Decline in mortality in Japan, USA, and the Federal Republic of Germany — The contribution of the specific causes of death

Springer Science and Business Media LLC - Tập 63 - Trang 793-801 - 1985
B. Junge1
1Institut für Sozialmedizin und Epidemiologie des Bundesgesundheitsamtes Berlin, Germany

Tóm tắt

In Japan, total mortality of men and women in the age groups of 45–54, 55–64, and 65–74 years decreased, within the last three decades, by 50–60% to values which are now among the lowest in the world. During the same period, death rates of men decreased by approx. 20% in the USA and approx. 10% in the Federal Republic of Germany (FRG). As to women, decreases in both countries were over 30%. The decrease between 1968 and 1978 (period of validity of the 8th Revision of the ICD) in the three countries was mostly due to the diseases of the circulatory system: In Japan, mostly to cerebrovascular diseases, in the USA, to ischaemic heart diseases, and in the FRG, to other forms of heart diseases. Second to the diseases of the circulatory system, stomach cancer and infective and parasitic diseases contributed most to the total decrease in Japan, accidents and diseases of the respiratory system in the USA, and diseases of the respiratory and digestive systems in the FRG. The highest percentage increases of death rates for the specific causes were recorded for lung cancer in all three countries and for other forms of heart diseases in the USA.

