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首页> 外文期刊>Sao Paulo Medical Journal >Trends in mortality from ill-defined causes among the elderly in Brazil, 1979-2013: ecological study
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Trends in mortality from ill-defined causes among the elderly in Brazil, 1979-2013: ecological study

机译：生态研究，1979-2013年巴西老年人因不明确原因而死亡的趋势

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CONTEXT AND OBJECTIVE: Mortality measurements are traditionally used as health indicators and are useful in describing a population's health situation through reporting injuries that lead to death. The aim here was to analyze the temporal trend of proportional mortality from ill-defined causes (IDCs) among the elderly in Brazil from 1979 to 2013. DESIGN AND SETTING: Ecological study using data from the Mortality Information System of the Brazilian Ministry of Health. METHODS: The proportional mortality from IDCs among the elderly was calculated for each year of the study series (1979 to 2013) in Brazil, and the data were disaggregated according to sex and to the five geographical regions and states. To analyze time trends, simple linear regression coefficients were calculated. RESULTS: During the study period, there were 2,646,194 deaths from IDCs among the elderly, with a decreasing trend (?? -0.545; confidence interval, CI: -0.616 to -0.475; P < 0.000) for both males and females. This reduction was also observed in the macroregions and states, except for Amap??. The states in the northeastern region reported an average reduction of 80%. CONCLUSIONS: Mortality from IDCs among the elderly has decreased continuously since 1985, but at different rates among the different regions and states. Actions aimed at improving data records on death certificates need to be strengthened in order to continue the trend observed.
机译：背景与目的：死亡率测量传统上用作健康指标，可通过报告导致死亡的伤害来描述人口的健康状况。本文的目的是分析1979年至2013年巴西老年人因不明原因（IDC）成比例死亡的时间趋势。设计与环境：使用来自巴西卫生部死亡率信息系统的数据进行的生态研究。方法：在巴西的研究系列（1979年至2013年）中，每年计算老年人中IDC的比例死亡率，并按性别和五个地理区域和州对数据进行分类。为了分析时间趋势，计算了简单的线性回归系数。结果：在研究期间，老年人中有2646194例IDC死亡，男女均呈下降趋势（?? -0.545;置信区间，CI：-0.616至-0.475; P <0.000）。除了Amap12外，在宏观区域和州也观察到了这种减少。东北地区的州平均减少了80％。结论：自1985年以来，老年人的IDC死亡率一直在下降，但不同地区和州的死亡率不同。为了继续观察到的趋势，需要加强旨在改善死亡证明数据记录的行动。

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