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在生命统计报告中报告的痴呆症死亡率存在很大的差异:需要改进数据以告知政策
Tim Adair1, Hang Li1, Jeromey Temple2
1The Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne.
Alzheimer disease and associated disorders
|June 14, 2023
概括
全球痴呆症死亡率数据显示,各国之间存在显著差异,报告不足是常见的. 心血管疾病和肺炎往往是错误分类的死亡原因在低痴呆报告的地区.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 了解痴呆症死亡率数据的国家间可比性是有限的.
- 关于痴呆症死亡的国家重要统计数据在不同国家和随着时间的推移而有很大差异.
- 准确的痴呆死亡率数据对于公共卫生政策和资源分配至关重要.
研究的目的:
- 为了比较2000年至2019年90个国家的国家重要统计数据中报告的痴呆症死亡率.
- 通过使用全球疾病负担估计,评估报告与预期痴呆症死亡率的比例.
- 在报告率较低的国家识别痴呆症死亡率的潜在错误分类.
主要方法:
- 利用世界卫生组织 (WHO) 死亡数据库进行数据分析.
- 计算了年龄标准化的痴呆症死亡率和报告死亡与预期死亡的比率.
- 确定了报告痴呆症死亡率较低的国家,并分析了它们的死亡原因分数.
主要成果:
- 观察到报告的痴呆症死亡率在各国之间存在很大差异.
- 报告的痴呆症死亡率在高收入国家 (>100%) 超过预期,但在其他地区低于50%.
- 在报告痴呆症较低的地区,心血管疾病,不明原因和肺炎的比例较高,这表明错误分类.
结论:
- 痴呆症死亡率报告中的显著差异阻碍了国际比较.
- 对痴呆症死亡的潜在错误分类需要注意.
- 对死亡认证人员的加强指导和使用多种死亡原因数据可以提高数据质量和政策相关性.
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