Dowd J E, Manton K G
World Health Organization, Division of Noncommunicable Diseases and Health Technology, Geneva, Switzerland.
Int J Epidemiol. 1990 Dec;19(4):1019-36. doi: 10.1093/ije/19.4.1019.
Declining fertility and infant mortality has caused the population in many developing countries to age. Population ageing can produce a rapid shift in the predominant public health problems from infant mortality and infectious diseases to chronic disease mortality at later ages. Designing public health strategies to deal with the health consequences of population ageing in developing countries is difficult both because of a remaining burden of infectious diseases and because of changes in life style associated with economic development that may raise chronic disease risks. Because there are few longitudinal studies of chronic disease risks in developing countries, we investigate the use of a planning and forecasting model, which combines data from multiple sources, in six developing countries.
生育率下降和婴儿死亡率降低导致许多发展中国家的人口老龄化。人口老龄化会使主要的公共卫生问题迅速从婴儿死亡率和传染病转向晚年的慢性病死亡率。设计应对发展中国家人口老龄化健康后果的公共卫生战略很困难,这既是因为传染病的负担依然存在,也是因为与经济发展相关的生活方式变化可能会增加慢性病风险。由于发展中国家很少有关于慢性病风险的纵向研究,我们在六个发展中国家调查了一种结合多种来源数据的规划和预测模型的应用情况。