Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China.
Eur J Public Health. 2011 Apr;21(2):215-20. doi: 10.1093/eurpub/ckq020. Epub 2010 Mar 17.
We examined the avoidable mortality pattern in Hong Kong, and the influence of age and gender. Comparison with Paris, Inner London and Manhattan was performed, and we discussed the findings in terms of prevention programmes, ethnicity and lifestyles.
Mortality and population data by age and gender were obtained from vital statistics sources. Two periods, 1999-2003 and 2004-06, were selected for analysis. Negative binomial regression and logistic regression were used to model, respectively, the number and proportion of avoidable mortality, in relation to age and gender.
The standardized total mortality rates (per 1000 population) were 2.51 in the period 1999-2003 and 2.25 in the period 2004-06, whereas the standardized avoidable mortality rates (per 1000 population) were 0.85 and 0.77 for the two periods, respectively. Cerebrovascular disease (stroke) was the leading cause of avoidable mortality. Women in the age range of 65-74 years had the highest avoidable mortality proportion. In 1999-2003, Hong Kong had the second lowest standardized avoidable mortality rate among the four cities compared, whereas the avoidable mortality proportion was the highest.
There might be room for improvement in the primary care system in Hong Kong, particularly in the development of effective prevention programmes targeting the leading causes of avoidable mortality.
本研究旨在探讨香港的可避免死亡率模式及其与年龄和性别之间的关系。我们将香港与巴黎、伦敦内城和曼哈顿进行了比较，并从预防方案、种族和生活方式等方面对研究结果进行了讨论。
我们从生命统计数据来源中获取了按年龄和性别分类的死亡率和人口数据。选择了两个时期（1999-2003 年和 2004-2006 年）进行分析。采用负二项回归和逻辑回归分别对与年龄和性别相关的可避免死亡率数量和比例进行建模。
1999-2003 年和 2004-2006 年期间的标准化总死亡率（每 1000 人）分别为 2.51 和 2.25，标准化可避免死亡率（每 1000 人）分别为 0.85 和 0.77。脑血管疾病（中风）是导致可避免死亡的主要原因。65-74 岁年龄段的女性具有最高的可避免死亡率比例。在 1999-2003 年，与其他三个城市相比，香港的标准化可避免死亡率处于第二低水平，而可避免死亡率比例却是最高的。
香港的初级保健系统可能还有改进的空间，特别是在制定针对可避免死亡主要原因的有效预防方案方面。
