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Comparative study on mortality patterns in Japan and China

Z C Li1, Y Morikawa, H Nakagawa

  • 1Center of Health Statistics Information, Ministry of Public Health, People's Republic of China.

Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene
|December 1, 1994
PubMed
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Mortality rates were highest in China, especially rural areas, compared to Japan in 1990. Major causes in China included cerebrovascular diseases and specific cancers, differing from Japan's pattern.

Area of Science:

  • Epidemiology
  • Public Health
  • Comparative Mortality Studies

Background:

  • Understanding cross-national variations in mortality patterns is crucial for public health.
  • Significant differences in causes of death exist between developed and developing nations.

Purpose of the Study:

  • To compare mortality patterns and causes of death between China and Japan in 1990.
  • To identify specific differences in disease burden and risk factors.

Main Methods:

  • Analysis of 1990 Chinese death notice data.
  • Utilisation of 1990 Japanese vital statistical materials.
  • Comparative analysis of mortality rates and cause-specific proportions across age groups and sexes.

Main Results:

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  • Overall mortality rates were highest in Chinese rural areas, followed by urban areas, then Japan.
  • Malignant neoplasms, cardiovascular diseases, and cerebrovascular diseases were leading causes in Japan and urban China (approx. 60%).
  • In rural China, these three accounted for 43% of deaths, with higher rates of infectious diseases and accidents/suicide. Cerebrovascular diseases were notably frequent in China. Lung, liver, and esophageal cancers showed high mortality in China. Bronchitis rates were markedly higher in China than Japan.

Conclusions:

  • Mortality patterns in China and Japan differ significantly, influenced by medical services and risk factors.
  • Cerebrovascular diseases represent a major health concern in both urban and rural China.
  • Higher rates of certain cancers and bronchitis in China warrant further investigation into environmental and lifestyle factors.