Barchielli A, Balzi D, Giovannetti L, Sorso B, Buiatti E
Registro di Mortalità Regionale della Toscana, U.O. Epidemiologia, Presidio per la Prevenzione oncologica (CSPO), Azienda Ospedaliera Careggi, Firenze.
Epidemiol Prev. 1998 Jan-Mar;22(1):30-6.
In the period 1989-94, mortality rates for the most important causes of death in people migrated to the Tuscany from other Italian regions were analysed. The area of birth was assessed according to the information on province of birth recorded on death certificates. For this analysis we classified Italy into Tuscany and five broad areas, each including a number of political regions: North-West, North-East, Centre, South and Islands. The number of person-years for calculation of the mortality risks was based on 1991 census data, which also included information on place of birth and on current residence. The risks of death of subjects born in other Italian areas and resident in Tuscany ("migrated populations") in comparison to Tuscany born population were assessed by means of Poisson multivariate regression models. For most sites (particularly for lung and breast), cancer mortality rates were higher among North-West and North-East born people and lower among Centre, South and Islands born people. Gastric cancer mortality was higher in Tuscany born subjects. Cardiovascular diseases mortality was generally lower among people born outside of the Tuscany, with the exception of ischaemic heart disease (higher in North-West and Islands born people). Liver cirrhosis mortality was generally higher in North-West, North-East, South and Islands born subjects (with some differences between males and females). Diabetes mellitus mortality was higher in South and Islands born people. AIDS and opioids overdose mortality was higher in North-West born subjects. Mortality for external causes was higher in people born outside of the Tuscany. Both in males and females, overall mortality was higher in North-West and lower in South born people and lower in Centre and Islands born males.
在1989年至1994年期间,对从意大利其他地区迁移至托斯卡纳的人群中最重要死因的死亡率进行了分析。根据死亡证明上记录的出生省份信息评估出生地区。在本次分析中,我们将意大利分为托斯卡纳和五个大区,每个大区包括若干个行政区:西北区、东北区、中部、南部和岛屿区。计算死亡风险的人年数基于1991年人口普查数据,该数据还包括出生地点和当前居住地的信息。通过泊松多元回归模型评估出生在意大利其他地区并居住在托斯卡纳的人群(“移民人群”)与出生在托斯卡纳的人群相比的死亡风险。对于大多数部位(尤其是肺部和乳腺),西北区和东北区出生的人群癌症死亡率较高,而中部、南部和岛屿区出生的人群癌症死亡率较低。托斯卡纳出生的人群胃癌死亡率较高。除缺血性心脏病(西北区和岛屿区出生的人群中较高)外,托斯卡纳以外出生的人群心血管疾病死亡率普遍较低。西北区、东北区、南部和岛屿区出生的人群肝硬化死亡率普遍较高(男女之间存在一些差异)。南部和岛屿区出生的人群糖尿病死亡率较高。西北区出生的人群艾滋病和阿片类药物过量死亡率较高。托斯卡纳以外出生的人群外部原因导致的死亡率较高。无论男性还是女性,西北区出生的人群总体死亡率较高,南部出生的人群总体死亡率较低,中部和岛屿区出生的男性总体死亡率较低。