Table 1
Joinpoint analysis for ischemic heart diseases mortality trends in the Region of the Americas, sub-regions and income categories, 2000–2019.
| SUB REGION | TOTAL STUDY PERIOD | PERIOD 1 | PERIOD 2 | PERIOD 3 | |||
|---|---|---|---|---|---|---|---|
| AAPC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | |
| Region of the Americas | –2.5* (–2.7, –2.3) | 2000–2007 | –3.7* (–4.0, –3.4) | 2007–2012 | –2.6* (–3.2, –2.0) | 2012–2019 | –1.1* (–1.4, –0.8) |
| North America | –3.1* (–3.3, –3.0) | 2000–2011 | –4.5* (–4.7, –4.3) | 2011–2019 | –1.2* (–1.5, –0.8) | ||
| Central America, Mexico and Latin Caribbean | 0.1 (–0.2, 0.3) | 2000–2007 | –1.0* (–1.7, –0.4) | 2007–2019 | 0.7* (0.4, 1.0) | ||
| Andean Area | –1.2* (–1.3, –1.0) | ||||||
| Southern Cone and Brazil | –2.6* (–2.7, –2.5) | ||||||
| Non-Latin Caribbean* | –1.3* (–2.1, –0.6) | 2000–2009 | –1.8* (–2.2, –1.3) | 2009–2012 | –3.2 (–7.9, 1.8) | 2012–2019 | 0.1 (–0.6, 0.7) |
| Income category | |||||||
| High income | –2.1* (–2.5, –1.6) | 2000–2014 | –2.6* (–2.9, –2.3) | 2014–2019 | –0.5 (–2.0, 1.0) | ||
| Upper-middle income | –1.3* (–1.5, –1.1) | ||||||
| Lower-middle income | –0.9* (–1.5, –0.4) | 2000–2006 | –2.9* (–4.4, –1.3) | 2006–2019 | –0.1 (–0.5, 0.4) | ||
| Low income | –0.3* (–0.4, –0.2) | ||||||
[i] AAPC, average annual percent change; APC, annual percent change; CI, confidence interval. * P < 0.05 for change in trend.
Table 2
Joinpoint analysis for ischemic heart diseases mortality trends in the countries of the region of the Americas from 2000 to 2019.
| COUNTRY | TOTAL STUDY PERIOD | PERIOD 1 | PERIOD 2 | PERIOD 3 | |||
|---|---|---|---|---|---|---|---|
| AAPC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | |
| Antigua and Barbuda | –0.9 (–1.8, 0.0) | 2000–2007 | 4.0* (1.8, 6.2) | 2007–2019 | –3.6* (–4.5, –2.7) | ||
| Argentina | –2.6* (–2.9, –2.3) | ||||||
| Bahamas | –0.8* (–1.4, –0.2) | 2000–2014 | –1.5* (–2.0, –1.1) | 2014–2019 | 1.2 (–0.9, 3.3) | ||
| Barbados | –2.0* (–3.2, –0.8) | 2000–2008 | –1.9* (–2.7, –1.0) | 2008–2011 | –8.5* (–15.7, –0.7) | 2011–2019 | 0.4 (–0.5, 1.3) |
| Belize | –3.6* (–4.6, –2.5) | 2000–2002 | –12.1* (–20.3, –3.2) | 2002–2012 | –4.2* (–5.0, –3.3) | 2012–2019 | –0.1 (–1.4, 1.2) |
| Bolivia | –0.5* (–0.7, –0.2) | 2000–2002 | –3.2* (–5.2, –1.2) | 2002–2006 | –1.7* (–2.7, –0.6) | 2006–2019 | 0.4* (0.2, 0.5) |
| Brazil | –2.6* (–2.9, –2.4) | 2000–2006 | –3.2* (–3.8, –2.5) | 2006–2019 | –2.4* (–2.6, –2.2) | ||
| Canada | –3.9* (–4.1, –3.8) | 2000–2012 | –5.0* (–5.2, –4.8) | 2012–2019 | –2.1* (–2.5, –1.8) | ||
| Chile | –3.4* (–3.6, –3.2) | ||||||
