Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar.
PLoS One. 2018 Sep 25;13(9):e0203996. doi: 10.1371/journal.pone.0203996. eCollection 2018.
With the increase of Qatar's total population, primarily due to the influx of healthy male migrant labor, worldwide attention has been focused on deaths among these migrant workers.
To describe adult mortality trends in Qataris (nationals) and non-Qataris (migrants) from all causes, cardiovascular and circulatory disease, neoplasms, and injuries, 1989-2015.
We retrieved Qatar's vital registration data by nationality, sex, age group, year, and codes of the World Health Organization's International Classification of Diseases, Ninth and Tenth Revisions. We assessed age-standardized mortality rate (ASMR) trends in Qatar's total population, in Qataris and non-Qataris using Joinpoint regression.
During the study period, 26,673 deaths were recorded. In 2015, we estimated 60,716 years of life lost (82% in males) in the overall population. In Qataris (both sexes) and in non-Qatari females, all-cause rate decreased significantly and steadily between 1989-2015. In non-Qatari males, it decreased significantly between 1998-2010 probably attributed to a massive influx of healthy migrants. Yearly rates were significantly lower in non-Qataris over 27 years. Reduction in Qatar's total population rates for all causes and for neoplasms can be partially attributed to the healthy migrant effect. For injuries in males, it was lower in non-Qatari. Remarkably, for falls, cause-specific ASMR in non-Qatari males decreased significantly reaching 2.6/100,000 in 2014, suggesting improved safety in the work environment. However, while young adult males in Qatar die predominantly from injuries, young adult females die from neoplasms.
Our study demonstrates that premature death in young adult males and females in Qatar is predominantly due to injuries and neoplasms respectively. These identified causes of death are for a large part preventable and should be addressed appropriately to lower premature mortality among young adults in Qatar.
随着卡塔尔总人口的增加，主要是由于健康男性移民的涌入，全世界的注意力都集中在这些移民工人的死亡上。
描述 1989 年至 2015 年期间卡塔尔人（国民）和非卡塔尔人（移民）的全因、心血管和循环系统疾病、肿瘤和损伤的成人死亡率趋势。
我们按国籍、性别、年龄组、年份和世界卫生组织国际疾病分类第九和第十修订版的代码检索了卡塔尔的人口登记数据。我们使用 Joinpoint 回归评估了卡塔尔总人口、卡塔尔人和非卡塔尔人年龄标准化死亡率（ASMR）的趋势。
在研究期间，记录了 26673 例死亡。2015 年，我们估计在总人口中损失了 60716 年的生命（男性占 82%）。在卡塔尔人（男女）和非卡塔尔女性中，1989-2015 年间全因死亡率呈显著且稳定下降趋势。在非卡塔尔男性中，1998-2010 年间死亡率显著下降，可能归因于大量健康移民的涌入。非卡塔尔人每年的死亡率明显低于 27 岁以上的人。所有原因和肿瘤的卡塔尔总人口率下降部分归因于健康移民的影响。对于男性的伤害，非卡塔尔人的伤害率较低。值得注意的是，对于跌倒，非卡塔尔男性的特定病因 ASMR 显著下降，2014 年达到 2.6/10 万，表明工作环境的安全性得到了提高。然而，虽然卡塔尔年轻男性主要死于伤害，但年轻女性死于肿瘤。
我们的研究表明，卡塔尔年轻男性和女性的过早死亡主要分别归因于伤害和肿瘤。这些确定的死亡原因在很大程度上是可以预防的，应该适当解决，以降低卡塔尔年轻成年人的过早死亡率。
