Said Adnan, Guan Hui
Section of Gastroenterology and Hepatology and Department of Population Health Sciences, University of Wisconsin-Madison, 53792, USA.
WMJ. 2003;102(8):47-51.
Decreasing mortality is an important objective of health improvement. We examined the progress in reducing overall mortality in Wisconsin over the last 2 decades in the age group spanning 45-64 years. Goals for reducing mortality and disparities in mortality by 2010 were addressed.
We examined trends in all cause mortality for Wisconsin from 1980-1999 for ages 45-64. Mortality data was also examined by subgroups (race and gender) and cause. Mortality data was abstracted from Centers for Disease Control and Prevention's WONDER.
From 1980-99, adults aged 45-64 experienced a 22% decline in mortality and, consequently, over 1720 lives were "saved" annually in Wisconsin in this age group between 1995-1999. Mortality in black men and women declined 8% and 10% respectively in this interval as compared to 27% for white males and 19% for white females (P<0.05 for all groups for temporal change in death rates). Significant declines in cardiovascular and cancer mortality were achieved. Deaths from injuries increased slightly. The black to white mortality ratio is projected to increase by 2010.
Wisconsin has done well in reducing overall mortality in persons 45-64 years of age over the last 2 decades. Future challenges include reducing health disparities between blacks and whites.
降低死亡率是改善健康状况的一个重要目标。我们研究了威斯康星州在过去20年里45至64岁年龄组总体死亡率的下降情况。探讨了到2010年降低死亡率及死亡率差距的目标。
我们研究了1980年至1999年威斯康星州45至64岁人群的全因死亡率趋势。还按亚组（种族和性别）及死因对死亡率数据进行了研究。死亡率数据取自疾病控制和预防中心的WONDER数据库。
1980年至1999年，45至64岁的成年人死亡率下降了22%，因此，1995年至1999年期间，威斯康星州这个年龄组每年有超过1720人“获救”。在此期间，黑人男性和女性的死亡率分别下降了8%和10%，而白人男性为27%，白人女性为19%（所有组死亡率的时间变化P<0.05）。心血管疾病和癌症死亡率显著下降。伤害导致的死亡略有增加。预计到2010年，黑人与白人的死亡率之比将会上升。
在过去20年里，威斯康星州在降低45至64岁人群的总体死亡率方面成效显著。未来的挑战包括缩小黑人和白人之间的健康差距。
