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Mortality Characteristics of Two Populations in the Northern Mediterranean (Croatia) in the Period 1960–2012: An Ecological Study

机译:1960-2012年间地中海北部(克罗地亚)两个种群的死亡率特征:一项生态研究

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摘要

In the second half of the 20th century, the town of Bakar (Primorje-Gorski Kotar County, Croatia), where a coking plant was operational 1978–1994, experienced intensive industrialisation. The town of Mali Lošinj (Primorje-Gorski Kotar County, Croatia) in this period based its economy on non-industrial sectors. The study goal was comparing mortality characteristics of these populations in the northern Mediterranean for 1960–2012. An ecological study design was used. Data were analysed for 1960–2012 for the deceased with recorded place of residence in the study area. Data on the deceased for 1960–1993 were taken from death reports, for 1994–2012 from digital archives of the Teaching Institute of Public Health, Primorje-Gorski Kotar County. Data on causes of death for 1960–1994 were recoded to the three-digit code of underlying cause of death according to the International Classification of Diseases (ICD–10). Among studied populations significant difference was found among the causes of deaths coded within ICD–10 chapters: neoplasms (particularly stomach carcinoma), mental and behavioural disorders and diseases of the respiratory system (particularly chronic obstructive pulmonary disease, (COPD)). Increase in mortality from neoplasms, increase in respiratory diseases for the area exposed to industrial pollution, also stomach carcinoma and COPD particularly in the town Bakar require further research.
机译:在20世纪下半叶,1978年至1994年运营焦化厂的Bakar镇(克罗地亚Primorje-Gorski Kotar县)经历了集约化工业化。这段时期的马里·洛辛(MaliLošinj)镇(克罗地亚普里莫列-戈尔斯基科塔尔县)的经济以非工业部门为基础。研究目标是比较1960-2012年地中海北部这些人群的死亡率特征。使用了生态研究设计。分析了1960–2012年死者的数据,并记录了他们在研究区域的居住地。 1960-1993年死者的数据来自1994-2012年死亡报告,数据来自Primorje-Gorski Kotar县公共卫生教学学院的数字档案。根据国际疾病分类(ICD-10),将1960-1994年的死因数据重新编码为三位数的基本死因代码。在研究的人群中,ICD-10章节中编码的死亡原因之间存在显着差异:肿瘤(尤其是胃癌),精神和行为障碍以及呼吸系统疾病(特别是慢性阻塞性肺疾病(COPD))。肿瘤导致的死亡率增加,工业污染地区的呼吸道疾病增加,尤其是在巴卡尔镇,胃癌和慢性阻塞性肺病也需要进一步研究。

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