Health statistics quarterly最新文献

{"title":"Quantifying the contribution of leading causes of death to mortality decline among older people in England, 1991-2005.","authors":"Charlotte Ashton,&nbsp;Madhavi Bajekal,&nbsp;Rosalind Raine","doi":"10.1057/hsq.2010.6","DOIUrl":"https://doi.org/10.1057/hsq.2010.6","url":null,"abstract":"<p><strong>Background: </strong>This paper quantifies the contribution of leading causes of death to mortality change between 1991 and 2005 for people aged 50 years and over in England. Between 1971 and 2005 the life expectancy of men aged 50 years increased by more than in the whole of the rest of the 20(th) century. The ageing population has not only had an important impact on health and social services, but was responsible for sparking the pensions crisis affecting both the public and commercial sector.</p><p><strong>Methods: </strong>A cross-sectional analysis was used to quantify trends in cause-specific mortality in terms of absolute and relative change between 1991 and 2005 in the population aged 50 and over. Absolute change is quantified in terms of the numbers of deaths prevented or postponed (or conversely, increased or brought-forward) in a year compared to deaths in the baseline year. The percentage change in age-standardised rates was used to identify relative change in causes of death.</p><p><strong>Results: </strong>Between 1991 and 2005 there was a continuous decline in overall all-cause death rates for people aged 50 and over. Age-standardised mortality declined by 30 per cent for men, from 3,216 per 100,000 men to 2,267 per 100,000. This resulted in 86,477 fewer male deaths in 2005 than would have occurred had 1991 rates persisted. For women the age-standardised mortality rate declined by 20 per cent from 2,032 per 100,000 to 1,626 per 100,000, resulting in 48,406 deaths postponed (or fewer deaths) in 2005.Of the total numbers of deaths postponed in 2005, ischaemic heart disease contributed the largest share for both men (45,244 deaths - 52.3 per cent) and women (33,601 - 69.4 per cent).The greatest decline in the mortality rate was observed for influenza, for which age-standardised rates fell by 89 per cent for men and 93 per cent for women. However the proportion of deaths in which influenza was the underlying cause was extremely small and so did not contribute a large proportion in terms of the total fall in numbers of deaths.Mortality rates from some conditions increased. Liver disease rates demonstrated some of the largest increases for both men and women aged 50 and over. For men the age-standardised mortality rate from liver disease increased by 104 per cent, resulting in 1,434 more deaths in 2005 than in 1991.</p><p><strong>Conclusions: </strong>The trends of decreasing mortality rates from ischaemic heart disease and stroke have continued into the 21(st) century, however both causes continue to be the biggest killers in England. They are projected to remain so, and consequently, to contribute significantly to the burden of disease in the population.The steady increase in liver disease mortality identified highlights the importance of tackling alcohol misuse as a public health priority.</p>","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":" 45","pages":"100-27"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2010.6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28913932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In brief","authors":"","doi":"10.1057/hsq.2010.8","DOIUrl":"https://doi.org/10.1057/hsq.2010.8","url":null,"abstract":"","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":"10 3 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2010.8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58664153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival from twenty adult cancers in the UK and Republic of Ireland in the late twentieth century.","authors":"Laura M Woods, Bernard Rachet, Lorraine Shack, Denise Catney, Paul M Walsh, Nicola Cooper, Ceri White, Vivian Mak, John Steward, Harry Comber, Anna Gavin, David Brewster, Mike Quinn, Michel P Coleman","doi":"10.1057/hsq.2010.9","DOIUrl":"10.1057/hsq.2010.9","url":null,"abstract":"<p><strong>Background: </strong>International studies have shown that cancer survival was generally low in the UK and the Republic of Ireland compared to western and northern European countries, but no systematic comparative analysis has been performed between the UK countries and the Republic of Ireland.</p><p><strong>Methods: </strong>Population-based survival for 20 adult malignancies was estimated for the UK and the Republic of Ireland. Data on adults (15-99 years) diagnosed between 1991 and 1999 in England, Scotland, Wales, Northern Ireland (1993-99) and the Republic of Ireland (1994-99) were analysed. All cases were followed up until the end of 2001. Relative survival was estimated by sex, period of diagnosis and country, and for the nine regions of England. Predicted survival was estimated using the hybrid approach.</p><p><strong>Results: </strong>Overall, cancer survival in UK and Republic of Ireland improved during the 1990s, but there was geographic variation in survival across the UK and Republic of Ireland. Survival was generally highest in Ireland and Northern Ireland and lowest in England and Wales. Survival tended to be higher in Scotland for cancers for which early detection methods were in place. In England, survival tended to be lower in the north and higher in the south.