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Korean Journal of Epidemiology 1987;9(1): 87-95.
강화지역주민의 10년간 사망률 및 사망원인의 변화 (1975-1985)
오희철, 이영호, 김일순
Changes in mortality rates and cause of death in Kangwha county for the past 10 years (1975-1985)
Hee Choul Oh, Yong Ho Lee, Il Soon Kim
To identify the changes in trends of death rates and causes of death for the population of Kangwha County for the past 10 years from 1975 to 1985, the total 652 death occurred during the study period(1981-1985) in three townships(Sunwon, Naega,Buleon Myuns)were analysed and compared with the previous five-year data(1975-1980). All death with causes of death were identified and confirmed by health project team consisted of a family health worker, Myun health workers, a public health nurse and field project director. The major findings of this study were as below: 1. Age adjusted death rate in average for the five-year period(1981-1985) was 5.6 per 1,000 population, 6.9 in male and 4.3 in female respectively which are about 20% reduction in death rate compared with the previous 5 years. 2. In general, age specific death rates revealed an U shaped curve for the past 10 year periods(1975-1985). The age specific death rates particularly for ages under 20 have markedly for both sexes for the study period. 3. Infant and neonatal death rates were markedly decreased from 18.8 and 12.9 per 1,000 live births in the previous period to 8.9 and 4.5 per 1,000 live births in average for the study period. The prematurity was the most common cause of neonatal death both the two study periods one case of neonatal tetanus was found during the 5 year study period. 4. The most common cause of death was cerebrovascular diseases with the magnitude of 139.1 per 100,000 population, in 5 year average, 148.9 in male and 122.5 in female. However, it showed a decreasing trend in comparing with the previous period(180.8 per 100,000:1975-1980) 5. The next leading cause of death was malignant neoplasms with magnitude of 120.7 per 100,000 population, 143.9 in male and 87.5 in female. However, an increasing trend in comparing with the previous period(94.5 per 100,000:1975-1980). All types of accidents rose to the 3rd from the 4th leading causes of death. 6. 84.4% of all deaths were due to any type of disease entities and suicide and poisoning/accidents comprised 5.7% and 5.4% respectively. 7. The proportion of treatment received from health care facilities(including drug stores, herb clinics, hospitals) prior to death increased, from 57.0% in 1975 to 68.1% in 1985. The most common place of death occurred was residence of their own(with 86.7%) and only 5.0% of deaths were occurred in hospital. This pattern persisted without changes for the past 10 years.


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