The epidemiologic transition revisited: compositional models for causes of death by age and sex

摘要

Fore more than three decades, researchers halve examined the links between demographic and socioeconomic changes and systematic shifts in disease and mortality patterns (Frederiksen 1969; Omran 1971; McKeown 1976; Preston 1976; Bulatao 1993). Omran (1971) first used the term "epidemiologic transition" to characterize these regular transformations in the cause composition of mortality, by which pandemics of infectious diseases are gradually replaced by chronic, degenerative diseases as the leading causes of death. The focus of the theory of epidemiologic transition, according to Omran, is on "the complex change in patterns of health and disease and on the interactions between these patterns and their demographic, economic and sociologic determinantsand consequences" (p. 510; italics in original).