American Journal of Epidemiology Vol. 133, No. 8: 795-800
Copyright © 1991 by The Johns Hopkins University School of Hygiene and Public Health
research-article |
Death Certificate Reporting of Confirmed Airways Obstructive Disease
From the Division of Respiratory Sciences, University of Respiratory Sciences Center Tucson, AZ
Reprint requests to Dr. Anthony E Camilli, Division of Respiratory Sciences, University of Anzona Health Sciences Center, 1501 N. CampbellAvenue, Tucson, AZ 85724.
Death certificate reporting of chronic airways disease was examined during 13 years of follow-up in the Tucson Epidemiologic Study of Airways Obstructive Disease. The Tucson study population is a geographically clustered stratified random sample of white, non-Mexican-American households in Tucson, Arizona. The initial survey was performed in 19721973. Using clinical and physiologic criteria from nine surveys to define airways obstructive disease in the population, the authors compared death certificate reporting with these criteria as the underlying cause and as reported anywhere on the death certificate. Reporting was related to the degree of antemortem airways obstruction. Sex differences in reporting were also noted. Females showed greater rates of reporting at low levels of impairment while males showed greater reporting at high levels of impairment. When airways obstructive disease was not the underlying cause of death, the type of underlying cause was found to affect reporting of airways obstructive disease on the death certificate.Am J Epidemiol 1991 ;133:795800.
death certificates; longitudinal studies; lung diseases; mortality
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