Suchergebnisse

This volume presents a state of the art coverage of the measurement and evolution of mortality over time.? It describes in great detail the changes in the cause patterns of mortality, the changes in mortality patterns at different ages, and specific analyses of mortality in particular countries. Derived from a meeting of the European Working Group on Health, Morbidity and Mortality held at the Vienna Institute of Demography, September 2011, it presents a cross-section of the work and concerns of mortality? researchers across Europe, ranging from London and Madrid in the west to Moscow in the east, with a few additions from further afield. Although most of the papers focus on a particular population, the range of the papers is broad; taken together they present an inter-disciplinary cross-section of this multi-faceted field. Coverage includes estimating life expectancy in small areas, with an application to recent changes in US counties; socioeconomic determinants of mortality in Europe using the latest available data and short-term forecasts; predicting mortality from profiles of biological risk and performance measures of functioning; infant mortality measurement and rate of progress on international commitment using evidence from Argentina; avoidable factors contributing to maternal deaths in Turkey; changes in mortality at older ages: the case of Spain (1975- 2006); variable scales of avoidable mortality within the Russian population;? long-term mortality decline in East Asia, and much more. Perspectives in Mortality Research will serve as a valuable resource for professionals and students in sociology, demography, public health and personal finance.

This volume presents a state of the art coverage of the measurement and evolution of mortality over time. It describes in great detail the changes in the cause patterns of mortality, the changes in mortality patterns at different ages, and specific analyses of mortality in particular countries. Derived from a meeting of the European Working Group on Health, Morbidity and Mortality held at the Vienna Institute of Demography, September 2011, it presents a cross-section of the work and concerns of mortality researchers across Europe, ranging from London and Madrid in the west to Moscow in the east, with a few additions from further afield. Although most of the papers focus on a particular population, the range of the papers is broad; taken together they present an inter-disciplinary cross-section of this multi-faceted field. Coverage includes estimating life expectancy in small areas, with an application to recent changes in US counties; socioeconomic determinants of mortality in Europe using the latest available data and short-term forecasts; predicting mortality from profiles of biological risk and performance measures of functioning; infant mortality measurement and rate of progress on international commitment using evidence from Argentina; avoidable factors contributing to maternal deaths in Turkey; changes in mortality at older ages: the case of Spain (1975- 2006); variable scales of avoidable mortality within the Russian population; long-term mortality decline in East Asia, and much more. Perspectives in Mortality Research will serve as a valuable resource for professionals and students in sociology, demography, public health and personal finance.

Every year about half a million women die from complications of pregnancy, parturition and puerperium, most of which are preventable. The purpose of this thesis was to chart the distribution and decline in maternal mortality in Sweden between 1751 and 1980, and furthermore to characterize positive (predisposing) factors and negative (protective) factors of maternal mortality. Maternal mortality declined from 900 to 6.6 per 100,000 live births in these 230 years. Maternal deaths accounted for 10070 of all female deaths in the reproductive ages between 1781 and 1785, but only 0.2.0/0 between 1976 and 1980. However, in the 19th century 40-450/0 of the female deaths in the most active childbearing ages were maternal deaths. The children left motherless had an extremely high mortality. Indirect maternal deaths and puerperal sepsis accounted for the bulk of maternal deaths in the rural areas. Only a minority of maternal deaths occurred in lying-in hospitals. Midwifery services in rural areas and antiseptic techniques were most effective in preventing maternal deaths during the late 19th century. The changing distribution ofage and parity amongst the parturients had a definite impact on the mortality decline, enhanced by time, contributing to 500/0 of the mortality decline over the last 15 years. The expontential decline of cause-specific mortality and case fatality rates during the last 40 years is furthermore explained by the emergence ofmodern medicine - antibiotics, antenatal and obstetric care. The earlier serious problem of illegal abortions was eradicated by legislation and changes in hospital practice. The maternal mortality decline has levelled out during the 1970s, the relative importance of embolism as a cause of death is increasing. Advanced age and intercurrent disease are the most difficult risk factors to overcome. To conclude, this study indicates that the reason why maternal mortality has declined faster than otherhealth indices is that the major part of the maternal deaths can be prevented by medical technology, including family planning, antenatal and obstetric care. This experience should be of interest to developing countries where high rates of maternal mortality prevails.