Kim J S, Wen Y
Department of Epidemiology, School of Public Health, Seoul National University, Korea.
J Korean Med Sci. 1999 Aug;14(4):365-72. doi: 10.3346/jkms.1999.14.4.365.
In order to understand the causal mechanism of disease aggregates peculiar to place and ethnicity, mortality data of Yanji city, China (1993) were collected, examined for validity and analyzed. Age standardized, age specific mortality rates and ten leading causes of death were compared with 1993 Korean mortality statistics. Age standardized mortality rates for both sexes were highest in Korean-Chinese followed by Koreans and Chinese (the lowest). Out of ten leading causes of death (54%-70% of the total deaths), seven for male and six causes of death for female were common in all groups. Korean-Chinese females had more similar patterns to Chinese females than males did. Differences in mortality rates by causes of death among groups suggested that hypertensive diseases and respiratory tuberculosis were associated with ethnicity, homicide/injuries inflicted by others, diabetes mellitus and chronic renal disease with environment, and others with both ethnicity and environment. These results suggest that a few causes of death were attributed to either ethnicity or environment whereas most of the ten leading causes of deaths were attributed to mixed impacts of both ethnicity and environment.
为了解特定地域和种族疾病聚集的因果机制,收集了中国延吉市1993年的死亡率数据,检查其有效性并进行分析。将年龄标准化死亡率、年龄别死亡率以及十大主要死因与1993年韩国死亡率统计数据进行比较。朝鲜族中国人的男女年龄标准化死亡率最高,其次是朝鲜族,中国人(最低)。在十大主要死因(占总死亡人数的54%-70%)中,男性的七种和女性的六种死因在所有群体中都很常见。朝鲜族中国女性与中国女性的模式比男性更为相似。各群体因死因导致的死亡率差异表明,高血压疾病和呼吸道结核病与种族有关,他人造成的杀人/伤害、糖尿病和慢性肾病与环境有关,其他则与种族和环境都有关。这些结果表明,少数死因归因于种族或环境,而十大主要死因中的大多数归因于种族和环境的综合影响。