Targonski P V, Persky V W, Orris P, Addington W
University of Illinois School of Public Health, Division of Epidemiology-Biostatistics, Chicago 60612.
Am J Public Health. 1994 Nov;84(11):1830-3. doi: 10.2105/ajph.84.11.1830.
Death certificate data were used to examine asthma mortality among African Americans and Whites aged 5 through 34 years in Chicago from 1968 through 1991. African Americans experienced consistently higher asthma mortality throughout the period. Asthma mortality remained stable among Whites from 1968 through 1991 but increased by 337% among African Americans from 1976 through 1991 (P < .001). The increase was greatest among 20- through 34-year-olds. Between 1979 and 1991, outpatient and emergency department deaths increased significantly, while the proportion of dead-on-arrival cases remained stable at 51%. This shift to non-inpatient deaths suggests that lack of access to health care may play a role in increasing asthma mortality.
死亡证明数据被用于研究1968年至1991年期间芝加哥5至34岁非裔美国人和白人中的哮喘死亡率。在此期间，非裔美国人的哮喘死亡率一直较高。1968年至1991年期间，白人的哮喘死亡率保持稳定，但1976年至1991年期间非裔美国人的哮喘死亡率上升了337%（P <.001）。20至34岁人群的死亡率上升幅度最大。1979年至1991年期间，门诊和急诊科死亡人数显著增加，而入院时已死亡病例的比例稳定在51%。这种向非住院死亡的转变表明，获得医疗保健的机会不足可能在哮喘死亡率上升中起作用。
