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Objective@#To analyze the status and trend of fall mortality among the elderly from 2006 to 2018 in Hangzhou, and to provide basis for fall prevention and control. @*Methods@#Through the medical certificate of death in hospitals at the county level and above and community health service centers, the monitoring data of the deaths from fall among the elderly aged 60 years and above in Hangzhou from 2006 to 2018 were collected. The crude motality rate, standardized mortality rate of fall and the annual percentage change ( APC ) were calculated to examine the status and trend of fall mortality in different gender, age and areas. @*Results@#The crude mortality rate of fall among the elderly in Hangzhou was 85.60/100 000 and the standardized mortality rate was 71.42/100 000 from 2006 to 2018. The crude and standardized mortality rate from 2006 to 2018 showed increasing trends and the APCs were 3.46% and 2.33%, respectively ( P<0.05) . The crude mortality rate was 93.01/100 000 in females, which was higher than 77.82/100 000 in males ( P<0.05 ) , the APCs were 3.25% and 3.77%, respectively. The crude mortality rate of rural areas was 129.03/100 000, which was significantly higher than 60.73/100 000 of urban areas ( P<0.05 ) . The mortality rate of urban and rural areas showed increasing trends, the APCs were 5.02% and 2.43%, respectively. The crude mortality rate of fall among the elderly in Hangzhou increased gradually with age ( P<0.05 ) . @*Conclusion@#The fall mortality among the elderly in Hangzhou increased from 2006 to 2018. More efforts are needed to reduce fall mortality in females and rural population.
RESUMEN
Este estudo tem por objetivo verificar as associações de curto prazo entre as concentrações de poluentes atmosféricos e a mortalidade de idosos no município de Curitiba (PR). O período de análise compreendeu os anos de 2003 a 2008. Foram realizadas análises de correlação simples e de regressão múltipla, utilizando-se um modelo aditivo generalizado (MAG), para avaliar as relações entre os poluentes dióxido de enxofre (SO2), ozônio (O3) e partículas totais em suspensão (PTS) e o número de óbitos totais (ObT) e por doenças respiratórias (ObR) de pessoas com idade superior a 60 anos. Os resultados obtidos mostraram relações positivas e estatisticamente significativas entre os níveis de PTS e a mortalidade de idosos por todas as causas (ObT), mesmo considerando-se que os níveis de PTS atenderam aos padrões de qualidade do ar para o período em estudo.
This study aims to analyze the short-term association between concentration of atmospheric pollutants and the mortality of elderly in the city of Curitiba (Brazil). The data comprised the period from 2003 to 2008. The relationships between the pollutants sulfur dioxide (SO2), ozone (O3) and total suspended particles (TSP) and the number of total deaths (ObT) and deaths due to respiratory deceases (ObR) of people aged over 60 years were investigated with simple correlation and multiple regression analyses, using a generalized additive model (GAM). The results showed a positive and statistically significant relationship between TSP concentrations and elderly mortality from all causes (ObT), even considering that TSP concentrations met the air quality standards during the period of study.