CHANGING PATTERNS OF ASTHMA MORTALITY - IDENTIFYING TARGET POPULATIONS AT HIGH-RISK
CHANGING PATTERNS OF ASTHMA MORTALITY - IDENTIFYING TARGET POPULATIONS AT HIGH-RISK
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DOI：
10.1001/jama.264.13.1683
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发表时间：
1990-10-03
影响因子：
120.7
通讯作者：
WAGENER, DK
中科院分区：
文献类型：
--
作者：
WEISS, KB;WAGENER, DK
研究表明，在1980年代初，哮喘住院率和哮喘死亡率有所增加。利用美国生命记录，我们检查了1968年至1987年的哮喘死亡率，以描述儿童和年轻人（5至34岁）随时间和小地理区域的变化率。在20世纪70年代，美国哮喘死亡率每年下降7.8%（±）。1.0%），女性和非白人下降更快。在1980年代，死亡率以每年6.2%的速度增长（. ±.）。1.2%），5至14岁年龄组的增长速度快于15至34岁年龄组。小区域的地理分析显示，四个地区的哮喘死亡率持续高。尸检率或住院死亡率的趋势表明，《国际疾病分类》编码的变化和对哮喘的认识的提高似乎都不能解释1980年代死亡率的上升。
Studies have suggested increases in hospitalization for asthma and in asthma mortality during the early 1980s. Using US Vital Records, we examined asthma mortality from 1968 through 1987 to describe the rates of change among children and young adults (aged 5 to 34 years) with time and in small geographic areas. During the 1970s, US asthma mortality declined by 7.8% per annum (.+-. 1.0%), declining faster among women and nonwhites. During the 1980s, mortality increased by 6.2% per annum (.+-. 1.2%), increasing faster among those aged 5 to 14 years than among those aged 15 to 34 years. Small-area geographic analysis revealed four areas with persistently high asthma mortality. Neither changes in International Classification of Diseases coding nor improved recognition of asthma, as demonstrated by trends in autopsy rates or rates of in-hospital deaths, seems to explain the increasing mortality of the 1980s.