Mortality rate: Difference between revisions

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{{Short description|Deaths per 1000 individuals per year}}
{{Short description|Measure of the number of deaths in a population from a given cause, scaled by population, in a set period of time}}
{{distinguish|case fatality rate}}
[[File:Mortality Rate Map by Country.svg|thumb|400px|Mortality rate of countries, deaths per thousand]]
[[File:Death rate world map.PNG|thumb|upright=1.15|Colour-coded map of the ''crude death rates'' of countries, globally, based on WHO data for 2000–2005, presented per thousand persons in the population, per year.<ref>{{Cite web|url=http://esa.un.org/unpd/wpp/Excel-Data/mortality.htm|title=World Population Prospects, the 2010 Revision|date=September 26, 2011|archive-url=https://web.archive.org/web/20110926133406/http://esa.un.org/unpd/wpp/Excel-Data/mortality.htm|archive-date=2011-09-26}}</ref>{{verification needed|date=January 2020}}]]
 
'''Mortality rate''', or '''death rate''',<ref name=Porta-2014>{{cite book|editor-last=Porta|editor-first=M|title=A Dictionary of Epidemiology| chapter-url=https://books.google.com/books?id=okf1AwAAQBAJ&pg=PA69|year=2014|edition=5th|publisher=Oxford University Press|location=Oxford| isbn=978-0-19-939005-2|pages=189, 69, 64, 36|chapter=Mortality Rate, Morbidity rate; Death rate; Cumulative death rate; Case fatality rate}}</ref>{{rp|189,69}} is a measure of the number of [[death]]s (in general, or due to a specific cause) in a particular [[Statistical population|population]], scaled to the size of that population, per unit of time. Mortality rate is typically expressed in units of deaths per 1,000 individuals per year; thus, a mortality rate of 9.5 (out of 1,000) in a population of 1,000 would mean 9.5 deaths per year in that entire population, or 0.95% out of the total. It is distinct from "[[morbidity]]", which is either the [[prevalence]] or [[Incidence (epidemiology)|incidence]] of a [[disease]], and also from the [[incidence rate]] (the number of newly appearing cases of the disease per unit of time).<ref name=Porta-2014/>{{rp|189}}{{verification needed|date=January 2020}}
 
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==Crude death rate, globally==
The crude death rate is defined as "the mortality rate from all causes of death for a population," calculated as the "[t]otaltotal number of deaths during a given time interval" divided by the "[m]idmid-interval population", per 1,000 or 100.,000; for instance, the population of the [[United States|U.S.]] was around 290,810,000 in 2003, and in that year, approximately 2,419,900 deaths occurred in total, giving a crude death (mortality) rate of 832 deaths per 100,000.<ref name="cdc.gov"/>{{rp|3–20f}} {{As of|2020}}, the [[Central Intelligence Agency|CIA]] estimates the U.S. crude death rate will be 8.3 per 1,000, while it estimates that the global rate will be 7.7 per 1,000.<ref name=CIA2020/>
 
According to the [[World Health Organization]], the ten leading causes of death, globally, in 2016, for both sexes and all ages, were as presented in the table below.<ref>{{cite web| author = WHO Staff | date=2018|title=Global Health Observatory (GHO) data: Top 10 causes of death|location = Geneva, CH | publisher=World Health Organization | url=https://www.who.int/gho/mortality_burden_disease/causes_death/top_10/en/| archive-url=https://web.archive.org/web/20140808230640/http://www.who.int/gho/mortality_burden_disease/causes_death/top_10/en/| url-status=dead| archive-date=August 8, 2014| access-date = January 31, 2020}}</ref>
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# [[Lower respiratory infections]], '''40'''
# [[Alzheimer's disease]] and other [[dementias]], '''27'''
# [[Lung cancer|Trachea, bronchus, and lung cancers]], '''23'''
# [[Diabetes mellitus]], '''21'''
# [[Road traffic accidents|Road injury]], '''19'''
# [[Diarrhoeal diseases]], '''19'''
# [[Tuberculosis]], '''17'''
Mortality rate is also measured per thousand. It is determined by how many people of a certain age die per thousand people. Decrease of mortality rate is one of the reasons for increase of population. Development of medical science and other technologies has resulted in the decrease of mortality rate in all the countries of the world for some decades. In 1990, the mortality rate of children under 5five years of age was 144 per thousand, but in 2015 the child mortality rate was 38 per thousand.{{cn|date=July 2021}}
 
