367 research outputs found
IntĂ©rĂȘt de lâanalyse des causes multiples dans lâĂ©tude de la mortalitĂ© aux grands Ăąges : lâexemple français
En France, la plus grande part des dĂ©cĂšs se produit aux Ăąges Ă©levĂ©s et mĂȘme trĂšs Ă©levĂ©s. Le dĂ©cĂšs est alors souvent lâaboutissement dâun processus complexe qui met en jeu plusieurs affections. Or, la plupart des Ă©tudes traitant des profils ou des tendances de la mortalitĂ© par cause reposent uniquement sur la cause initiale du dĂ©cĂšs. Lâobjectif de cet article est dâĂ©tudier lâimpact de la prise en compte des causes multiples (cause initiale, cause directe et causes associĂ©es) sur la caractĂ©risation de la mortalitĂ© en France Ă 60 ans ou plus. Les trois causes de dĂ©cĂšs les plus frĂ©quentes Ă ces Ăąges (maladies cardio-vasculaires, tumeurs et maladies de lâappareil respiratoire) sont inchangĂ©es mais la mĂ©thode fait ressortir le poids dâautres pathologies, en particulier le diabĂšte et les troubles mentaux. LâinterprĂ©tation des associations constatĂ©es entre diffĂ©rentes causes est complexe car la multiplicitĂ© des combinaisons thĂ©oriquement possibles nous oblige Ă effectuer des regroupements. Lâarticle propose une analyse approfondie pour les deux groupes de causes de dĂ©cĂšs les plus frĂ©quentes : les maladies de lâappareil circulatoire et les tumeurs.In France, most deaths occur among the elderly and very elderly. Death is often the end result of a complex process involving a number of ailments. However, most studies dealing with cause-specific mortality profiles or trends are only based on the underlying cause of death. The aim of this article is to study the impact of considering multiple causes (the underlying cause, direct cause and contributing causes) on the characterization of mortality in France at age 60 and over. The three most frequent causes of death at these ages (cardiovascular illness, tumours and respiratory illness) remain unchanged, but the method brings out the importance of other disorders, particularly diabetes and mental illness. Interpretation of the associations observed between various causes is a complex process since we need to set up groupings in view of the multiple theoretically possible combinations. The article offers an in-depth analysis of two groups of the most frequent causes of death: circulatory system illness and tumours
Les causes de décÚs aux grands ùges en France, évolution récente
Dans les pays les plus avancĂ©s, la mort survient de plus en plus aux grands Ăąges. En France, par exemple, en 2016, 73 % des dĂ©cĂšs fĂ©minins se sont produits aprĂšs 85 ans, alors que ce nâĂ©tait le cas que de 41 % en 1975 et mĂȘme seulement 25 % en 1950. Alors que le sujet paraissait jadis anecdotique, des chercheurs sâinterrogent de plus en plus sur ce que peuvent ĂȘtre les causes de dĂ©cĂšs aux grands Ăąges. Beaucoup, cependant, estiment que la question est relativement vaine car plus lâĂąge avance, plus les causes sont multiples ce qui rend dâautant plus difficile la dĂ©termination dâune cause principale tandis que de leur cĂŽtĂ© les mĂ©decins dĂ©clarants posent souvent des diagnostics flous. Il est vrai que le nombre de dĂ©cĂšs dont la cause est mal dĂ©finie, voire non dĂ©clarĂ©e, augmente avec lâĂąge, mais il nous semble nĂ©anmoins que les certificats mĂ©dicaux de cause de dĂ©cĂšs portent de plus en plus dâinformations exploitables jusquâĂ des Ăąges trĂšs avancĂ©s dans beaucoup de pays, dont la France. Dans le mĂȘme temps, la prĂ©cision des Ăąges au dĂ©cĂšs recueillis par la statistique de lâĂ©tat civil, longtemps assez dĂ©faillante aux grands Ăąges, sâest beaucoup amĂ©liorĂ©e au cours des derniĂšres dĂ©cennies.
