Tsugane S, Gotlieb S L, Laurenti R, Souza J M, Watanabe S
Epidemiology Division, National Cancer Center Research Institute, Tokyo, Japan.
Int J Epidemiol. 1989 Sep;18(3):647-51. doi: 10.1093/ije/18.3.647.
The death certificates of first-generation Japanese in the city of São Paulo, Brazil, were analysed for underlying causes of death, and standardized mortality ratio (SMR) values were calculated using the age-specific mortality rates for Japan and São Paulo. Mortality rates for all causes were lower than those of the general population in São Paulo for all age groups and both sexes, and were almost equal to those in Japan. Compared with the mortality in Japan, significantly higher SMR values were obtained for diabetes mellitus, ischaemic heart disease, respiratory diseases (females), motor vehicle accidents, and homicide (males), whereas SMR values were low for all causes (males), other heart diseases, cerebrovascular disease, chronic liver diseases (males), suicide, and malignant neoplasms (males). On the other hand, compared with the mortality for São Paulo, SMR values were significantly low for most causes of death. The potential cultural and social factors contributing to these changes in mortality pattern are discussed.
对巴西圣保罗市第一代日裔的死亡证明进行了潜在死因分析，并使用日本和圣保罗的年龄别死亡率计算了标准化死亡率（SMR）值。所有年龄组和两性的全死因死亡率均低于圣保罗的普通人群，且几乎与日本的死亡率相当。与日本的死亡率相比，糖尿病、缺血性心脏病、呼吸系统疾病（女性）、机动车事故和杀人（男性）的SMR值显著更高，而全死因（男性）、其他心脏病、脑血管疾病、慢性肝病（男性）、自杀和恶性肿瘤（男性）的SMR值较低。另一方面，与圣保罗的死亡率相比，大多数死因的SMR值显著较低。讨论了导致这些死亡模式变化的潜在文化和社会因素。
