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ANALYSIS OF UNDERLYING AND MULTIPLE-CAUSE MORTALITY DATA

MOHAMED A.A. MOUSSA, ALI M. EL SAYED, THATTARUPARAMBIL N. SUGATHAN, MUSTAFA M. KHOGALI, MUSTAFA M. KHOGHALI and DHIRENDRA VERMA
Genus
Vol. 48, No. 1/2 (GENNAIO-GIUGNO 1992), pp. 89-105
Stable URL: http://www.jstor.org/stable/29789084
Page Count: 17
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ANALYSIS OF UNDERLYING AND MULTIPLE-CAUSE MORTALITY DATA
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Abstract

A variety of life table models were used for the analysis of the (1984-86) Kuwaiti cause-specific mortality data. These models comprised total mortality, multiple-decrement, cause-elimination, cause-delay and disease dependency. The models were illustrated by application to a set of four chronic diseases: hypertensive, ischaemic heart, cerebrovascular and diabetes mellitus. The life table methods quantify the relative weights of different diseases as hazards to mortality after adjustment for other causes. They can also evaluate the extent of dependency between underlying cause of death and other causes mentioned on death certificate using an extended underlying-cause model. I dati sulla mortalità per causa del Kuwait (1984-86) vengono analizzati mediante alcuni modelli di tavole di mortalità. Vengono presentate: tavole di mortalità generale; tavole a decrementi multipli; tavole costruite eliminando l'effetto di qualche causa, supponendo ritardi nella manifestazione di qualche causa e, infine, supponendo l'esistenza di interrelazioni fra alcune cause. I modelli vengono illustrati mediante l'applicazione all'insieme dei dati di mortalità per quattro malattie croniche: ipertensione, malattie ischemiche del cuore, malattie cerebrovascolari e diabete mellito. I modelli presentati permettono di misurare i pesi relativi delle diverse malattie come rischi di mortalità dopo aver tenuto conto delle altre cause. Essi possono anche permettere di valutare l'esistenza di interrelazioni fra causa di morte principale e altre cause menzionate sul certificato di morte, utilizzando in modo estensivo un modello concepito per la causa principale. Les données de mortalité par cause au Kuwait (1984-86) ont été analysées avec un grand choix de modèles de table de survie; notamment table de mortalité générale, table à plusieurs types de sortie, table en écartant l'effet d'une cause particulière de décès, table en supposant un retard dans l'intervention d'une certaine cause, et en supposant une interaction entre quelques causes. Ces méthodes sont illustrées en traittant un sous-ensemble de quatre maladies chroniques: hypertension, maladies ischémiques du coeur, maladies cérebrovasculaires, diabète. Les méthodes expriment de façon numérique le poids relatif de chaque maladie dans le risque de mortalité, en tenant compte de l'effet des autres causes. Elles permettent aussi d'évaluer le degré d'interaction entre la cause principale et l'intervention des causes concomitantes, déclarées sur le certificat de décès; on utilise alors de façon plus large la méthode d'étude de la cause principale.

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