</p><p><strong>Conclusions: </strong>The geographic variations in survival seen across the UK and Republic of Ireland are narrower than between these countries and comparable European countries. Artefact is likely to explain some, but not all of the differences across the UK and Republic of Ireland. Geographic differences in stage at diagnosis, co-morbidity and other clinical factors may also be relevant.</p>","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":" 46","pages":"5-24"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29039005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Death certification following MRSA bacteraemia, England,2004–05","authors":"Levin Wheller, C. Rooney, C. Griffiths","doi":"10.1057/HSQ.2009.4","DOIUrl":"https://doi.org/10.1057/HSQ.2009.4","url":null,"abstract":"","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":"41 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2009-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/HSQ.2009.4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58662838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contact Points","authors":"","doi":"10.1057/hsq.2009.19","DOIUrl":"https://doi.org/10.1057/hsq.2009.19","url":null,"abstract":"","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":"42 1","pages":"88"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2009.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58662785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in cancer survival in Spearhead Primary Care Trusts in England, 1998-2004.","authors":"Libby Ellis,&nbsp;Bernard Rachet,&nbsp;Anjali Shah,&nbsp;Sarah Walters,&nbsp;Michel P Coleman,&nbsp;Nicola Cooper,&nbsp;Susan Westlake","doi":"10.1057/hsq.2009.3","DOIUrl":"https://doi.org/10.1057/hsq.2009.3","url":null,"abstract":"<p><p>The Spearhead Primary Care Trusts (PCTs) are designated as those areas that face the greatest health challenges in England. They are intended to be the focus of interventions designed to reduce health inequalities, including those for cancer. One- and five-year relative survival estimates for cancer patients diagnosed between 1998 and 2004, and resident in a Spearhead PCT area, have been compared with those in the rest of England to assess the baseline trends in inequalities in cancer survival. Survival is consistently lower for patients resident in Spearhead PCT areas than for those resident in the rest of England, although trends in the difference between Spearhead PCTs and the rest of England suggest that the gap in survival has narrowed for most cancers.</p>","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":" 41","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2009.3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28146767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An investigation into the impact of question change on estimates of general health status and healthy life expectancy.","authors":"Michael Smith,&nbsp;Chris White","doi":"10.1057/hsq.2009.6","DOIUrl":"https://doi.org/10.1057/hsq.2009.6","url":null,"abstract":"<p><p>This article investigates the likely effects of incorporating the European Union Statistics on Income and Living Conditions (EU-SILC) general health question upon Office for National Statistics (ONS) estimates of general health and healthy life expectancy (HLE). The analysis indicates that while these estimates will undergo revision following the integration of the EU-SILC general health question, for the most part the underlying trend remains unaffected. Incorporation of the EU-SILC question in the reporting of UK health statistics will improve comparability with other EU member states, and provide a stronger indicator of functional health status. ONS will adopt the EU-SILC general health question exclusively from the reporting period 2006-08. However, to further clarify the implications of this transition, ONS will present two estimates of HLE based on the original and EU-SILC general health questions for the period 2005-07. This article has important implications for setting targets and monitoring progress in Public Sector Agreement Indicators for fitness for work beyond the state pension age and healthy ageing.</p>","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":" 41","pages":"28-41"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2009.6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28146770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contact Points","authors":"","doi":"10.1057/hsq.2009.10","DOIUrl":"https://doi.org/10.1057/hsq.2009.10","url":null,"abstract":"","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":"41 1","pages":"74"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2009.10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58659109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health indicators","authors":"","doi":"10.1057/hsq.2009.13","DOIUrl":"https://doi.org/10.1057/hsq.2009.13","url":null,"abstract":"","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":"42 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2009.13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58662006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contact Points","authors":"","doi":"10.1057/hsq.2009.42","DOIUrl":"https://doi.org/10.1057/hsq.2009.42","url":null,"abstract":"","PeriodicalId":87183,"journal":{"name":"Health statistics quarterly","volume":"44 1","pages":"90"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1057/hsq.2009.42","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58662894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}