Period I: 1992 - 95 | Period II: 1996 - 99 | Period III: 2000 - 03 | Period interactions | ||||||
---|---|---|---|---|---|---|---|---|---|
Income | RR | 95% CI | RR | 95% CI | RR | 95% CI | P value | ||
All cause mortality | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | <.001 | ||||
4 | 1.27 | (1.09 - 1.47 ) | 1.28 | (1.10 - 1.48 ) | 1.29 | (1.12 - 1.49 ) | PII vs PIII | 0.12 | |
3 | 1.52 | (1.34 - 1.73 ) | 1.55 | (1.36 - 1.76 ) | 1.54 | (1.34 - 1.77 ) | PI vs PIII | <.001 | |
2 | 1.82 | (1.60 - 2.06 ) | 1.98 | (1.74 - 2.25 ) | 2.00 | (1.70 - 2.35 ) | |||
1 | 2.53 | (2.24 - 2.86 ) | 2.98 | (2.63 - 3.38 ) | 3.26 | (2.68 - 3.96 ) | |||
Total disease mortality | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | <.001 | ||||
4 | 1.29 | (1.11 - 1.50 ) | 1.29 | (1.11 - 1.49 ) | 1.30 | (1.14 - 1.48 ) | PII vs PIII | 0.24 | |
3 | 1.53 | (1.34 - 1.74 ) | 1.55 | (1.37 - 1.75 ) | 1.53 | (1.34 - 1.75 ) | PI vs PIII | <.001 | |
2 | 1.80 | (1.58 - 2.05 ) | 1.93 | (1.71 - 2.18 ) | 1.95 | (1.67 - 2.27 ) | |||
1 | 2.47 | (2.18 - 2.81 ) | 2.91 | (2.58 - 3.28 ) | 3.12 | (2.58 - 3.76 ) | |||
Total amenable mortality | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | <.001 | ||||
4 | 1.19 | (1.04 - 1.38 ) | 1.19 | (1.04 - 1.38 ) | 1.24 | (1.12 - 1.38 ) | PII vs PIII | 0.05 | |
3 | 1.37 | (1.22 - 1.55 ) | 1.43 | (1.25 - 1.64 ) | 1.47 | (1.31 - 1.65 ) | PI vs PIII | <.001 | |
2 | 1.52 | (1.34 - 1.72 ) | 1.62 | (1.42 - 1.85 ) | 1.77 | (1.56 - 2.01 ) | |||
1 | 2.22 | (1.97 - 2.51 ) | 2.57 | (2.26 - 2.92 ) | 2.93 | (2.53 - 3.40 ) | |||
Early detection and intervention | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | 0.04 | ||||
4 | 1.17 | (1.04 - 1.32 ) | 1.19 | (1.06- 1.35 ) | 1.20 | (1.08 - 1.34 ) | PII vs PIII | 0.17 | |
3 | 1.33 | (1.20 - 1.46 ) | 1.39 | (1.23 - 1.57 ) | 1.38 | (1.23 - 1.55 ) | PI vs PIII | <.001 | |
2 | 1.40 | (1.27- 1.54) | 1.49 | (1.32 - 1.67 ) | 1.58 | (1.41 - 1.76 ) | |||
1 | 1.80 | (1.63 - 1.99 ) | 1.99 | (1.73- 2.29 ) | 2.19 | (1.93 - 2.48 ) | |||
- malignant neoplasm | |||||||||
5 | 1.00 | * | 1.00 | 1.00 | PI vs PII | 0.01 | |||
4 | 1.11 | (0.96 - 1.29 ) | 1.19 | (1.01 - 1.40 ) | 1.13 | (0.96 - 1.32 ) | PII vs PIII | <.001 | |
3 | 1.23 | (1.08 - 1.39 ) | 1.40 | (1.98 - 1.65 ) | 1.31 | (1.09 - 1.56 ) | PI vs PIII | <.001 | |
2 | 1.10 | (0.96 - 1.26 ) | 1.28 | (1.08 - 1.52 ) | 1.37 | (1.14 - 1.63 ) | |||
