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The Australian mortality decline: cause-specific mortality 1907-1990

R Taylor1, M Lewis, J Powles

  • 1Department of Public Health and Community Medicine, University of Sydney, NSW.

Australian and New Zealand Journal of Public Health
|May 26, 1998
PubMed
Summary
This summary is machine-generated.

Mortality causes in Australia shifted significantly this century. Infectious disease deaths declined, while circulatory disease deaths initially rose then fell, and cancer deaths increased in males.

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Area of Science:

  • Public Health
  • Epidemiology
  • Demography

Background:

  • Australian mortality rates have declined substantially over the past century.
  • Understanding the changing composition of mortality by cause is crucial for public health policy.

Purpose of the Study:

  • To analyze shifts in mortality composition by major causes in Australia from 1907 to 1990.
  • To identify trends in infectious diseases, cardiovascular disease, cancer, and external causes of death.

Main Methods:

  • Review of age-adjusted mortality data by major attributed cause.
  • Analysis of trends including infectious diseases, nonrheumatic cardiovascular disease, external causes, cancer, and ill-defined conditions.
  • Consideration of artefacts from diagnostic and coding changes.

Main Results:

  • Significant decline in infectious disease mortality, with half occurring before 1949.
  • Circulatory disease mortality peaked in the 1950s-1960s and declined by 1990.
  • Cancer mortality remained static for females but increased for males, plateauing in the mid-1980s.
  • External cause mortality declined after 1970.

Conclusions:

  • The overall mortality decline is linked to reduced infectious diseases and 'other' causes.
  • Shifts in mortality composition reflect complex interactions between declining infections and rising non-communicable diseases.
  • Post-1970 mortality decline driven by reductions across multiple major causes, despite rising male cancer rates.