Miniño Arialdi M, Arias Elizabeth, Kochanek Kenneth D, Murphy Sherry L, Smith Betty L
Natl Vital Stat Rep. 2002 Sep 16;50(15):1-119.
This report presents final 2000 data on U.S. deaths and death rates according to demographic and medical characteristics such as age, sex, Hispanic origin, race, marital status, educational attainment, injury at work, State of residence, and cause of death. Trends and patterns in general mortality, life expectancy, and infant and maternal mortality are also described. A previous report presented preliminary mortality data for 2000.
In 2000 a total of 2,403,351 deaths were reported in the United States. This report presents descriptive tabulations of information reported on the death certificates. Funeral directors, attending physicians, medical examiners, and coroners complete death certificates. Original records are filed in the State registration offices. Statistical information is compiled into a national database through the Vital Statistics Cooperative Program of the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention. Causes of death are processed in accordance with the Tenth Revision of the International Classification of Diseases (ICD-10).
The age-adjusted death rate for the United States in 2000 was 872.0 deaths per 100,000 standard population, a decrease of 1.1 percent from the 1999 rate and a record-low historical figure. Life expectancy at birth rose by 0.2 year to a record high of 76.9 years. Considering all deaths, age-specific death rates rose only for those 45-54 years and declined for a number of age groups including those 1-4 years, 55-64 years, 65-74 years, 75-84 years, and 85 years and over. Fourteen of the 15 leading causes of death are the same for 1999 and 2000. Heart disease and cancer continued to be the leading and second leading causes of death, accounting for over one-half of all deaths when combined. Aortic aneurysm, which was the 15th leading cause of death in 1999, dropped from the list in 2000 and, in its place, Pneumonitis due to solids and liquids is the 15th leading cause of death. The infant mortality rate reached a record low value of 6.9 infant deaths per 1,000 live births, declining 2.8 percent from the infant mortality rate in 1999 (7.1 deaths per 1,000 live births).
Generally, mortality continued long-term trends. The slight increase in the age-adjusted death rate that was experienced in 1999 reversed itself in accordance to a longer standing decreasing pattern. Life expectancy increased 0.2 years, and the infant mortality rate decreased statistically to a record low 6.9 deaths per 1,000 live births, thus maintaining the steady decline that has characterized it for the past four decades.
本报告呈现了2000年美国按人口统计学和医学特征(如年龄、性别、西班牙裔血统、种族、婚姻状况、教育程度、工作伤害、居住州以及死因)划分的死亡人数和死亡率的最终数据。还描述了总体死亡率、预期寿命以及婴儿和孕产妇死亡率的趋势和模式。之前的一份报告呈现了2000年的初步死亡率数据。
2000年美国共报告了2403351例死亡。本报告呈现了死亡证明上所报告信息的描述性表格。殡仪馆馆长、主治医生、法医和验尸官填写死亡证明。原始记录存档于各州登记办公室。统计信息通过疾病控制和预防中心国家卫生统计中心(NCHS)的生命统计合作项目汇编成一个国家数据库。死因按照《国际疾病分类》第十次修订版(ICD - 10)进行处理。
2000年美国经年龄调整的死亡率为每10万标准人口872.0例死亡,比1999年的死亡率下降了1.1%,是历史最低记录。出生时的预期寿命增加了0.2岁,达到创纪录的76.9岁。考虑所有死亡情况,特定年龄组的死亡率仅在45 - 54岁人群中上升,而在包括1 - 4岁、55 - 64岁、65 - 74岁、75 - 84岁以及85岁及以上等多个年龄组中下降。1999年和2000年的15种主要死因中有14种相同。心脏病和癌症继续分别是首要和第二大死因,两者合计占所有死亡人数的一半以上。1999年位列第15大死因的主动脉瘤在2000年从榜单上消失,取而代之的是因固体和液体导致的肺炎,成为第15大死因。婴儿死亡率降至创纪录的低水平,每1000例活产中有6.9例婴儿死亡,比1999年的婴儿死亡率(每1000例活产7.1例死亡)下降了2.8%。
总体而言,死亡率延续了长期趋势。1999年经历的经年龄调整死亡率的轻微上升按照长期下降模式出现了逆转。预期寿命增加了0.2岁,婴儿死亡率在统计学上降至创纪录的低水平,每1000例活产中有6.9例死亡,从而保持了过去四十年来其特有的稳步下降态势。