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Exploring Thailand's mortality transition with the aid of life tables

机译:借助生命表探索泰国的死亡率转变

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The project Thai Health-Risk Transition: A National Cohort Study seeks to better understand the health implications of modernisation and globalisation forces impacting on Thailand. As part of its ‘look-back’ component this paper seeks, using available life tables, to document the country's post-war mortality transition. The onset of transition through mass campaigns of the late 1940s and 1950s is first discussed before attention turns to the life tables. They are predictably far from flawless, but careful analysis does permit trends that have seen around 30?years added to life expectancy to be traced, and age patterns of improved survivorship and their relation to initiatives to improve health to be examined. The broad benefits generated by mass campaigns, ongoing improvements in infant and early childhood mortality, and a phased impact of the expansion of primary health care in rural areas on adult survival prospects after the mid-1970s are demonstrated. The paper also investigates the consequences for mortality of a motorcycle-focused rapid increase in road fatalities in the late 1980s and early 1990s and the HIV/AIDS epidemic that developed after 1984.
机译:泰国健康风险转变:国家队列研究项目旨在更好地了解影响泰国的现代化和全球化力量对健康的影响。作为其“回溯”部分的一部分,本文力求使用可用的生命表来记录该国战后死亡率的转变。在关注转向生命表之前,首先讨论了1940年代末和1950年代末的大规模运动过渡的开始。可以预见,它们远非完美无缺,但仔细的分析确实可以追踪到预期寿命增加了30年左右的趋势,并且可以检验存活率提高的年龄模式及其与改善健康状况的措施之间的关系。群众运动产生了广泛的好处,婴儿和幼儿期死亡率的不断提高,以及农村地区扩大初级卫生保健对1970年代中期以后成人生存前景的阶段性影响。该论文还调查了1980年代末期和1990年代初以摩托车为中心的道路致死率快速上升对死亡率的影响以及1984年之后发展成的HIV / AIDS流行情况。

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