Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #104460

Victor J. Tovar Guzman, MD, MPH, MSc¹, Francisco J. López Antuñano, MD, MPH¹, José RaúL. Vieyra Cerrillo, BSc², and Norma Elena Rodríguez Salgado, BSc³. (1) Center for Populational Health Research, National Institute of Public Health, Mexico, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico, 52777112463, alantu@insp.mx, (2) Tobacco Research, National Institute of Public Health, c/o Avenida Universidad No 655, Santa María Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico, (3) Center for Populational Health Research, National Institute of Public Health, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico

Objective. To document the characteristics of COPD crude and adjusted mortality rates in Mexico from 1980 to 2002. Method. Age, gender, Mexican state, cause, birth and death years of all cases were studied. Crude and age-adjusted mortality rates and trends were analyzed by age groups. Cohort analysis, (origin: 1870; end: 1960xs decade, and simple linear regression analysis was done to observe the mean annual increase in absolute values. Results. The crude mortality rate varied from 37 (1980) to 61(2002) per 100,000 men. The crude mortality rate for females increased from 27 (1980) to 43 deaths per 100,000 women (2002). The trends of the absolute values by birth year and age groups are higher as age increases. The Mexican States located in the Northern and Central areas present higher risk to die. There is an increment coefficient of 93 cases per year in males (age group 35-74), and 61 cases per year in females (age group 35-74). For the age group 35-94 years, the annual increase for males is of 288 cases. All these results were statistically significant and the regression model was validated by residual analysis. Conclusions. The oldest cohorts of the studied population showed the highest COPD's mortality absolute values. The geographic risk of dying from COPD's mortality is concentrated in two regions: a) the three Mexican States of higher economic income at the Northern frontier to the USA and b) those Mexican States surrounding the main producer of tobacco (Nayarit).

Learning Objectives:

• Obstructive pulmonary diseases constitute a serious public health problem and premature mortality understanding could give strong arguments to build-up preventive interventions.

Keywords: Mortality, Epidemiology

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.