Nous tentons donc ici de suivre lâĂ©volution de la mortalitĂ© française par cause et par Ăąge au-delĂ de 90 ans, depuis la fin des annĂ©es 1970, tant pour les hommes que pour les femmes. Non seulement, lâĂ©tude confirme que la mortalitĂ© diminue Ă tous les Ăąges, y compris les plus Ă©levĂ©s, et quel que soit le sexe. Elle nous permet aussi dâĂ©valuer le poids de chacun des grands groupes de causes (cancers, maladies du cĆur, autres maladies de lâappareil circulatoire, maladies infectieuses et respiratoires, diabĂšte, dĂ©mences et maladies neuro-dĂ©gĂ©nĂ©ratives, autres maladies, accidents et sĂ©nilitĂ©), dans ce recul de la mortalitĂ© aux Ăąges Ă©levĂ©s et donc dans la montĂ©e des espĂ©rances de vie Ă 90 ans, ainsi que le rĂŽle quâils jouent dans la diffĂ©rence dâespĂ©rance de vie entre les sexes dont lâĂ©volution, mĂȘme aux grands Ăąges sâest rĂ©cemment retournĂ©e
L' evolution de la mortalite par cause: les differentes facettes de la transition epidemiologique
Inclut la bibliographi
Mortality in the Caucasus
With the collapse of the Soviet Union, Caucasian countries experienced remarkable migration flows, political conflicts, and deterioration of civil registration systems. The reassessment of Armenian and Georgian population after censuses carried out in the early 2000s enables to re-estimate recent mortality levels in both countries. Vital statistics since the 1980s are presented and discussed. Infant mortality is corrected according to sample surveys, and mortality above age 60 estimated through model life tables. On the basis of these estimates, trends in life expectancy were similar in the two countries, unfavourable during the 1990s, especially for males for whom the health progress, notably in Georgia, is still low.administrative data, Armenia, estimation, Georgia, life expectancy, mortality, reliability, survey data
Revisiting the mortality of France and Italy with the multiple-cause-of-death approach
In this paper, we use the multiple cause-of-death approach to compare the mortality profiles of France and Italy in 2003. Our analysis leads to a substantial re-evaluation of the role played by certain conditions in the process leading to death. Regarding the associations of causes, we distinguish three patterns that are common to both countries. The numerous similarities that emerge from the comparison of the two countries are a clear indication that, contrary to what is generally thought, misreporting by the certifying physicians generally do not distort the observation.cause of death, France, international comparisons, Italy, mortality, multiple causes of death
Is East-West Life Expectancy Gap Narrowing in the Enlarged European Union?
The fall of the Berlin Wall in 1990 and EU enlargement in 2004 are two major political events in the recent history of the Central and Eastern European region. By systematically comparing the changes and differences in life expectancy at birth between the seven new member countries from Central and Eastern Europe and more advanced countries of the EU-15, this article attempts to identify the vanguards and laggards in the health convergence process before and after the 2004 EU enlargement. The results of decomposition analysis highlight the changing patterns of age- and cause-specific contributions to the differences in life expectancy. Finally, we focus on the variations in the progress in reducing the burden of cardiovascular diseases and external causes of death, which were known to be responsible for the long-term mortality crisis during the period of communist rule. Our findings suggest that the collapse of the communist regimes led to immediate positive changes in the Central European countries. At the same time, health disadvantages persisted and even worsened in the Baltic countries. Later on, joining the EU in 2004 was not accompanied by immediate systematic convergence of life expectancy. However, very rapid progress in the initially worst performing Baltic countries after 2007 and especially during the 2010s, may suggest a delayed positive impact of EU enlargement leading to decreasing longevity disadvantage. The convergence process after 2004 was generally slower in the initially better-performing four Central European countries. Despite these country-specific variations, Czechia, Poland, and, especially, Estonia remain clear health vanguards in the region. Further progress requires much more systematic efforts to combat cardiovascular diseases and the persisting burden of excess male mortality at adult working ages.
* This article belongs to a special issue on âDemographic Developments in Eastern and Western Europe Before and After the Transformation of Socialist Countriesâ
Revisiting the mortality of France and Italy with the multiple-cause-of-death approach
International audience; In this paper we revisit the mortality profiles of France and Italy in 2003 using the multiple-cause-of-death approach. The method leads to a substantial upward reassessment of the role played by certain conditions - e.g. diseases of the blood and diseases of the skin - in overall mortality. Regarding the associations of causes, we distinguish three patterns of pairwise joint occurrence of causes that are common to both countries. The numerous similarities that emerge from the comparison of the two countries are a positive signal of the reliability of the multiple-cause-of-death data
Mortality in Belarus, Lithuania, and Russia: divergence in recent trends and possible explanations
