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

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: Cor...

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Bibliographic Details
Published in:Journal of epidemiology and community health (1979) 2006-11, Vol.60 (11), p.945-955
Main Authors: Coste, J, Bernardin, E, Jougla, E
Format: Article
Language:English
Subjects:
Adult
Age
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Cause of Death - trends
Certification
Connective tissue diseases
Correlation analysis
Death Certificates
Developed Countries
Digestive system diseases
Epidemiology
Female
France - epidemiology
General aspects
History
Humanities and Social Sciences
Humans
ICD
Industry
International Classification of Diseases
Life Sciences
Male
Medical sciences
Mental illness
Middle Aged
Miscellaneous
Mortality
Nervous system diseases
Parasitic skin diseases
PCA
Principal Component Analysis
Principal components analysis
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research Report
RESEARCH REPORTS
Respiratory diseases
Sex Distribution
Sexually transmitted diseases
Skin diseases
STD
Symptoms
Variables
WHO
World Health Organization
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Summary: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
ISSN:0143-005X
1470-2738
DOI:10.1136/jech.2005.044339