Lara-Rodríguez M A, Benítez-Martínez M G, Fernández-Gárate I H, Zárate-Aguilar A
Coordinación de Salud Comunitaria, División de Epidemiología, Instituto Mexicano del Seguro Social, México, D.F.
Salud Publica Mex. 1996 Nov-Dec;38(6):448-57.
The objective of this study is to present dynamic changes within the population over 65 years of age who are covered by the Mexican Institute of Social Security (MISS), through morbidity and mortality analysis, during the last 6 and 10 years respectively.
Based on data from the Epidemiologic Bulletins from 1990 to 1995 and from 1985 to 1994, the morbidity and mortality rates, respectively, were calculated for the Mexican population over 65 who are covered by the MISS. Incidence of diseases was used as a measure of occurrence and the ratio of morbidity and mortality rates was calculated as the measure of effect.
An epidemiological transition exists, with a tendency towards aging among this population. In terms of morbidity, infectious and chronic diseases coexist; as for mortality, chronic-degenerative diseases predominate.
This represents a challenge for health care within institutional services, as this population group begins to compete with other priority groups and emergency needs. Epidemiological surveillance and research is essential to support decision-making.
本研究的目的是通过发病率和死亡率分析，分别呈现墨西哥社会保障机构（IMSS）覆盖的65岁以上人群在过去6年和10年中的动态变化。
根据1990年至1995年以及1985年至1994年的流行病学公报数据，分别计算了IMSS覆盖的65岁以上墨西哥人群的发病率和死亡率。疾病发病率用作发生情况的衡量指标，发病率与死亡率之比用作效应衡量指标。
存在流行病学转变，该人群有老龄化趋势。在发病率方面，传染病和慢性病并存；在死亡率方面，慢性退行性疾病占主导。
这对机构服务中的医疗保健构成挑战，因为该人群开始与其他优先群体和紧急需求竞争。流行病学监测和研究对于支持决策至关重要。
