Pérez-Domínguez F J, Gallardo García V, García Solano M, Ruiz de Adana R
Servicio de Medicina Preventiva, Hospital Universitario San Carlos.
Aten Primaria. 1993 Jun 15;12(1):20-6.
To determine the level of health of individuals living in 1987 in Sector 7 of the Autonomous Community of Madrid (ACM).
Crossover analysis of the mortality among residents of Sector 7 of the ACM in 1987.
The Madrid districts, Centro, Chamberí and Latina, which compose Sector 7 of the ACM. POPULATION UNDER STUDY: The 5,460 deaths of Sector 7 residents registered in 1987.
The mortality rates (both overall and broken down according to C.I.E. 9th causes), the mortality rates of those under 70 and the rates of years of life potentially lost were standardised by the direct method. The following results were obtained: 1. The mortality rates standardised according to age in the Centro district (7.82 per thousand) were significantly higher (p < 0.001) than those of the other Sector 7 districts (Chamberí and Latina were both at 6.25 per thousand) and of the ACM as a whole (6.63 per thousand). 2. The mortality rates, standardised by age for the population under 70 in the Centro district, were significantly higher (p < 0.001) than those of the other Sector 7 districts (Chamberí, 3.1 per thousand and Latina, 2.63 per thousand) and of the ACM as a whole (2.88 per thousand).
Analysing mortality by Health Area reveals differences in communities' health levels. These findings will assist more rational planning of the distribution of resources.
确定1987年居住在马德里自治区第7区的个人的健康水平。
对1987年马德里自治区第7区居民的死亡率进行交叉分析。
组成马德里自治区第7区的马德里市中心区、钱贝里区和拉蒂纳区。
1987年登记的第7区居民的5460例死亡病例。
采用直接法对死亡率（包括总体死亡率和按国际疾病分类第九版病因分类的死亡率）、70岁以下人群的死亡率以及潜在寿命损失年率进行标准化。结果如下：1. 市中心区按年龄标准化的死亡率（每千人7.82例）显著高于第7区的其他地区（钱贝里区和拉蒂纳区均为每千人6.25例）以及整个马德里自治区（每千人6.63例）（p<0.001）。2. 市中心区70岁以下人群按年龄标准化的死亡率显著高于第7区的其他地区（钱贝里区每千人3.1例，拉蒂纳区每千人2.63例）以及整个马德里自治区（每千人2.88例）（p<0.001）。
按健康区域分析死亡率揭示了社区健康水平的差异。这些发现将有助于更合理地规划资源分配。