Tài liệu tham khảo

Gillum RF, Blackburn H, Feinleib M (1983) Current strategies for explaining the decline in ischaemic heart disease mortality. J Chron Dis 35:467–474 Levy RI (1981) Declining mortality in coronary heart disease. Arteriosclerosis 1:312–325 Junge B, Hoffmeister H (1982) “Civilisation-associated” diseases in Europe and industrial countries outside of Europe: Regional differences and trends in mortality. Prev Med 11:117–130 Heller RF, Hayward D, Hobbs MST (1983) Decline in rate of death from ischaemic heart disease in the United Kingdom. Br Med J 286:260–262 Salonen JT, Puska P, Kottke TE, Tuomilehto J, Nissinen A (1983) Decline in mortality from coronary heart disease in Finland from 1969 to 1979. Br Med J 286:1857–1860 Dobson AJ, Gibberd RW, Wheeler DJ, Reeder SR (1981) Age-specific trends in mortality from ischaemic heart disease and cerebrovascular disease in Australia. Am J Epidemiol 113:407–412 Pisa Z, Uemura K (1982) Trends of mortality from ischaemic heart disease and other cardiovascular diseases in 27 countries, 1968–1977. World Health Stat Quart 35:11–47 Junge B, Hoffmeister H (1982) Entwicklung von Herzkrankheiten-und Gesamt-Sterblichkeit. Beobachtungen in drei Jahrzehnten in den USA und in der Bundesrepublik Deutschland — Trendwende auch bei uns? Münch Med Wochenschr 124:523–529 Annual epidemiological and vital statistics 1951–1961. World Health Organization, Geneva 1953–1964 World health statistics annual 1962–1982. World Health Organization, Geneva 1965–1982 Urano Y, Baba K, Aizawa S (1982) Annual of pathological autopsy cases in Japan. Computerization of autopsy data from 1974 to 1979 and their statistical study. Acta Pathol Jpn 32(Suppl 1):23–46 Roberts WC (1978) The autopsy: its decline and a suggestion for its revival. N Engl J Med 299:332–338 Frentzel-Beyme R, Keil U (1981) Sterblichkeit und Todesbescheinigung. In: Brennecke R, Greiser E, Paul HA, Schach E (Hrsg) Datenquellen für Sozialmedizin und Epidemiologie. Medizinische Informatik und Statistik, Band 29, Springer, Berlin Heidelberg New York World health statistics annual 1981. World Health Organization, Geneva 1981 Junge B, Hoffmeister H (1985) Mean Age at Death from Selected Causes and Mortality Structure in the Federal Republic of Germany in 1958 and 1978. (in press) Kleinman JC, DeGruttola VG, Cohen BB, Madans JH (1981) Regional and urban-suburban differentials in coronary heart disease mortality and risk factor prevalence. J Chron Dis 34:11–19 Tsai SP, Lee ES, Kautz JA (1982) Changes in life expectancy in the United States due to declines in mortality, 1968–1975. Am J Epidemiol 116:376–384 Dobson AJ, Gibberd RW, Leeder SR (1983) Death certification and coding for ischaemic heart disease in Australia. Am J Epidemiol 117:379–405 Hampton JR (1982) Falling mortality in coronary heart disease. Br Med J 284:1505–1506 Havlik RJ (1982) Understanding the decline in coronary heart disease mortality. JAMA 247:1605–1606 Anderson GL, Whisnant JP (1982) A comparison of trends in mortality from stroke in the United States and Rochester, Minnesota, Stroke 13:804–809 Nicholls ES, Johansen HL (1983) Implications of changing trends in cerebrovascular and ischaemic heart disease mortality. Stroke 14:153–156 Proposal for the Multinational Monitoring of Trends and Determinants of Cardiovascular Disease (MONICA-Project). World Health Organization, Geneva 1981 Wynder EL, Hirayama T (1977) Comparative epidemiology of cancers of the United States and Japan. Prev Med 6:567–594 Muir CS, Choi NW, Schifflers E (1981) Time trends in cancer mortality in some countries. In: Boström H, Ljungstedt N (eds). Medical aspects of mortality statistics. Skandia International Symposia 1980. Almquist & Wiksell International, Stockholm Hoffmeister H, Junge B (1985) Development of mortality in the Federal Republic of Germany during the last three decades — Comparison with the USA. In: Schelp FP (ed) Health problems in Asia and in the Federal Republic of Germany — How to solv them? Proceedings of a Seminar on “Techniques and Problems of Intervention Trials in Developing and Developed Countries”, Berlin, 2–20 July 1984. (Reihe: Medizin in Entwicklungsländern), Peter Lang, Frankfurt/Main Stern MP (1979) The recent decline in ischaemic heart disease mortality. Ann Internal Med 91:630–640 Guide to health and welfare services in Japan. Koseisho, Ministry of Health and Welfare, Tokyo 1981. Rose G (1982) Incubation period of coronary heart disease. Br Med J 284:1600–1601 Burkitt DP (1982) Diet and diseases of affluence. In: Rees AR, Purcell HJ (eds). Disease and the environment. Proceedings of the Inaugural Conference of the Society for Environmental Therapy, Oxford 1981. John Wiley & Sons, Chichester, New York Burr ML, Sweetnam PM (1982) Vegetarianism, dietary fiber, and mortality. Am J Clin Nutr 36:873–877 Reed D, McGee D, Yano K, Feinleib M (1983) Social networks and coronary heart disease among Japanese men in Hawaii. Am J Epidemiol 117:384–396 Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. Am J Epidemiol 109:186–204 Breslow L, Enstrom JE (1980) Persistance of health habits and their relationship to mortality. Prev Med 9:469–483 Mechanic D, Cleary PD (1980) Factors associated with the maintenance of positive health behavior. Prev. Med 9:805–814 Wingard DL, Berkman LF, Brand RJ (1982) A multivariate analysis of health-related practices. Am J Epidemiol 116:765–775 Wechsler H, Gottlieb NH, Demone HW (1979) Lifestyle, conditions of life, and health care in urban and suburban areas. Publ Health Rep 94:477–482 Phillips RL, Kuzma JW, Beeson WL, Lotz T (1980) Influence of selection versus lifestyle on risk of fatal cancer and cardiovascular disease among Seventh-Day Adventists. Am J Epidemiol 112:296–314 Howe GM (1982) Disease and the environment. In: Rees AR, Purcell HJ (eds). Disease and the environment. Proceedings of the Inaugural Conference of the Society for Environmental Therapy, Oxford 1981. John Wiley & Sons, Chichester, New York