Dranger Elizabeth A, Hoffman James M
Department of Population Health Sciences, University of Wisconsin-Madison, 53726, USA.
WMJ. 2003;102(8):42-6.
Wisconsin residents age 25-44 years represent an important life stage and a relatively large portion of the Wisconsin population. Focusing on the most common causes of death among Wisconsin adults 25-44 years old, we assess progress in reducing mortality, describe disparities between subgroups of this age group, and identify areas for improvement. Mortality trends and leading causes of death were examined from 1980-1999 by querying the Centers for Disease Control and Prevention's WONDER database using the methods established by the National Vital Statistics System. Mortality rates in Wisconsin declined slightly (5%) during this time, and are consistently lower than the national rates. Mortality due to unintentional injury, cancer, and coronary heart disease declined in this age group. However, this decline was in contrast to increases in mortality due to suicide, homicide, and HIV--all preventable causes of death. Finally, disparities in mortality rates increased between black and white Wisconsin residents. In order to make progress in this age group, public health efforts need to focus on effective strategies to prevent HIV and violence.
威斯康星州25至44岁的居民代表着一个重要的人生阶段，且在该州人口中占比较大。聚焦于威斯康星州25至44岁成年人中最常见的死亡原因，我们评估了在降低死亡率方面取得的进展，描述了该年龄组各亚组之间的差异，并确定了需要改进的领域。通过使用国家生命统计系统确立的方法查询疾病控制与预防中心的WONDER数据库，研究了1980年至1999年期间的死亡率趋势和主要死亡原因。在此期间，威斯康星州的死亡率略有下降（5%），且一直低于全国水平。该年龄组因意外伤害、癌症和冠心病导致的死亡率有所下降。然而，这种下降与自杀、他杀和艾滋病毒导致的死亡率上升形成对比——这些都是可预防的死亡原因。最后，威斯康星州黑人和白人居民之间的死亡率差距有所扩大。为了在这个年龄组取得进展，公共卫生工作需要专注于预防艾滋病毒和暴力的有效策略。
