Patterns of mortality and their changes in France (1968–99)
Insights into the structure of diseases leading to death and epidemiological transition in an industrialised country
Bibliographic Data
| ID | 11180484 |
|---|---|
| Authors | Joël Coste (0000-0001-7674-7192, Université Paris Cité, corresponding author), E Bernardin (Université Paris Cité), Éric Jougla (Inserm) |
| Year | 2006 |
| Volume | 60 |
| Issue | 11 |
| Pages | 945-955 |
| Publication date | 2006-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Epidemiology and Community Health (JOURNAL) |
| Journal identifiers | ISSN: 0143-005X • E-ISSN: 1470-2738 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/jech.2005.044339 |
| PMID | 17053283 |
| PMCID | PMC2465470 |
| OpenAlex | W2146872058 |
| Language | EN |
| Citations received | 2 |
| References cited | 14 |
Background: Epidemiological transition theory is based on a succession of specific “patterns” of causes of death in human societies. However, the reality and consistency of patterns of causes of death in a population at a given moment has never been formally and statistically evaluated. Methods: Correlation analyses and principal component analysis were used to explore the correlation between age and sex cause-specific death rates and to identify consistent patterns of mortality in France for two periods: 1968–79 and 1988–99. Results: Cause-specific death rates in France from 1988 to 1999 were found to be strongly and consistently correlated across space and time. The analysis outlines four specific patterns: mortality of 45–84-year olds, mostly by neoplasms, cardiovascular and digestive diseases; mortality of the oldest old (>84 years); mortality of 25–64-year-old men, notably by HIV infection; and mortality by injury and poisoning of 15–44-year olds. These patterns, which cover 96% of the total mortality during the period, differ from those for the period 1968–79 when respiratory diseases and conditions affecting children aged Conclusion: This study provides evidence for an evolutionary structure of patterns of mortality in contemporary France and therefore suggests using the concept of epidemiological transition in a less simplistic way than is commonly the case. It also shows much stronger interrelationships between diseases leading to death than is usually believed and suggests that current categorisations of cause-specific mortality in populations need reconsideration
Cause of death · Disease · Environmental health · Epidemiological transition · Mortality rate · Pathology · Sociology · Birth, Development, and Health · Demography · Epidemiology · Health disparities and outcomes · Insurance, Mortality, Demography, Risk Management · Medicine · Surgery · Gerontology
| Citations per year | 0.17 |
|---|---|
| Citation span | 2014 - 2019 (6) |
| Highly cited | No |