| Titre : | Changing mortality patterns in East and West Germany and Poland. II : Short-term trends during transition and in the 1990s. (2000) |
| Auteurs : | Ellen Nolte ; Martin McKee ; Vladimir Shkolnikov ; European Centre on Health of Societies in Transition. London School of Hygiene and Tropical Medicine. Keppel Street. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 54, n° 12, 2000) |
| Pagination : | 899-906 |
| Langues: | Anglais |
| Mots-clés : | Mortalité ; Taux ; Epidémiologie ; Evolution ; Court terme ; Homme ; Etude comparée ; Allemagne ; Europe ; Pologne |
| Résumé : | [BDSP. Notice produite par INIST R0xG9d5s. Diffusion soumise à autorisation]. Objectives-To examine trends in life expectancy at birth and age and cause specific patterns of mortality in the former German Democratic Republic (GDR) and Poland during political transition and throughout the 1990s in both parts of Germany and in Poland. Methods-Decomposition of life expectancy by age and cause of death. Changes in life expectancy during transition by cause of death were examined using data for 1988/89 and 1990/91 for the former GDR and Poland ; examination of life expectancy changes after transition were based on 1992-97 data for Germany and 1991-96 data for Poland. Results-In both the former GDR and Poland male life expectancy at birth declined by almost one year during transition, mainly attributable to rising death rates from external causes and circulatory diseases. Female life expectancy in Poland deteriorated by 0.3 years, largely attributable to increasing circulatory mortality among the old, while in East German female rising death rates in children and young adults were nearly outbalanced by declining circulatory mortality among those over 70. Between 1991/92 and 1996/97, male life expectancy at birth increased by 2.4 years in the former GDR, 1.2 years in old Federal Republic, and 2.0 years in Poland (women : 2.3,0.9, and 1.2 years). In East Germany and Poland, the overall improvement was largely attributable to falling mortality among men aged 40-64, while those over 65 contributed the largest proportion to life expectancy gains in women. (...) |
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