==Related measures of mortality==
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|[[Maternal mortality]] rate||Number of deaths of mothers assigned to pregnancy-related causes during a given time interval, divided by the number of live births during the same time interval.<ref name="cdc.gov"/>{{rp|3–20}}
|-
|[[Infant mortality]] rate ||Number of deaths among children <1one year of age during a given time interval divided by the number of live births during the same time interval.<ref name="cdc.gov"/>{{rp|3–20}}
|-
|[[Child mortality]] rate<br />(also known as 'Under-five mortality rate')||Number of deaths of children less than 5 years old, divided by number of live births.<ref>{{cite web|url=https://www.who.int/gho/child_health/mortality/mortality_under_five/en/|title=Global Health Observatory (GHO) data – Under-five mortality|access-date=2020-03-30}}</ref>
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|[[Case fatality rate]] (CFR)||The proportion of diagnosed cases of a particular [[medical condition]] that lead to death.<ref>{{cite web |title=Principles of Epidemiology - Lesson 3: Measures of Risk Section 3: Mortality Frequency Measures |url=https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section3.html |website=Centers for disease control and prevention |date=18 February 2019 |publisher=U.S. Department of Health & Human Services |access-date=25 March 2020}}</ref>
|-
|[[Infection fatality rate]] (IFR)||The proportion of infected cases of a particular [[medical condition]] that lead to death. Similar to CFR, but adjusted for asymptomatic and undiagnosed cases.<ref>{{cite web |title=Infection fatality rate |url=https://flexikon.doccheck.com/de/Infection_fatality_rate |publisher=DocCheck Medical Services GmbH |access-date=25 March 2020}}</ref>
|}
 
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==Use in epidemiology==
In most cases there are few if any ways to obtain exact mortality rates, so epidemiologists use estimation to predict correct mortality rates. Mortality rates are usually difficult to predict due to language barriers, health infrastructure related issues, conflict, and other reasons. Maternal mortality has additional challenges, especially as they pertain to [[Stillbirth and Neonatal Death Society|stillbirths]], abortions, and multiple births. In some countries, during the 1920s, a stillbirth was defined as "a birth of at least twenty weeks' gestation in which the child shows no evidence of life after complete birth". In most countries, however, a stillbirth was defined as "the birth of a fetus, after 28 weeks of pregnancy, in which pulmonary respiration does not occur".<ref>{{Cite book|title=Death in Childbirth: An International Study of Maternal Care and Maternal Mortality 1800–1950 |language=en|doi=10.1093/acprof:oso/9780198229971.001.0001|isbn=978-0191678950|publisher=Oxford University Press |date=1992|last1=Loudon|first1=Irvine}}</ref>
 
===Census data and vital statistics===
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===Household surveys===
Household surveys or interviews are another way in which mortality rates are often assessed. There are several methods to estimate mortality in different segments of the population. One such example is the [[sisterhood method]], which involves researchers estimating maternal mortality by contacting women in populations of interest and asking whether or not they have a sister, if the sister is of child-bearing age (usually 15) and conducting an interview or written questions about possible deaths among sisters. The sisterhood method, however, does not work in cases where sisters may have died before the sister being interviewed was born.<ref>{{Cite journal|last1=Graham|first1=W.|last2=Brass|first2=W.|last3=Snow|first3=R. W.|date=May 1989|title=Estimating maternal mortality: the sisterhood method|journal=Studies in Family Planning|volume=20|issue=3|pages=125–135|issn=0039-3665|pmid=2734809|doi=10.2307/1966567|jstor=1966567}}</ref>
 
