decline leveled off in the 1980s alongside a leveling off in risk-factor reductions.

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Why the study?

Does an intensified population-level preventive program reduce ischaemic heart disease mortality?

Population

Middle-aged Finnish population, particularly men, in North Karelia and the rest of Finland

Comparison

Intensified preventive program vs Rest of Finland

Design

Cohort

Follow-up

1970s to 1980s

Authors

JTJaakko TuomilehtoPPPekka PuskaHKH. Korhonen

Discussion

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Overview

Intensified prevention may accelerate IHD mortality reductions; leaves open whether benefits persist without sustained risk-factor control.

Structured PICO

Does an intensified population-level preventive program reduce ischaemic heart disease mortality?

P
Population
Middle-aged Finnish population, particularly men, in North Karelia and the rest of Finland
I
Intervention
Intensified preventive program (started in 1972 in North Karelia)
C
Comparator
Rest of Finland (standard trends without the initial intensified preventive program)
O
Outcome
Ischaemic heart disease (IHD) mortalityhard clinical

Population-level preventive programs can accelerate the decline in IHD mortality, but sustained efforts are required to prevent leveling off of these benefits.

Cite This Study

Tuomilehto et al. (1989) studied this question.

synapsesocial.com/papers/6a97e4b7ce42e14121e17efdhttps://doi.org/10.1093/ije/18.supplement_1.s109
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