| Colombia | –1.2* (–2.2, –0.0) | 2000–2006 | –0.9 (–2.1, 0.4) | 2006–2019 | –3.4 (–10.1, 3.8) | 2009–2019 | –0.7* (–1.2, –0.1) |
| Costa Rica | –4.0* (–5.1, –2.9) | 2000–2008 | –5.3* (–6.6, –4.0) | 2008–2014 | 0.1 (–2.7, 3.0) | 2014–2019 | –6.8* (–9.4, –4.1) |
| Cuba | –1.6* (–2.2, –1.0) | 2000–2013 | –2.4* (–3.0, –1.9) | 2013–2019 | 0.2 (–1.5, 2.0) | ||
| Dominican Republic | 2.4* (1.6, 3.1) | 2000–2016 | 3.6* (3.3, 4.0) | 2016–2019 | –4.2 (–8.4, 0.3) | ||
| Ecuador | –0.8* (–1.3, –0.3) | 2000–2005 | 1.7* (0.4, 3.1) | 2005–2014 | –2.3* (–2.9, –1.6) | 2014–2019 | –0.7 (–1.9, 0.6) |
| El Salvador | –1.5* (–2.2, –0.7) | ||||||
| Grenada | 1.4* (0.1, 2.6) | 2000–2005 | 6.5* (1.9, 11.2) | 2005–2019 | –0.4 (–1.3, 0.5) | ||
| Guatemala | –0.9* (–1.6, –0.2) | 2000–2002 | –4.5 (–10.0, 1.3) | 2002–2015 | 0.1 (–0.3, 0.5) | 2015–2019 | –2.5* (–4.3, –0.6) |
| Guyana | –0.5* (–0.7, –0.2) | 2000–2004 | 2.1* (1.2, 3.0) | 2004–2014 | –1.7* (–2.0, –1.5) | 2014–2019 | 0.1 (–0.6, 0.7) |
| Haiti | –0.3* (–0.4, –0.2) | ||||||
| Honduras | 0.5 (–0.1, 1.2) | 2000–2010 | –0.1 (–0.4, 0.3) | 2000–2013 | 8.9* (4.4, 13.5) | 2013–2019 | –2.5* (–3.2, –1.8) |
| Jamaica | –0.5 (–3.1, 2.2) | 2000–2005 | –5.4* (–8.9, –1.7) | 2005–2008 | 5.5 (–10.9, 25.0) | 2008–2019 | 0.2 (–0.9, 1.4) |
| Mexico | 0.6* (0.2, 1.0) | 2000–2007 | –1.0* (–1.9, –0.1) | 2007–2019 | 1.5* (1.1, 1.9) | ||
| Nicaragua | –0.6 (–2.4, 1.3) | 2000–2011 | –0.8* (–1.6, –0.0) | 2011–2014 | 3.3 (–8.4, 16.5) | 2014–2019 | –2.3 (–4.9, 0.3) |
| Panama | –1.5* (–2.2, –0.8) | 2000–2010 | 0.3 (–0.6, 1.3) | 2010–2019 | –3.5* (–4.6, –2.4) | ||
| Paraguay | –0.5 (–2.0, 0.9) | 2000–2002 | –5.9 (–17.1, 7.0) | 2002–2009 | 2.8* (0.6, 5.0) | 2009–2019 | –1.8* (–2.7, –0.8) |
| Peru | –1.8* (–2.9, –0.7) | 2000–2007 | –3.9* (–4.8, –3.0) | 2007–2010 | 4.0 (–3.0, 11.6) | 2010–2019 | –2.0* (–2.6, –1.4) |
| Saint Lucia | –1.4* (–1.8, –1.0) | 2000–2005 | –2.0* (–3.0, –1.0) | 2005–2011 | –5.1* (–6.0, –4.1) | 2011–2019 | 1.8* (1.3, 2.3) |
| Saint Vincent | –2.1* (–3.5, –0.7) | 2000–2004 | –3.9* (–7.5, –0.1) | 2004–2008 | 8.7* (2.3, 15.5) | 2008–2019 | –5.2* (–5.9, –4.4) |
| Suriname | –0.2 (–0.8, 0.4) | 2000–2011 | –2.3* (–2.7, –2.0) | 2011–2015 | 0.8 (–1.7, 3.3) | 2015–2019 | 5.0* (3.4, 6.7) |
| Trinidad and Tobago | –4.3* (–4.5, –4.0) | ||||||
| United States of America | –3.0* (–3.2, –2.9) | 2000–2011 | –4.5* (–4.7, –4.2) | 2011–2019 | –1.1* (–1.4, –0.7) | ||
| Uruguay | –2.5* (–2.8, –2.3) | ||||||
| Venezuela | –1.2* (–1.9, –0.5) | 2000–2016 | –0.8* (–1.1, –0.5) | 2016–2019 | –3.4 (–7.4, 0.8) | ||
[i] AAPC, average annual percent change; APC, annual percent change; CI, confidence interval. * P < 0.05 for change in trend.
