Deaths: final data for 1999.
Deaths: final data for 1999.
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发表时间：
2001-09
影响因子：
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通讯作者：
D. Hoyert;E. Arias;B. L. Smith;S. L. Murphy;K. Kochanek
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文献类型：
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作者：
D. Hoyert;E. Arias;B. L. Smith;S. L. Murphy;K. Kochanek
目的根据人口统计学和医学特征，这份报告介绍了1999年美国死亡人数和死亡率的最终数据。还描述了总体死亡率、预期寿命以及婴儿和孕产妇死亡率的趋势和模式。前一份报告介绍了1999年的初步死亡率数据。方法1999年美国共报告了2391,399例死亡病例。本报告列出了由殡仪师、主治医师、法医和验尸官填写的死亡证明信息列表。原始记录在州登记办公室存档。统计信息通过国家卫生统计中心(NCHS)、疾病控制和预防中心的生命统计合作计划汇编到国家数据库中。在最后一份死亡数据报告中，第一次根据2000年人口和死因根据《国际疾病分类第十次修订本》(ICD-10)处理了年龄调整死亡率。结果1999年美国年龄调整死亡率为每10万标准人口881.9例死亡，比1998年增加0.7个百分点，出生时预期寿命保持在76.7岁不变。在所有死因中，45-54岁、75-84岁和85岁及以上的年龄别死亡率上升，而5-14岁、55-和65-74岁等多个年龄段的死亡率下降。主动脉瘤和夹层首次出现在主要死因名单中，动脉粥样硬化退出了名单。心脏病和癌症仍然是主要和第二大死亡原因。年龄调整后的枪伤死亡率连续第六年下降，1998年至1999年间下降了6.2%。婴儿死亡率为每1000名活产中有7.1名婴儿死亡，与1998年的死亡率在统计上没有什么不同。结论总体而言，死亡率持续长期趋势。1999年的预期寿命与1998年持平，尽管经年龄调整的死亡率比1998年达到的历史最低水平略有上升。虽然统计数字与1998年相比没有变化，但婴儿死亡率的趋势一直是稳步但缓慢的下降。1998年至1999年期间，85岁及以上妇女和人员的一些死亡率指标恶化。
OBJECTIVES This report presents final 1999 data on U.S. deaths and death rates according to demographic and medical characteristics. Trends and patterns in general mortality, life expectancy, and infant and maternal mortality are also described. A previous report presented preliminary mortality data for 1999. METHODS In 1999 a total of 2,391,399 deaths were reported in the United States. This report presents tabulations of information reported on the death certificates completed by funeral directors, attending physicians, medical examiners, and coroners. Original records are filed in the State registration offices. Statistical information is compiled into a national data base through the Vital Statistics Cooperative Program of the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention. For the first time in a final mortality data report, age-adjusted death rates are based upon the year 2000 population and causes of death are processed in accordance with the Tenth Revision of the International Classification of Diseases (ICD-10). RESULTS The 1999 age-adjusted death rate for the United States was 881.9 deaths per 100,000 standard population, a 0.7 percent increase from the 1998 rate, and life expectancy at birth remained the same at 76.7 years. For all causes of death, age-specific death rates rose for those 45-54 years, 75-84 years, and 85 years and over and declined for a number of age groups including those 5-14 years, 55-64 years, and 65-74 years. Aortic aneurysm and dissection made its debut in the list of leading causes of death and atherosclerosis exited from the list. Heart disease and cancer continued to be the leading and second leading causes of death. The age-adjusted death rate for firearm injuries decreased for the sixth consecutive year, declining 6.2 percent between 1998 and 1999. The infant mortality rate, 7.1 infant deaths per 1,000 live births, was not statistically different from the rate in 1998. CONCLUSIONS Generally, mortality continued long-term trends. Life expectancy in 1999 was unchanged from 1998 despite a slight increase in the age-adjusted death rate from the record low achieved in 1998. Although statistically unchanged from 1998, the trend in infant mortality has been of a steady but slowing decline. Some mortality measures for women and persons 85 years and over worsened between 1998 and 1999.