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The aging population in Sweden: can declining incidence rates in MI, stroke and cancer counterbalance the future demographic challenges?

Overview of attention for article published in European Journal of Epidemiology, February 2012
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Title
The aging population in Sweden: can declining incidence rates in MI, stroke and cancer counterbalance the future demographic challenges?
Published in
European Journal of Epidemiology, February 2012
DOI 10.1007/s10654-012-9653-2
Pubmed ID
Authors

Karin Modig, Sven Drefahl, Tomas Andersson, Anders Ahlbom

Abstract

It is often taken for granted that an ageing population will lead to an increased burden for the health care sector. However, for several diseases of big public health impact the rates have actually come down for a substantial period of time. In this study we investigate how much the incidence rates for myocardial infarction (MI), stroke, and cancer will have to decline in order to counterbalance future demographic changes (changes in population size and age structure) and compare these figures with observed historical trends. Information on incidence rates were obtained from the National Board of Health and Welfare and referred to the total Swedish population. Population projections were obtained from Statistics Sweden. We projected the number of MI events to increase 50-60% between 2010 and 2050. The decline in incidence rates that is required to keep the number of events constant over time is, on average, 1.2%/year for men and 0.9%/year for women, somewhat higher than the trend for the past 10 years. For stroke the corresponding figures were 1.3% (men) and 1% (women), well in line with historical trends. For cancer the results indicate an increasing number of events in the future. Population ageing is more important than population growth when projecting future number of MI, stroke and cancer events. The required changes in incidence rates in order to counterbalance the demographic changes are well in line with historical figures for stroke, almost in line regarding MI, but not in line regarding cancer. For diseases with age dependence similar to these diseases, a reduction of incidence rates in the order of 1-2% is sufficient to offset the challenges of the ageing population. These are changes that have been observed for several diseases indicating that the challenges posed by the ageing population may not be as severe as they may seem when considering the demographic component alone.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 14 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Sweden 1 7%
Germany 1 7%
Unknown 12 86%

Demographic breakdown

Readers by professional status Count As %
Other 4 29%
Student > Ph. D. Student 3 21%
Student > Doctoral Student 2 14%
Student > Bachelor 1 7%
Student > Master 1 7%
Other 1 7%
Unknown 2 14%
Readers by discipline Count As %
Medicine and Dentistry 6 43%
Social Sciences 2 14%
Business, Management and Accounting 1 7%
Psychology 1 7%
Neuroscience 1 7%
Other 1 7%
Unknown 2 14%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 July 2013.
All research outputs
#15,274,524
of 22,714,025 outputs
Outputs from European Journal of Epidemiology
#1,315
of 1,615 outputs
Outputs of similar age
#100,115
of 155,855 outputs
Outputs of similar age from European Journal of Epidemiology
#8
of 13 outputs
Altmetric has tracked 22,714,025 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,615 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 39.5. This one is in the 12th percentile – i.e., 12% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 155,855 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.