KCI등재
SCOPUS
도시가임기여성의 사망실태에 관한 조사 ( II ) - 사망진단서와 유가족면접조사에 의한 역학적 검토 = Studies on Female Deaths in the Reproductive Ages in Seoul ( II ) - Epidemiological Approach by a Review of Death Certificates and Interviews with Survivors-
저자
발행기관
학술지명
Obstetrics & Gynecology Science(Obstetrics & Gynecology Science)
권호사항
발행연도
1969
작성언어
-KDC
516
등재정보
KCI등재,SCOPUS,ESCI
자료형태
학술저널
발행기관 URL
수록면
73-83(11쪽)
제공처
In part I the senior author reported on the causes of death of women of reproductive ages in Seoul, as obtained by a review of medical records in eleven principal hospitals. Although there are some abvantages since more medical detail can be found in the records of hospital deaths, results thus obtained can hardly. be considered to represent the pattern of deaths in the general population. In order to complement the shortcomings of data from medical records the alternative approach of studying the death certificates of women of reproductive ages was attemped. All death certificates of women between the ages of 15 and 50 at the time of death which were submitted to Dong (district) offices in Seoul for burial or cremation permits were reviewed. Following transcription of all items from the death certificates of the dead ware traced and interviewed by female interviewers between May 1968 and July 1968 using a specially prepared questionnaire. From among 1900 death certificates 690 cases were interviewed. Of the remaining, 1,210 cases, 380 cases were accidental derths which were omitted intentionally from interview, 801 cases could not be located because of out-migration or inadequate addresses and 29 cases were not interviewed foor pther reasons. The interviewers contacted a disproportionatey slmaller number of the survivors of women aged 15-19 and 20-24 than among the overall group of 1,900 deaths (Table 1). Proportuinately 2.4% less of the 15-19 year old`s survivors and 4.8% less of the 20-24 year old`s survivors were located and interviewed. In addition the age goup 45-49 was over-reoresrnted with a higher proportion of interviewed actually performed (22.6%) than in the general group. Therefore the results obtained from the cases interviewed could be generalized to all deaths. somewhat more precisely if an adjustment for this uneven non-respones were made, however this is awkward. Results obtain ed from 1,900 death certificates and the survey based on 690 cases interviewed are summarized as follows: 1. Leading causes of death among women in the reproductive ages based on 1,900 death cetificates are tuberculosis 16.3%, suicide 15.2%, cancer 11%, lesions affecting central nervous system 8.8%, and maternal death 6.7% (Table 2). Similarity in the pattern for leading causes of death was also found among those interviewed except for accidental death which was intentionally omitted from the interview. 2. As to age at death, age 45-49 years old constitutes 18.8% of the total deaths, age 20-24 15.1% and age 15-19 9.6%, the lowest of all (See Table 2). 3.The leading cause of death is tuberculosis which maintains the first order of frequency among women from ages 25-34 years old, the second order of death is suicide, 15.2% of the total, which is the most frequent cause of death for women aged 15-24 years and the second most frequent for women 25-34 years of age. Cancer, the third most frequent cause of death overall, becomes the second most frequent with advancing age at 45-49 years old. About one third of deaths due to cancer occur between ages 45-49. Maternal death in fifth in the age range 20-34 years. 3. Results of interviews reveal that in the lower economic class tuberculosis and renal disease are relatively more prominent, whereas in the upper economic class frequency of cancer and maternal death are somewhat higher (Table 3). 4. As shown in Table4, 63.9% of the total cases died at home, 25.4% at general hospitals, and 2.9% at private clinics. When cross tabulated with age at death, the proportion of deaths at home increases with advancing age: about one half of women aged less than 24 died at home while 76.8% of those between 45 and 49 died at home.
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