Figure 1
Trends in mortality from ischemic heart diseases in the Region of the Americas, 2000–2019.
Table 3
Joinpoint analysis for ischemic heart diseases mortality trends in men in the sub regions of the Region of the Americas 2000–2019.
| SUB REGION | TOTAL STUDY PERIOD | PERIOD 1 | PERIOD 2 | PERIOD 3 | |||
|---|---|---|---|---|---|---|---|
| AAPC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | |
| Region of the Americas | –2.3* (–2.5, –2.1) | 2000–2007 | –3.5* (–3.8, –3.3) | 2007–2012 | –2.3* (–2.9, –1.7) | 2012–2019 | –1.0* (–1.2, –0.7) |
| North America | –3.0* (–3.1, –2.8) | 2000–2011 | –4.3* (–4.5, –4.2) | 2011–2019 | –1.0* (–1.3, –0.7) | ||
| Central America, Mexico and Latin Caribbean | 0.4* (0.1, 0.7) | 2000–2007 | –0.8* (–1.5, –0.1) | 2007–2019 | 1.1* (0.7, 1.4) | ||
| Andean Area | –1.0* (–1.1, –0.9) | ||||||
| Southern Cone and Brazil | –2.4* (–2.5, –2.2) | ||||||
| Non-Latin Caribbean* | –1.3* (–2.4, –0.2) | 2000–2009 | –1.3* (–2.0, –0.7) | 2009–2012 | –3.9 (–10.6, 3.3) | 2012–2019 | –0.1 (–1.1, 0.9) |
[i] AAPC, average annual percent change; APC, annual percent change; CI, confidence interval. * P < 0.05 for change in trend.
Table 4
Joinpoint analysis for ischemic heart diseases mortality trends in women in the Region of the Americas (Sub regions), 2000–2019.
| SUB REGION | TOTAL STUDY PERIOD | PERIOD 1 | PERIOD 2 | PERIOD 3 | |||
|---|---|---|---|---|---|---|---|
| AAPC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | YEARS | APC (95% CI) | |
| Region of the Americas | –2.7* (–3.0, –2.5) | 2000–2009 | –3.8* (–4.0, –3.7) | 2009–2014 | –2.3* (–3.0, –1.6) | 2014–2019 | –1.1* (–1.6, –0.6) |
| North America | –3.4* (–3.8, –2.9) | 2000–2011 | –4.9* (–5.1, –4.6) | 2011–2017 | –2.0* (–2.8, –1.1) | 2017–2019 | 1.0 (–2.9, 5.0) |
| Central America, Mexico and Latin Caribbean | –0.3* (–0.5, –0.0) | 2000–2007 | –1.3* (–1.9, –0.7) | 2007–2019 | 0.3* (0.0, 0.6) | ||
| Andean Area | –1.4* (–1.6, –1.2) | 2000–2007 | –1.9* (–2.4, –1.4) | 2007–2019 | –1.1* (–1.3, –0.9) | ||
| Southern Cone and Brazil | –2.9* (–3.1, –2.8) | ||||||
| Non-Latin Caribbean | –1.4* (–1.5, –1.3) | 2000–2012 | –2.4* (–2.5, –2.2) | 2012–2019 | 0.3 (–0.0, 0.6) | ||
[i] AAPC, average annual percent change; APC, annual percent change; CI, confidence interval. * P < 0.05 for change in trend.