Ham-Chande R
Colegio de la Frontera Norte, Departamento de Estudios en Salud Pública, Tijuana, Baja California, México.
Salud Publica Mex. 1996 Nov-Dec;38(6):409-18.
The epidemiologic and demographic transitions have resulted in demographic aging of the Mexican population, increasing the absolute number and percentage of the elderly population. While in 1990, 3.1 million of persons were 65 and older constituting 3.7% of the country's population, these figures are projected to be 15.2 million and 11.7% by 2030. The growing demands on health care that this process involves will be centred on chronic and degenerative diseases and disabilities. Existing information indicates that health conditions and disabilities have greater incidences after the age of 75, and that they occur earlier and have more impact on the female population. Information about mortality organized by causes shows that the oldest population is also experiencing a transition from communicable to non-communicable diseases. These shifts have been observed in recent decades and they continue to occur. The degree of progress depends upon the economic and social situation: thus changes are as diverse and heterogeneous as the socioeconomic conditions within the nation. In any case, the advancing aging process and its relationship with diseases and disabilities points out necessary adjustments within the health system. New circumstances are brought into existence by an increasing importance of morbidity and co-morbidity, creating a need for modification of the models for clinic and hospital care, and the realization that the family maintains its central role as the main resource and care giver for the elderly.
流行病学和人口结构转变导致了墨西哥人口的老龄化,老年人口的绝对数量和百分比都在增加。1990年,65岁及以上的人口有310万,占该国人口的3.7%,而到2030年,预计这两个数字将分别达到1520万和11.7%。这一过程对医疗保健不断增长的需求将集中在慢性和退行性疾病及残疾方面。现有信息表明,75岁以后健康状况和残疾的发生率更高,而且这些情况在女性中出现得更早,影响也更大。按病因分类的死亡率信息显示,最年长的人群也正在经历从传染病向非传染病的转变。近几十年来人们已经观察到了这些转变,而且它们仍在继续。进展程度取决于经济和社会状况:因此,变化与国内的社会经济条件一样多样和异质。无论如何,老龄化进程的推进及其与疾病和残疾的关系表明,卫生系统需要进行必要的调整。发病率和合并症的重要性日益增加带来了新情况,这就需要对临床和医院护理模式进行调整,同时也意识到家庭作为老年人主要资源和护理提供者的核心作用依然存在。