|
|
|
|
|
|
|
Acta Medica Medianae
Correspondence to:
Copyright 2008 by Faculty of Medicine, University of Nis |
Original article
Mortality FROM cerebrovascular diseases AT the territory of Doljevac municipality
Ivan Antic
The aim of the paper was to establish the basic descriptive epidemiological characteristics of the individuals having died of cerebrovascular diseases, at the territory of Doljevac Municipality. The data about the deceased were obtained after the population registration, as well as by the physician on duty. The research included all of them who died of cerebrovascular diseases at the territory of Doljevac Municipality, in the period from 2002 to 2006. The descriptive epidemiological study was applied. Specific and general rates of mortality were being calculated, and the population data were obtained from the 2002 census. The rates were calculated per 100,000 residents. The total registered number was: 306 deceased, 180 females (59%) and 126 males (41%). Average annual specific rate of mortality based on cerebrovascular diseases was 311.2 per 100,000 residents (251.3 in men and 368.1 in women). Average annual rate of mortality in the population over 30 years of age in the same period was higher and reached 484,0 (389.7 in men and 577.2 in women). Women died 1.5 times more than men. The mortality rate was 1.3 times higher in the upland area of the municipality (349.3) than in the plain area (276.4). Cerebrovascular diseases-based death was reported in both sexes after 30 years of age. The youngest man was 32, and the youngest woman was 48. After 59 years of age, the death-rate abruptly increased and reached the maximum after 70 years of age. The highest number of the deceased women was reported in the age group 70-79 years , while the highest number of the deceased men was noted in the age group 80-89 years . The lowest mortality rates in both sexes were registered in the 30-39 years age group (m/w rate – 44.9:16.3), and the highest in 80-89 years age group (m/w rate – 2138.7:1921.5). Almost 1/3 of the deceased was under 65 years of age. The mean age was 70.3 years in men and 76.1 years in women. In younger population, under 65 years of age, the relation m/w 1:1.02 was insignificant. In the older population, the difference between the sexes was higher (m/w 1:1.5). The highest average annual mortality rate, related to education, was 479.3 in individuals with 8 years of education, 369.2 in those with 12 years of education, and 206.9 in those with 8-12 years of education. Marital status of the deceased in the younger population (under 65 years of age) was: 73% married, 13% divorced, 14% never married. In the older population (over 65 years of age), 42% married and 58 widowers. Average annual mortality rate according to marital status was the highest in the widowers (1534.7), in the divorced (800), and the lowest in those who never married (86.5) and married individuals (270.2). It is establish that younger married people get sick less than the elder (Hi=23.5, p<0,001). Among the deceased of older population there were pensioners (58%), housewives (25%), agriculturalists (13%). Among the younger population there were workers (36%), agriculturalists (31%), housewives (18%) and unemployed (10%). The highest number of the deceased is in summer (June and August) and winter period (November, December), mostly in the forenoon or afternoon hours. Annual rates of mortality from cerebrovascular diseases show slow but continuous increase. Acta Medica Medianae 2008;47(1): 27-31.
Key words: cerebrovascular diseases, death confirmation, epidemiology, mortality Fulll text |