Orphanhood surveys estimate mortality by questioning children are asked about the mortality of their parents. It has often been criticized as an adult mortality rate that is very biased for several reasons. The adoption effect is one such instance in which orphans often do not realize that they are adopted. Additionally, interviewers may not realize that an adoptive or foster parent is not the child's biological parent. There is also the issue of parents being reported on by multiple children while some adults have no children, thus are not counted in mortality estimates.<ref name=":0" />
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{{For|worldwide statistics|List of sovereign states and dependent territories by mortality rate}}
Causes of death vary greatly between developed and less [[developed countries]];{{citation needed|date=January 2020}} see also [[list of causes of death by rate]] for worldwide statistics.
 
<div>
{|class="wikitable" style="float:right; margin: 0.5em 0 0.5em 1em; text-align:left"
|+ World historical and predicted crude death rates (1950–2050) <br /><small>UN, medium variant, 2012 rev.</small><ref>{{cite web|url=http://data.un.org/Data.aspx?d=PopDiv&f=variableID:65|title=UNdata - record view - Crude death rate (deaths per 1,000 population)|website=data.un.org}}</ref>
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According to [[Jean Ziegler]] (the [[United Nations Special Rapporteur]] on the Right to Food for 2000 to March 2008), mortality due to [[malnutrition]] accounted for 58% of the total mortality in 2006: "In the world, approximately 62 million people, all causes of death combined, die each year. In 2006, more than 36 million died of hunger or diseases due to deficiencies in [[micronutrients]]".<ref name=Ziegler>[[Jean Ziegler]], ''L'Empire de la honte'', Fayard, 2007 {{ISBN|978-2-253-12115-2}}, p.130.</ref>
 
Of the roughly 150,000 people who die each day across the globe,<ref>{{Cite web|title=Civil registration: why counting births and deaths is important|url=https://www.who.int/news-room/fact-sheets/detail/civil-registration-why-counting-births-and-deaths-is-important|access-date=2020-06-11|website=www.who.int|language=en}}</ref><ref>{{Cite web|title=Global deaths: This is how COVID-19 compares to other diseases|url=https://www.weforum.org/agenda/2020/05/how-many-people-die-each-day-covid-19-coronavirus/|access-date=2020-06-11|website=World Economic Forum|date=16 May 2020 |language=en}}</ref><ref>{{Cite web|last=Ross|first=Jenna|date=2020-05-15|title=How Many People Die Each Day?|url=https://www.visualcapitalist.com/how-many-people-die-each-day/|access-date=2020-06-11|website=Visual Capitalist|language=en-US}}</ref> about two thirds—100,000 per day—die of age-related causes.<ref name="doi10.2202/1941-6008.1011">{{cite journal|last=Aubrey D.N.J|first=de Grey|author-link=Aubrey de Grey|title=Life Span Extension Research and Public Debate: Societal Considerations|journal=Studies in Ethics, Law, and Technology|volume=1|issue=1, Article 5|year=2007|url=http://www.sens.org/files/pdf/ENHANCE-PP.pdf|doi=10.2202/1941-6008.1011|access-date=August 7, 2011|citeseerx=10.1.1.395.745|s2cid=201101995 |archive-url=https://web.archive.org/web/20161013163622/http://www.sens.org/files/pdf/ENHANCE-PP.pdf|archive-date=October 13, 2016|url-status=dead}}</ref> In industrialized nations, the proportion is much higher, reaching 90%.<ref name="doi10.2202/1941-6008.1011" />
 
