Saunders L D, Rutherford G W, Lemp G F, Barnhart J L
Department of Health Services Administration, University of Alberta, Edmonton, Canada.
J Acquir Immune Defic Syndr (1988). 1990;3(9):921-4.
We used death certificate data for San Francisco residents from 1979 to 1986 to calculate the number of deaths and years of potential life lost before age 65 (YPLL) for leading causes of death. Acquired immune deficiency syndrome (AIDS)-related deaths were defined as including cytomegalovirus infection (ICD-9 078.5); cryptococcal infection (ICD-9 117.5); Pneumocystis carinii pneumonia (ICD-9 136.3); other malignant neoplasms of the skin, site unspecified (ICD-9 173.9); deficiency of cell-mediated immunity (ICD-9 279.1); and unspecified immunity deficiency (ICD-9 279.3). These deaths increased from 5 (0.1% of all deaths) in 1979 to 534 (6.6%) in 1986. Of the 1,225 deaths caused by AIDS-related diseases during this period, 1,032 (84%) occurred in men aged 20-49 years. AIDS-related deaths increased between 1979 and 1986 from 0 to 44 (25% of all deaths), 0 to 257 (44%), and 0 to 150 (35%) in men aged 20-29 years, 30-39 years, and 40-49 years, respectively. In 1986, AIDS-related diseases were the third leading cause of deaths and the leading cause of YPLL among male San Francisco residents.
我们利用1979年至1986年旧金山居民的死亡证明数据，计算主要死因导致的65岁前死亡人数和潜在寿命损失年数（YPLL）。与获得性免疫缺陷综合征（AIDS）相关的死亡定义为包括巨细胞病毒感染（国际疾病分类第九版[ICD - 9] 078.5）；隐球菌感染（ICD - 9 117.5）；卡氏肺孢子虫肺炎（ICD - 9 136.3）；皮肤其他恶性肿瘤，部位未特指（ICD - 9 173.9）；细胞介导免疫缺陷（ICD - 9 279.1）；以及未特指的免疫缺陷（ICD - 9 279.3）。这些死亡人数从1979年的5例（占所有死亡人数的0.1%）增至1986年的534例（占6.6%）。在此期间，由AIDS相关疾病导致的1225例死亡中，1032例（84%）发生在20至49岁的男性中。1979年至1986年期间，20至29岁、30至39岁和40至49岁男性中与AIDS相关的死亡人数分别从0增至44例（占所有死亡人数的25%）、从0增至257例（占44%）和从0增至150例（占35%）。1986年，AIDS相关疾病是旧金山男性居民中第三大主要死因以及潜在寿命损失年数的首要原因。
