Telarolli Júnior Rodolpho, Loffredo Leonor de Castro Monteiro
Cien Saude Colet. 2014 Mar;19(3):975-84. doi: 10.1590/1413-81232014193.10482012.
This paper addressed the mortality rate for elderly people in Araraquara in the state of São Paulo between 2006 and 2011. An epidemiological descriptive study was conducted using data from the National Mortality Information System and the Data Analysis State System Foundation. The ratio between mortality rates by point (R) and by 95% confidence interval (IC95%) were estimated. More than 60% of elderly people had low education, and 76% of them died in hospital. For the period from 2006 to 2008 a statistically significant difference was observed between males and females, the most common causes of death being circulatory disease R = 1.41 (IC95%:1.24-1.58), respiratory problems R = 1.49 (IC95%:1.22-1.76), and cancer R = 1.79 (IC95%: 1.40-2.18). For the period from 2009 to 2011, circulatory diseases accounted for R=1.18 (IC95%:1.03-1.33)], and the differences were significant for respiratory disease R = 1.33 (IC95%:1.11-1.55) and cancer R = 1.94 (IC95%:1.53-2.35). The fourth and fifth more frequent causes of death among the elderly population were diabetes mellitus and external causes, respectively. The pattern of mortality found emphasizes the importance of actions aimed at reducing the major causes of death such as increasing the coverage of the influenza vaccine and control of hypertension and diabetes mellitus.
本文探讨了2006年至2011年期间圣保罗州阿拉拉夸拉市老年人的死亡率。利用国家死亡率信息系统和数据分析州系统基金会的数据进行了一项流行病学描述性研究。估计了逐点死亡率（R）与95%置信区间（IC95%）之间的比率。超过60%的老年人受教育程度低，其中76%在医院死亡。在2006年至2008年期间，观察到男性和女性之间存在统计学上的显著差异，最常见的死亡原因是循环系统疾病R = 1.41（IC95%：1.24 - 1.58）、呼吸系统问题R = 1.49（IC95%：1.22 - 1.76）和癌症R = 1.79（IC95%：1.40 - 2.18）。在2009年至2011年期间，循环系统疾病占R = 1.18（IC95%：1.03 - 1.33），呼吸系统疾病R = 1.33（IC95%：1.11 - 1.55）和癌症R = 1.94（IC95%：1.53 - 2.35）的差异显著。老年人群中第四和第五大常见死亡原因分别是糖尿病和外部原因。所发现的死亡率模式强调了采取行动减少主要死亡原因的重要性，如增加流感疫苗接种覆盖率以及控制高血压和糖尿病。
