Titre :
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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. (2006)
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Auteurs :
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J. Coste ;
E. BERNARDIN ;
JOUGLA (E.) : FRA. Inserm CépiDc. Le Vésinet. ;
Université Paris Descartes. Ap-Hp. Hôpital Cochin. Faculté de Medecine. Paris. FRA
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Type de document :
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Article
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Dans :
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Journal of epidemiology and community health (vol. 60, n° 11, 2006)
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Pagination :
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945-955
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Langues:
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Anglais
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Mots-clés :
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Mortalité
;
Epidémiologie
;
Changement
;
France
;
Europe
;
Pathologie
;
Mort
;
Facteur
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 3gR0xY83. Diffusion soumise à autorisation]. 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
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