Schooneveldt M, Songer T, Zimmet P, Thoma K
WHO Collaborating Centre for the Epidemiology of Diabetes Mellitus, Lions International Diabetes Institute, Melbourne, Australia.
J Epidemiol Community Health. 1988 Mar;42(1):89-95. doi: 10.1136/jech.42.1.89.
An analysis of mortality data for the years 1982-5 was carried out for the Micronesian population (aged 15 years and over) of the central Pacific Island, Nauru. Among males, the most common causes of death were circulatory system disorders (33.3%), accidents (25.2%), and diabetes mellitus (12.1%). The majority of accidents occurred in the 15-34 year age group and involved motor vehicles. Among females, neoplasms (almost all lung and cervix) (22.4%), circulatory system disorders (20.7%), and diabetes mellitus (17.2%) were the most common causes of death. When accidents are excluded, 59.4% of deaths were in persons with diabetes. Compared with Australia, mortality rates in almost all age groups were at least five times higher for males and females for a comparable period. Nauruan life expectancy (39.5 years for men and 48.5 years for women) is one of the lowest in the world. These data confirm the high mortality associated with diabetes mellitus in Nauruans as evidenced in earlier studies. Modernization of this society through the affluence acquired by the mining of phosphate has led to serious public health problems relating to non-communicable diseases so that the mortality trends now mirror those of developed societies.
对位于太平洋中部岛屿瑙鲁的密克罗尼西亚人口（15岁及以上）1982 - 1985年的死亡率数据进行了分析。在男性中，最常见的死因是循环系统疾病（33.3%）、事故（25.2%）和糖尿病（12.1%）。大多数事故发生在15 - 34岁年龄组，且与机动车有关。在女性中，肿瘤（几乎全部为肺癌和宫颈癌）（22.4%）、循环系统疾病（20.7%）和糖尿病（17.2%）是最常见的死因。排除事故因素后，59.4%的死亡发生在糖尿病患者中。与澳大利亚相比，在同一时期，几乎所有年龄组的男性和女性死亡率至少高出五倍。瑙鲁人的预期寿命（男性为39.5岁，女性为48.5岁）是世界上最低的之一。这些数据证实了如早期研究所表明的，瑙鲁人糖尿病相关的高死亡率。通过开采磷酸盐获得的财富实现的社会现代化导致了与非传染性疾病相关的严重公共卫生问题，以至于现在的死亡率趋势与发达社会相似。
