Bustamante-Montes P, Villa-Romero A R, Lezana-Fernández M A, Fernández de Hoyos R, Borja-Aburto V H, Lona-Zamora A, Rascón-Pacheco R A
Escuela de Salud Pública de México, Instituto Nacional de Salud Pública, Cuernavaca.
Salud Publica Mex. 1991 Sep-Oct;33(5):475-81.
With the purpose of describing the role of malnutrition at death time, an analysis of multiple causes of death in children under five years-old was performed on deaths which occurred during April and May 1985 in Mexico City. A proportional mortality analysis was done taking in consideration all the causes listed on the death certificate, not only the underlying causes. The number of deaths associated to malnutrition was greater by multiple cause than by underlying cause (OR = 7.9, 95% CI 5.0-12.7, p = 0.00000). The importance of considering multiple causes of death, mainly when there are frequent diseases which are some times recorded as underlying cause of death, is also discussed.
为描述死亡时营养不良的作用,对1985年4月和5月在墨西哥城发生的五岁以下儿童死亡的多种死因进行了分析。进行了比例死亡率分析,考虑了死亡证明上列出的所有原因,而不仅仅是根本原因。与营养不良相关的死亡人数,按多种原因计算比按根本原因计算更多(比值比=7.9,95%可信区间5.0-12.7,p=0.00000)。还讨论了考虑多种死因的重要性,主要是在存在一些有时被记录为根本死因的常见疾病的情况下。