Chenet L, Osler M, Mckee M, Krasnik A
School of Hygiene and Tropical Medicine, Health Services Research Unit London.
Ugeskr Laeger. 1997 Jun 23;159(26):4105-9.
The aim of the present study was to identify the contribution from specific causes of death to the changes in life expectancy at birth in Denmark relative to Sweden in different age groups during the 1980s and to compare the difference in life expectancy between the two countries in 1990. Mortality data from WHO mortality tapes grouped in smaller series of clinically meaningful categories were used to calculate the contribution of each of these categories at each ten year age group to the difference in life expectancy at birth in each country between 1979 and 1990 and between the two countries. During the period from 1979 to 1990 life expectancy increased in both Denmark and Sweden. However, Sweden experienced the greatest increase in life expectancy (more than two years) while it increased less than one year in Denmark. In both countries a decrease in cardiovascular disease mortality contributed most to the increase in life expectancy among males as well as females. Both among males and females the less favourable development in Denmark was mainly caused by differences in mortality trends related to cardio-vascular diseases, respiratory and non-respiratory cancer. Over a short period of time two Nordic countries experienced remarkable, but different changes in mortality. These findings suggest that mortality rates are sensitive to even minor differences in social and cultural factors across countries and over short time periods.
本研究的目的是确定20世纪80年代丹麦相对于瑞典不同年龄组出生时预期寿命变化中特定死因的贡献,并比较1990年两国预期寿命的差异。使用世界卫生组织死亡率磁带中的死亡率数据,这些数据按临床意义较小的类别分组,用于计算这些类别在每个十岁年龄组对1979年至1990年各国出生时预期寿命差异以及两国之间差异的贡献。1979年至1990年期间,丹麦和瑞典的预期寿命均有所增加。然而,瑞典预期寿命的增幅最大(超过两年),而丹麦的增幅不到一年。在两国,心血管疾病死亡率的下降对男性和女性预期寿命的增加贡献最大。在男性和女性中,丹麦不太有利的发展主要是由与心血管疾病、呼吸道和非呼吸道癌症相关的死亡率趋势差异造成的。在短时间内,两个北欧国家的死亡率经历了显著但不同的变化。这些发现表明,死亡率对不同国家和短时间内社会和文化因素的微小差异很敏感。