ارزیابی روند مرگ و میر قبل و بعد از شروع بحران کرونا: آیا مرگ و میر مسیر خود را تغییر داده است؟

نویسندگان

1 مرکز تحقیقات مولفه های اجتماعی سلامت، دانشگاه علوم پزشکی جهرم، جهرم، ایران

2 مرکز تحقیقات بیماری های غیر واگیر، دانشگاه علوم پزشکی جهرم، جهرم، ایران

3 بخش اپیدمیولوژی، دانشکده دامپزشکی دانشگاه تهران، تهران، ایران

4 گروه آمار زیستی و اپیدمیولوژی،دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران

چکیده

مقدمه و اهداف: شرایط بحرانی همه گیری این بیماری ممکن است تاثیرات متفاوتی بر میزان و روند مرگ و میر سایر افراد جامعه داشته باشد. مطالعه حاضر با هدف تعیین روند مرگ و میر قبل و بعد از شروع بحران کرونا در شهرستان جهرم انجام شد.
روش کار: این مطالعه بصورت توصیفی و از طریق آنالیز دوباره ی داده های گواهی فوت طی سال های 1395 تا 1399 انجام شد. متغیر های مورد مطالعه براساس یک چک لیست از میان داده های سیستم ثبت مرگ جمع آوری شد.
یافته ها: در مجموع طی سال های مطالعه 3785 مورد مرگ اتفاق افتاده بود که 2250(59.5 درصد) مرگ در مردان و بقیه در زنان بود. میانگین سالیانه تعداد مرگ قبل از اپیدمی کرونا 701 مورد و بعد از رخداد کرونا 981 مورد بود. بیشترین تغییرات میزان مرگ مربوط به گروه سنی بالای 70 سال بود. بیماری های قلبی عروقی، آنفارکتوس مغز و سرطان ها به ترتیب سه علل عمده مرگ و میر قبل از اپیدمی و بیماری های قلبی عروقی، کووید-19و بیماری های عروق مغزی شایع علت مرگ و میر و بعد از اپیدمی بود. بعد از بحران کرونا علت فوت تصادفات جاده ای و سرطان ها به ترتیب 32.60و 48.61 درصد کاهش و بیماری تنفسی شبه آنفلوآنزا 110.25درصد افزایش یافته بود.
نتیجه گیری: میانگین تعداد مرگ رخ داده بعد از وقوع اپیدمی کووید-19در مقایسه با قبل از اپیدمی39.9 درصد افزایش داشته است. بیماری های قلبی عروقی نخستین و شایع ترین علل مرگ و میر قبل و بعد از اپیدمی کرونا بود.

کلیدواژه‌ها

عنوان مقاله [English]

Mortality trend before and after the onset of the Corona crisis: —has the mortality changed its course?

نویسندگان [English]

  • vahid rahmani 1
  • Razieh Zehedi 2
  • Kiavash Hushmandi 3
  • Karamatollah rahmanian 1
  • Leila Fakhravar 4

چکیده [English]

Background & Objectives: The critical conditions of the epidemic covid-19 may have different effects on the rate of mortality of other people in the community. The aim of this study was to determine the evaluation of mortality trend before and after the onset of Corona crisis in Jahrom County, south of Iran.
Methods: This descriptive study was performed by secondary data analysis death certificate during 2016-2020. The studied variables were collected based on a checklist from the data of the death registration system of the health center and also mortality statistics announced by the organization for civil registration.
Results: In a total of 3785 deaths occurred during the study period, of which 2250 (59.5%) were in male and the rest were female. The average annual number of deaths before and after the Corona epidemic was 701 and 981, respectively. Cardiovascular disease, cerebral infarction, and cancer were the three leading causes of death before the onset of Corona crisis, respectively, and cardiovascular disease, Covid-19, and cerebrovascular disease were the most common causes of death after the onset of Corona crisis, respectively. After the Corona crisis, the cause of death from road accidents and cancer was reduced by 32.60% to 48.61% and the Influenza-like illness was increased by 110.25%.
Conclusion: The average number of deaths occurred after the Corona epidemic has increased by 39% compared to before the epidemic. Cardiovascular diseases are the first and most common causes of death in Jahrom before and after the Corona epidemic.

کلیدواژه‌ها [English]

  • Pandemic
  • COVID-19
  • Cause of Death
  • Iran
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