徳島大学 教育・研究者情報データベース(EDB)

1. 武田 英雄([徳島大学.大学院医歯薬学研究部.医学域.総合研究支援センター])

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2. 上村 浩一

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3. 日吉 峰麗

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4. (英) Sano Yuuji / (日) 佐野 雄二

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5. 有澤 孝吉

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(日) 徳島県における標準化死亡比:20年間の年次推移および保健所管内別の分析

(日) To elucidate the mortality characteristics of Tokushima Prefecture, the authors analyzed thetime-related change in the standardized mortality ratio (SMR) of cause-specific death and organspecificcancer death during 1983-2002, and administrative area-specific SMR during 1993-1998 and1999-2002. The gender-and 5-year-age-specific and cause-specific death rates in the entire Japanesepopulation were used as the reference mortality, and the population of sex-and-5-year-agespecificcategory in the census year(1985, 1990, 1995 and 2000)was used as the population ofTokushima Prefecture. Interval estimation of SMR was performed by the exact method, assumingthat the number of deaths followed the Poisson distribution. In the analysis of each year from1983 to 2002, the SMR of diabetes mellitus markedly increased from the mid 1990's, suggesting thechanges in the environmental factors. The SMR of bronchitis, emphysema and asthma wasconstantly high during the 20 years. In the administrative area-specific analysis, the SMR ofdiabetes was high in Tokushima and Naruto for both men and women. With regard to malignantneoplasms, the SMR of esophageal cancer was constantly low, while that of liver cancer wasconstantly high over the 20 years. The SMR of esophageal cancer was low among men inTokushima and Anan, and among women in Kamojima, while that of liver cancer was high amongmen and women in Tokushima and among men in Anan. These characteristics were consistentover the recent 10 years, suggesting the involvement of area-specific factors.

1. (英) diabetes
2. (英) esophageal cancer
3. (英) geographic distribution
4. (英) liver cancer
5. (英) standardized mortality ratio
6. (英) time trend