1 | 1.06 | (0.91 - 1.24 ) | 1.29 | (1.10 - 1.52 ) | 1.57 | (1.31 - 1.87 ) | |||
- hypertension and cerebrovascular disease | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | 0.11 | ||||
4 | 1.29 | (1.07 - 1.57 ) | 1.23 | (1.01 - 1.51 ) | 1.49 | (1.32 - 1.66 ) | PII vs PIII | 0.21 | |
3 | 1.55 | (1.31 - 1.82 ) | 1.46 | (1.26 - 1.71 ) | 1.74 | (1.57 - 1.94 ) | PI vs PIII | 0.01 | |
2 | 1.87 | (1.62 - 2.15 ) | 1.92 | (1.69 - 2.18 ) | 2.26 | (2.01 - 2.53 ) | |||
1 | 2.83 | (2.46 - 3.26 ) | 3.16 | (2.72 - 3.66 ) | 3.75 | (3.15 - 4.45 ) | |||
Improved treatment and medical care | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | <.001 | ||||
4 | 1.35 | (0.91 - 2.01 ) | 1.14 | (0.73 - 1.77 ) | 1.71 | (1.11 - 2.64 ) | PII vs PIII | <.001 | |
3 | 1.71 | (1.17 - 2.49 ) | 1.73 | (1.15 - 2.61 ) | 2.46 | (1.82 - 3.31 ) | PI vs PIII | <.001 | |
2 | 2.41 | (1.66 - 3.51 ) | 2.60 | (1.76 - 3.83 ) | 4.02 | (2.90 - 5.56 ) | |||
1 | 5.44 | (3.79 - 7.81 ) | 6.70 | (4.55 - 9.88 ) | 11.41 | (8.15 - 16.0 ) | |||
- predominantly primary care | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | 0.41 | ||||
4 | 1.20 | (0.69 - 2.07 ) | 1.52 | (0.91 - 2.55 ) | 2.14 | (1.08 - 4.23 ) | PII vs PIII | <.001 | |
3 | 1.56 | (0.89 - 2.73 ) | 1.99 | (1.17 - 3.38 ) | 3.43 | (1.79 - 6.57 ) | PI vs PIII | <.001 | |
2 | 2.85 | (1.60 - 5.07 ) | 3.55 | (2.18 - 5.80 ) | 8.42 | (4.33 - 16.4 ) | |||
1 | 4.55 | (2.79 - 7.42 ) | 6.01 | (3.88 - 9.33 ) | 20.54 | (11.4 - 36.8 ) | |||
- predominantly specialist care | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | 0.01 | ||||
4 | 1.40 | (0.90 - 2.18 ) | 1.06 | (0.65 - 1.73 ) | 1.66 | (1.05 - 2.62 ) | PII vs PIII | 0.06 | |
3 | 1.74 | (1.14 - 2.66 ) | 1.70 | (1.07 - 2.71 ) | 2.32 | (1.70 - 3.17 ) | PI vs PIII | <.001 | |
2 | 2.37 | (1.55 - 3.62 ) | 2.51 | (1.64 - 3.81 ) | 3.58 | (2.56 - 5.02 ) | |||
1 | 5.62 | (3.72 - 8.49 ) | 6.90 | (4.50 – 10.6 ) | 10.36 | (7.14 - 15.0 ) | |||
Ischaemic heart disease | |||||||||
5 | 1.00 | 1.00 | 1.00 | PI vs PII | <.001 | ||||
4 | 1.40 | (1.24-1.58) | 1.49 | (1.30-1.70) | 1.57 | (1.39-1.78) | PII vs PIII | <.001 | |
3 | 1.71 | (1.54-1.90) | 1.91 | (1.67-2.18) | 2.01 | (1.77-2.29) | PI vs PIII | <.001 | |
2 | 2.15 | (1.92-2.40) | 2.51 | (2.18-2.90) | 2.81 | (2.43-3.25) | |||
1 | 2.51 | (2.27-2.80) | 2.97 | (2.61-3.39) | 4.01 | (3.51-4.59) |