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Title: Multiple cause of death mortality patterns among Californians

Technical Report ·
DOI:https://doi.org/10.2172/5081266· OSTI ID:5081266

The purpose of this study was to describe mortality patterns among the elderly using single versus multiple cause of death data and examine ways that multiple cause of death data can best be processed, analyzed and presented. Deaths among white California aged 65 and older for the years 1970, 1975 and 1980 were analyzed. Overall, mortality rates decreased over time, at all ages and for both sexes but more so for females, although the number of causes of death increased with age. Underlying cause mortality rates were compared to rates based on any mention of a cause on the death certificate; diabetes and atherosclerosis were more frequent causes of both than would be indicated by single cause statistics, and heart diseases other than ischemic heart disease increased in mentions on the death certificated while ischemic heart disease underlying mortality rates decreased. Pairs of causes of death showed increased likelihood of occurrence of a number of combinations of chronic diseases. In all pair combinations studied, the addition of another serious chronic disease lowered the mean age of death resulted in an older mean age of death. This result combined with higher number of causes per death but lower mortality rates among females raised interesting questions about interpreting more causes on death certificates as an indication of a sicker person at time of death. This study confirmed morbidity and mortality work on other that mortality of older adults in decreasing but that the number of causes of death per person is increasing. 82 refs., 30 figs., 59 tabs.

Research Organization:
Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
Sponsoring Organization:
DOE/ER
DOE Contract Number:
AC03-76SF00098
OSTI ID:
5081266
Report Number(s):
LBL-28046; ON: DE90006083
Resource Relation:
Other Information: Thesis (Ph.D.)
Country of Publication:
United States
Language:
English