Calazans Júlia Almeida, Queiroz Bernardo Lanza
Universidade Federal de Minas Gerais Belo Horizonte Belo HorizonteMinas Gerais Brazil Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Rev Panam Salud Publica. 2020 Jan 14;44:e1. doi: 10.26633/RPSP.2020.1. eCollection 2020.
To investigate the adult mortality profile from eight causes of death in 10 Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico, Paraguay, Peru, and Uruguay) from 2000 to 2016.
The cause of death effect in adult mortality was calculated as the hypothetical gain in the average number of years lived in adulthood (15 to 60 years old), in a cause-deleted life table. Mortality information by cause, sex, and age group came from the World Health Organization.
Although the adult mortality levels are very different among the 10 countries, the pattern of mortality by cause of death is very similar. All the countries are in the intermediate stages of the epidemiological transition, with chronic degenerative diseases being predominant. Among males, circulatory system diseases and external causes are the most important causes of death in terms of the average number of years lived in adulthood. Among females, the leading causes are circulatory system diseases and neoplasms.
Some studies have pointed out that Latin America exhibits severe difficulties in moving through some epidemiological transition phases, given the continuing high mortality from chronic diseases and violent deaths. However, between 2000 and 2016, there was a convergence among the 10 analyzed countries around the theoretical limit in the average number of years lived in adulthood. Countries that include Brazil, Colombia, Ecuador, Mexico, Paraguay, and Peru are still further away from this limit, but they have an enormous potential to increase the number of years lived in adulthood in the future.
调查2000年至2016年10个拉丁美洲国家(阿根廷、巴西、智利、哥伦比亚、哥斯达黎加、厄瓜多尔、墨西哥、巴拉圭、秘鲁和乌拉圭)8种死因导致的成人死亡率情况。
在一个去除某种死因的生命表中,将成人死亡率中的死因效应计算为成年期(15至60岁)平均预期寿命的假设增加量。按死因、性别和年龄组划分的死亡率信息来自世界卫生组织。
尽管这10个国家的成人死亡率水平差异很大,但死因死亡率模式非常相似。所有国家都处于流行病学转变的中间阶段,慢性退行性疾病占主导地位。在男性中,就成年期平均预期寿命而言,循环系统疾病和外部原因是最重要的死因。在女性中,主要死因是循环系统疾病和肿瘤。
一些研究指出,鉴于慢性病和暴力死亡导致的死亡率持续居高不下,拉丁美洲在经历某些流行病学转变阶段时面临严重困难。然而,在2000年至2016年期间,10个被分析国家在成年期平均预期寿命的理论极限附近出现了趋同。包括巴西、哥伦比亚、厄瓜多尔、墨西哥、巴拉圭和秘鲁在内的国家距离这一极限仍较远,但它们在未来增加成年期预期寿命方面具有巨大潜力。