Suchergebnisse

Causes; programs and services.

Regional mortality differences are one dimension of health inequalities, but its trends and determinants in Germany are widely unknown. This book examines and illustrates patterns of regional mortality in Germany-with focus on small-area differentials-and their changes over time. It identifies explanatory factors at individual and regional level. Mortality differences between eastern and western Germany exist, but small-area mortality differentials are often greater. Though the main spatial mortality patterns remain, this study provides evidence that some distinct changes in the small-area mortality patterns in Germany-especially among women-occurred within a short period of time. Mortality inequalities at younger ages and in behavior-related causes as well as differences in socioeconomic conditions contribute strongly to regional mortality differences in Germany. The book shows that the complex interplay between individual- and regional-level mortality risk factors requires a multidimensional approach to reduce regional mortality inequalities.

SummaryInfant mortality in Sri Lanka between 1961 and 1980 is studied with reference to its trend and associated factors. Between the periods 1961–65 and 1976–80 deaths from exogenous and endogenous causes have declined considerably and nearly equally. The probability of survival has increased most in the first week of life.National income or total food supply does not seem to be associated with infant mortality. Distribution of free supplementary food, increase of public health personnel, of immunization, and of institutional births appear to have initiated and sustained the transition of infant mortality during the period. Increasing levels of female education probably augmented these effects.

This study presents estimates of maternal mortality for India from two indirect procedures, the sisterhood method and a regression method involving sex differentials in adult mortality, and compares them with estimates available from other sources. The sisterhood method is applied to the data collected in a human development survey that covered all rural areas of India in 1994, while the latter method is applied to the data on mortality and fertility rates from India's Sample Registration System. The level of maternal mortality for the early 1980s implied by the sisterhood method is found to be about 15 percent lower than the estimate for the same period derived from the method that uses the data on sex differentials in adult mortality. The estimate for the 1990s from the latter method is consistent, however, with the direct estimates available from the National Family Health Survey and the Sample Registration System. The study also discusses the socioeconomic differentials in maternal mortality implied by the sisterhood data, and spatial and temporal variations in maternal mortality derived from the regression method.

Before World War II, mortality in Australia had decreased progressively since 1860, the first year for which statistics are available. The present study shows that this decline in mortality, although interrupted by the war, continued again during the 1950s but appears to have halted around 1960. In some age groups, death rates have even increased during the 1960s.The alteration in the trend of mortality has occurred mainly in the middle age group, 35–64, while death rates for persons aged over 64 have tended to remain constant and those for persons aged 15 and under have continued to decline. Death rates for males aged 15–34 declined throughout the period, tending to level off towards the end, whereas the rates for females aged 15–34 have increased during recent years.The retardation of mortality decline appears to have resulted from a slight increase in death rates from arteriosclerotic and degenerative heart disease, together with rapid increases in death rates from lung cancer for males and motor vehicle accidents for females.