Before the collapse of the Soviet Union, Belarus, Lithuania, and Russia were quite comparable in terms of their socioeconomic development. Despite some differences in overall mortality levels, the three former Soviet republics were also very close to each other in terms of directions of mortality trends and age- and cause-specific mortality patterns. After 1991, all the three countries experienced substantial political and social transformations, and the challenges associated with the transition from a socialist to a market economy system. The sudden changes brought numerous problems, such as rapid growth in unemployment, falling standards of living, and growing social and income inequalities. These factors contributed to the significant deterioration of the health situation in all the countries, but the size and the nature of the mortality crisis was different in Belarus than it was in Lithuania and Russia. The marked similarities in socioeconomic and mortality trends in the countries up to 1991 contrast with their notable divergence during the subsequent years. The nature and success of market reforms seems to be the most plausible explanation for these differences. Russia and Lithuania have chosen more radical forms of economic and political transformations, which have led to massive privatization campaigns. The reforms were more sustainable and systematic in Lithuania than in Russia. By contrast, Belarus has chosen a gradual and slow transition path. Recent mortality trends in Belarus are explored in detail here, and are contrasted with those observed in Lithuania and Russia. Including a cause-of-death analysis sheds more light on the plausible determinants of the variations in mortality levels between the countries.Avant la chute de lâUnion SoviĂ©tique, la BiĂ©lorussie, la Lituanie et la Russie Ă©taient tout Ă fait comparables en termes de dĂ©veloppement socio-Ă©conomique. En dĂ©pit de quelques diffĂ©rences de taux de mortalitĂ© gĂ©nĂ©rale, les ex-RĂ©publiques SoviĂ©tiques Ă©taient Ă©galement trĂšs proches en termes de tendances et de variations de la mortalitĂ© par cause et par Ăąge. AprĂšs 1991, les 3 pays ont connu des bouleversements politiques et sociaux, et ont dĂ» faire face aux dĂ©fis associĂ©s au passage dâune Ă©conomie socialiste Ă lâĂ©conomie de marchĂ©. Ces changements soudains ont provoquĂ© de nombreux problĂšmes, tels quâune montĂ©e rapide du chĂŽmage, la baisse du niveau de vie et le dĂ©veloppement dâinĂ©galitĂ©s sociales et de revenu. Lâensemble de ces facteurs a contribuĂ© Ă une dĂ©tĂ©rioration significative de la situation sanitaire dans tous les pays, mais la crise de mortalitĂ© en BiĂ©lorussie Ă©tait diffĂ©rente de celles de la Lituanie et de la Russie, Ă la fois en termes dâĂ©tendue et de nature. Les grandes similitudes des tendances socio-Ă©conomiques et de mortalitĂ© dans ces pays jusquâen 1991 contrastent avec leur divergence notable au cours des annĂ©es qui ont suivi. La nature et le succĂšs des rĂ©formes liĂ©es au passage Ă lâĂ©conomie de marchĂ© est lâexplication la plus plausible de ces diffĂ©rences. La Russie et la Lituanie ont choisi des formes plus radicales de transformation Ă©conomique et politique, qui ont menĂ© Ă des campagnes de privatisation massives. Les rĂ©formes Ă©taient plus durables et systĂ©matiques en Lituanie quâen Russie. La BiĂ©lorussie, en revanche, a choisi la voie dâune transformation graduelle et lente. Les tendances rĂ©centes de la mortalitĂ© en BiĂ©lorussie sont examinĂ©es en dĂ©tail dans cette Ă©tude, et comparĂ©es Ă celles observĂ©es en Lituanie et en Russie. Une analyse des causes de dĂ©cĂšs Ă©claire sur les dĂ©terminants plausibles des variations de niveau de mortalitĂ© entre ces pays
Frailty at death : an examination of multiple causes of death in four low mortality countries in 2017
Altres ajuts: University of California Berkeley Center for the Economics and Demography of Aging (NIH grant #P30AG012839).BACKGROUND The increasing prevalence of frailty in ageing populations represents a major social and public health challenge which warrants a better understanding of the contribution of frailty to the morbid process.OBJECTIVE To examine frailty-related mortality as reported on death certificates in France, Italy, Spain, and the United States in 2017. METHODS We identify frailty at death for the population aged 50 years and over in France, Italy, Spain, and the United States. We estimate the proportions of deaths by sex, age group, and country using specific frailty-related ICD-codes on the death certificate, (1) as the underlying cause of death (UC), (2) elsewhere in Part I (sequence of diseases or conditions or events leading directly to death), and (3) anywhere in Part II (conditions that do not belong in Part I but whose presence contributed to death). RESULTS The age-standardized proportion of deaths with frailty at ages 50 and over is highest in Italy (25.0%) followed by France (24.1%) and Spain (17.3%), and lowest in the United States (14.0%). Cross-country differences are smaller when frailty-related codes are either the underlying cause of the death or reported in Part II. Frailty-related mortality increases with age and is higher among females than males. Dementia is the most frequently reported frailty-related code. CONCLUSIONS Notable cross-country differences were found in the prevalence and type of frailty-related symptoms at death, even after adjusting for differential age distributions. CONTRIBUTION Strong similarities between countries were found that warrant monitoring frailty at death in low-mortality countries to complement information on frailty prevalence in the living population
- âŠ