De Santis M, Pasetto R, Minelli G, Conti S
Dipartimento ambiente e connessa prevenzione primaria, Istituto superiore di sanità, Rome.
Epidemiol Prev. 2011 Sep-Dec;35(5-6 Suppl 4):24-8.
The methods of mortality analysis in Italian polluted sites (IPS) are described. The study concerned 44 IPSs; each one included one or more municipalities. Mortality at municipality level was studied in the period 1995-2002, using the following indicators: crude rate, standardized rate, standardized mortality ratio (SMR), and SMR adjusted for an ad hoc deprivation index. Regional populations were used as reference for indirect standardization. The deprivation index was constructed using the 2001 national census variables representing the following socioeconomic domains: education, unemployment, dwelling ownership, overcrowding. Mortality indicators were computed for 63 single or grouped causes. The results for all the 63 analysed causes of death are available for each IPS, and in this Chapter the results for each IPS for causes selected on the basis of a priori evidence of risk from local sources of environmental pollution are presented. The procedures and results of the evidence evaluation have been published in the 2010 Supplement of Epidemiology & Prevention devoted to SENTIERI.
本文描述了意大利污染场地(IPS)的死亡率分析方法。该研究涉及44个IPS;每个IPS包含一个或多个直辖市。在1995 - 2002年期间,对直辖市层面的死亡率进行了研究,使用了以下指标:粗率、标准化率、标准化死亡比(SMR)以及针对特定贫困指数调整后的SMR。区域人口用作间接标准化的参考。贫困指数是利用2001年全国人口普查变量构建的,这些变量代表以下社会经济领域:教育、失业、住房所有权、过度拥挤。针对63种单一或分组病因计算了死亡率指标。每个IPS都有所有63种分析死因的结果,在本章中展示了每个IPS基于当地环境污染源的先验风险证据所选定病因的结果。证据评估的程序和结果已发表在2010年《流行病学与预防》关于SENTIERI的增刊上。