Trends in the Leading Causes of Death in Korea, 1983-2012

다국어 초록 (Multilingual Abstract)

This study aimed to analyze trends in the 10 leading causes of death in Korea from 1983 to2012. Death rates were derived from the Korean Statistics Information Service databaseand age-adjusted to the 2010 population. Joinpoint regression analysis was used to identifythe points when statistically significant changes occurred in the trends. Between 1983 and2012, the age-standardized death rate (ASR) from all causes decreased by 61.6% for menand 51.2% for women. ASRs from malignant neoplasms, diabetes mellitus, and transportaccidents increased initially before decreasing. ASRs from hypertensive diseases, heartdiseases, cerebrovascular diseases and diseases of the liver showed favorable trends (ASR %change: -94.4%, -53.8%, -76.0%, and -78.9% for men, and -77.1%, -36.5%, -67.8%,and -79.9% for women, respectively). ASRs from pneumonia decreased until the mid-1990s and thereafter increased. ASRs from intentional self-harm increased persistentlysince around 1990 (ASR % change: 122.0% for men and 217.4% for women). Inconclusion, death rates from all causes in Korea decreased significantly in the last threedecades except in the late 1990s. Despite the great strides made in the overall mortality,temporal trends varied widely by cause. Mortality trends for malignant neoplasms,diabetes mellitus, pneumonia and intentional self-harm were unfavorable.

참고문헌 (Reference)

1 정은경, "일개 군 사망신고자료에 기재된 사인의 정확성과 관련요인" 대한예방의학회 35 (35): 11-159, 2002

2 Bosetti C, "Worldwide mortality from cirrhosis : an update to 2002" 46 : 827-839, 2007

3 Chang SS, "Was the economic crisis 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand" 68 : 1322-1331, 2009

4 Jemal A, "Trends in the leading causes of death in the United States, 1970-2002" 294 : 1255-1259, 2005

5 T. R, "Trends in mortality from coronary heart and cerebrovascular diseases in the Americas : 1970-2000" 92 : 453-460, 2006

6 Levi F, "Trends in mortality from cardiovascular and cerebrovascular diseases in Europe and other areas of the world" 88 : 119-124, 2002

7 Carandang R, "Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years" 296 : 2939-2946, 2006

8 Nichols M, "Trends in age-specific coronary heart disease mortality in the European Union over three decades : 1980-2009" 34 : 3017-3027, 2013

9 Tan WC, "Trends in COPD mortality and hospitalizations in countries and regions of Asia-Pacific" 14 : 90-97, 2009

10 Ly KN, "The increasing burden of mortality from viral hepatitis in the United States between 1999 and 2007" 156 : 271-278, 2012

11 Perz JF, "The contributions of hepatitis B virus and hepatitis C virus infections to cirrhosis and primary liver cancer worldwide" 45 : 529-538, 2006

12 Howe N, "The aging of Korea: demographics and retirement policy in the Land of the Morning Calm Washington"

13 김대중, "The Epidemiology of Diabetes in Korea" 대한당뇨병학회 35 (35): 303-308, 2011

14 Park KA, "Recent trends and patterns of mortality in Korea" 27 : 67-81, 1998

15 Choi YJ, "Rapidly increasing diabetes-related mortality with socio-environmental changes in South Korea during the last two decades" 74 : 295-300, 2006

16 Mathers CD, "Projections of global mortality and burden of disease from 2002 to 2030" 3 : e442-, 2006

17 Gunnell D., "Prevention and treatment of suicidal behavior: from science to practice" Oxford University Press 2005

18 Statistics Korea, "Population Projections for Korea : 2010-2060" Statistics Korea 2012

19 Kim HJ, "Permutation tests for joinpoint regression with applications to cancer rates" 19 : 335-351, 2000

20 Ruhnke GW, "Marked reduction in 30-day mortality among elderly patients with community-acquired pneumonia" 124 : 171-8.e1-, 2011

21 Jung KW, "Long-term trends in cancer mortality in Korea(1983-2007) : a joinpoint regression analysis" 11 : 1451-1457, 2010

22 Korean Statistical Information Service, "KOSIS Statistical Database"

23 Oliver SE, "International trends in prostate-cancer mortality in the"PSA ERA"" 92 : 893-898, 2001

24 Sarti C, "International trends in mortality from stroke, 1968 to 1994" 31 : 1588-1601, 2000

25 Trotter CL, "Increasing hospital admissions for pneumonia, England" 14 : 727-733, 2008

26 Khang YH, "Impact of economic crisis on causespecific mortality in South Korea" 34 : 1291-1301, 2005

27 Chang SS, "Impact of 2008 global economic crisis on suicide: time trend study in 54 countries" 347 : f5239-, 2013

28 Ford ES, "Explaining the decrease in U.S. deaths from coronary disease, 1980-2000" 356 : 2388-2398, 2007

29 Duk-HeeLee, "Epidemiological Findings of Hepatitis B Infection Based on 1998 National Health and Nutrition Survey in Korea" 대한의학회 17 (17): 457-462, 2002

30 van Beeck EF, "Economic development and traffic accident mortality in the industrialized world, 1962-1990" 29 : 503-509, 2000

31 Murphy SL, "Deaths: final data for 2010" 61 : 1-117, 2013

32 Lopez AD, "Chronic obstructive pulmonary disease : current burden and future projections" 27 : 397-412, 2006

33 Vong S, "Chronic liver disease mortality in the United States, 1990-1998" 39 : 476-483, 2004

34 Wise M, "Changing trends in hepatitis C-related mortality in the United States, 1995-2004" 47 : 1128-1135, 2008

35 정규원, "Cancer Statistics in Korea: Incidence, Mortality and Survival in 2006-2007" 대한의학회 25 (25): 1113-1121, 2010

36 López-Campos JL, "COPD mortality rates in Andalusia, Spain, 1975-2010: a joinpoint regression analysis" 17 : 131-136, 2013

37 Lindenauer PK, "Association of diagnostic coding with trends in hospitalizations and mortality of patients with pneumonia, 2003-2009" 307 : 1405-1413, 2012

38 Statistics Korea, "Annual report on the causes of death statistics" Statistics Korea 2012

39 Mokdad AH, "Actual causes of death in the United States, 2000" 291 : 1238-1245, 2004

40 Qiu D, "A Joinpoint regression analysis of long-term trends in cancer mortality in Japan(1958-2004)" 124 : 443-448, 2009