International trends in asthma mortality: 1970 to 1985.
International trends in asthma mortality: 1970 to 1985.
复制标题
哮喘死亡率的国际趋势：1970 年至 1985 年。
作者：
R. Jackson;M. Sears;R. Beaglehole;Rea Hh
作为对1970年代后期哮喘死亡流行病的后续研究，对5至34岁人群中哮喘死亡率的近期国际趋势进行了研究，该流行病似乎仅限于新西兰。死亡率进行了比较，在14个国家与适当的统计数据：澳大利亚，加拿大，英格兰和威尔士，芬兰，法国，日本，以色列，荷兰，新西兰，新加坡，瑞典，瑞士，美国和西德，为1970年至1984/5年期间。在新西兰，这一年龄组的哮喘死亡率从1974年的1.3/100，000增加到1979年的4.2/100，000，增加了两倍多，此后又大幅下降到1985年的1.85/100，000。在所研究的其他国家中，哮喘死亡率的差异超过6倍，尽管新西兰的经验在其他地方没有达到相同的程度，但自20世纪70年代中期至后期以来，在大多数所研究的国家中，报告的哮喘死亡率逐渐增加。新西兰哮喘死亡率的增加和随后的下降不能用诊断方式或国际疾病分类编码规则的变化来解释。同样，美国的数据也没有表明气道阻塞疾病之间存在诊断转移。然而，所研究国家之间哮喘死亡率的部分差异以及最近哮喘死亡率的增加可能是由于诊断方式的变化，而不是死亡率的真正差异。需要对哮喘死亡统计数据的有效性和哮喘患病率进行国际研究，以澄清这些问题。
Recent international trends in asthma mortality among people aged five to 34 years were examined as a follow-up to an epidemic of asthma deaths in the late 1970s which appeared to be confined to New Zealand. Mortality rates were compared in 14 countries with suitable statistics; Australia, Canada, England and Wales, Finland, France, Japan, Israel, the Netherlands, New Zealand, Singapore, Sweden, Switzerland, the United States, and West Germany, for the period 1970 to 1984/5. In New Zealand, asthma mortality in this age group more than trebled from 1.3 per 100,000 in 1974 to 4.2 per 100,000 in 1979 and since then has declined substantially to 1.85 per 100,000 in 1985. Asthma death rates vary more than six-fold among the other countries examined, and although the New Zealand experience has not been seen to the same degree elsewhere, a gradual increase in reported asthma mortality has occurred since the mid to late 1970s in the majority of countries studied. The increase and subsequent decline in asthma mortality in New Zealand could not be explained by changes in diagnostic fashions or in the International Classification of Disease coding rules. Similarly, the US data do not suggest there is diagnostic transfer among diseases of airway obstruction. However, part of the differences in asthma mortality among the countries examined and the recent increases in asthma death rates, could be due to changing diagnostic fashions rather than true differences in mortality. International studies on the validity of asthma death statistics and on asthma prevalence are required to clarify these issues.