==Economics==
Scholars have stated that there is a significant relationship between a low standard of living that results from low income; and increased mortality rates. A low standard of living is more likely to result in malnutrition, which can make people more susceptible to disease and more likely to die from these diseases. A lower standard of living may lead to as a lack of hygiene and sanitation, increased exposure to and the spread of disease, and a lack of access to proper medical care and facilities. Poor health can in turn contribute to low and reduced incomes, which can create a loop known as the health-poverty trap.<ref>{{Cite journal|title=Health, Income, & Poverty: Where We Are & What Could Help|date=October 4, 2018|language=en|doi=10.1377/hpb20180817.901935|doi-access=free}}</ref> Indian economist and philosopher [[Amartya Sen]] has stated that mortality rates can serve as an indicator of economic success and failure.<ref>{{Cite journal|last=Sen|first=Amartya|date=1998|title=Mortality as an Indicator of Economic Success and Failure|journal=The Economic Journal|volume=108|issue=446|pages=1–25|issn=0013-0133|jstor=2565734|doi=10.1111/1468-0297.00270|s2cid=55557306 }}</ref><ref name=":1">{{cite book|title=Life under pressure: mortality and living standards in Europe and Asia, 1700–1900|last1=Bengtsson|first1=Tommy|last2=Campbell|first2=Cameron|last3=Lee|first3=James Z.|date=2004|publisher=MIT|isbn=978-0262268097|location=Cambridge, MA|oclc=57141654}}</ref>{{rp|27, 32}}
 
Historically, mortality rates have been adversely affected by short term price increases. Studies have shown that mortality rates increase at a rate concurrent with increases in [[food prices]]. These effects have a greater impact on vulnerable, lower-income populations than they do on populations with a higher standard of living.<ref name=":1" />{{rp|35–36, 70}}
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=== Preventable mortality ===
These rates are especially pronounced for children under 5 years old, particularly in lower-income, developing countries. These children have a much greater chance of dying of diseases that have become verymostly preventable in higher-income parts of the world. More children die of malaria, respiratory infections, diarrhea, perinatal conditions, and measles in developing nations. Data shows that after the age of 5 these preventable causes level out between high and low-income countries.{{cn|date=July 2021}}
 
==See also==
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* [[Demography]]
* [[Gompertz–Makeham law of mortality]]
* [[Life table]]
* [[List of causes of death by rate]]
* [[List of countries by birth rate]]
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* [[List of countries by life expectancy]]
* [[Maximum life span]]
* [[Medical statistics]]
* [[Micromort]]
* [[Mortality displacement]]
* [[Risk adjusted mortality rate]]
* [[Vital statistics (government records)|Vital statistics]]
* [[Medical statistics]]
* [[Weekend effect]]
* [[World population]]
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* [https://web.archive.org/web/20090215000125/http://esa.un.org/unpp/index.asp?panel=2 Crude death rate (per 1,000 population)] based on ''World Population Prospects The 2008 Revision'', [[United Nations]]. Retrieved 22 June 2010
* [https://www.cia.gov/library/publications/the-world-factbook/rankorder/2066rank.html Rank Order – Death rate] {{Webarchive|url=https://web.archive.org/web/20180228071330/https://www.cia.gov/library/publications/the-world-factbook/rankorder/2066rank.html |date=2018-02-28 }} in ''CIA World Factbook''
* [http://www.medterms.com/script/main/art.asp?articlekey=19649 Mortality] {{Webarchive|url=https://web.archive.org/web/20140306170442/http://www.medterms.com/script/main/art.asp?articlekey=19649 |date=2014-03-06 }} in ''The Medical Dictionary'', Medterms. Retrieved 22 June 2010
* [http://webapp.cdc.gov/sasweb/ncipc/leadcaus10.html "WISQARS Leading Causes of Death Reports, 1999–2007"], [[US Centers for Disease Control]] Retrieved 22 June 2010
* Edmond Halley, [http://www.pierre-marteau.com/editions/1693-mortality.html ''An Estimate of the Degrees of the Mortality of Mankind''] (1693)
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{{Death}}
{{Medical research studies}}
{{Population}}
 
{{Authority control}}