Dissertations / Theses on the topic 'Mortalité par cause de décès'
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Bubenheim, Michael. "Des systèmes d'enregistrement des décès par cause en France et en Allemagne." Lyon 2, 2000. http://theses.univ-lyon2.fr/documents/lyon2/2000/bubenheim_m.
Full textGhosn, Walid. "Disparités spatiales de mortalité par cause en population générale." Thesis, Université Paris-Saclay (ComUE), 2017. http://www.theses.fr/2017SACLS066/document.
Full textThe analysis of geographical disparities in mortality in the general population is essential for health planning. The aim is to identify the factors involved in the genesis of these differences. This helps to guide decisions about the populations to be targeted and the allocation of resources. The objective of this work was to help explain geographic variations in mortality by cause of death in the general population.In the first part, an estimate is made of the geographical disparities in mortality by cause calculated from the comprehensive national database of medical causes of death using a synthetic measure. On the basis of these findings, an ecological analysis of the evolution of the geographical distribution of mortality is proposed. Assuming that demographic changes are a marker of health changes in society, a typology of demographic changes and a Poisson model were used to investigate this association with mortality trends.In general, geographical disparities in mortality have increased markedly since 1990. The contribution of the regional scale to spatial disparities, which was very high in 1975, has evolved differently according to sex and cause of death. The evolution of mortality is also negatively associated with the increase in population. Depending on the degree of social disadvantage and degree of urbanization, this link is stronger for alcohol-tobacco and violent deaths.The second part is devoted to investigating individual and contextual risk factors using a multilevel model. Initially, the problem of such an analysis was extended to the reliability of multilevel analysis of rare health events. Evaluated by using simulations, the recommendations on the feasibility of a general population analysis were then applied to the Permanent Demographic Sample (PDS). We thus attempted to explain geographical disparities in mortality by socio-demographic composition, the physical environment being characterized by geographical accessibility to care and the social environment being measured by a social disadvantage score.The multilevel feasibility analysis revealed the very high sensitivity of the reliability of the estimates to the geographical scale and the impact of health events studied. In the general population, there was a contextual association with the social disadvantage of the place of residence. This association was systematic and regular for all causes of death investigated. Only geographical disparities in mortality from circulatory diseases were largely explained by individual and contextual factors. Geographic access to care was not found to be associated with mortality.This work emphasizes the multitude of factors involved and the need to combine approaches when dealing with geographical disparities in mortality. The scarcity of events studied in the PDS and the lack of reliable individual socio-economic information in the exhaustive database of causes of death are two major constraints of this type of analysis, in which the appropriate methodologies should be used. Nevertheless, the prospect of obtaining richer data thanks to the use of administrative and medico-administrative bases suggests that significant benefits may be obtained from this approach. Despite the considerable residual uncertainty on certain results, the study clearly highlights the simultaneous importance of individual and contextual factors in the general population
Videau, Marie-Neige. "Evolution de la létalité des sujets infectés par le VIH en Guadeloupe (1994-1999)." Bordeaux 2, 1999. http://www.theses.fr/1999BOR2M152.
Full textLewden, Charlotte. "Etude de la mortalité et des causes de décès chez les personnes infectées par le virus de l'immunodéficience humaine (VIH) à la période des traitements antirétroviraux hautement actifs." Bordeaux 2, 2004. http://www.theses.fr/2004BOR21166.
Full textAfter a median follow-up of 4,6 years in APROCO and Aquitaine cohorts, mortality was 10 times higher in HIV-infected adults having started highly active antiretroviral treatment than in the general population of same age and gender. It was similar in responders to treatment. We describe an information bias due to missing data for hepatitis C in an analysis of factors associated with mortality in APROCO cohort. In France in 2000, underlying causes of death in 964 HIV-infected adults were AIDS (47 %, of whom 23 % lymphoma), viral hepatitis (11 %) and other cancer (11 %), according to "Mortalité 2000" survey. Cohort studies of HIV-infected persons are currently harmonizing collection of data on death cases. According to three sources : the "Mortalité 2000" survey, the national death certificates database and the French hospital database on HIV infection, the estimation by the capture-recapture method of the number of deaths in HIV-infected adults was 1699 (95 %CI : 1671-1727) in France in 2000
Belot, Aurélien. "Modélisation flexible des données de survie en présence de risques concurrents et apports de la méthode du taux en excès." Aix-Marseille 2, 2009. http://www.theses.fr/2009AIX20709.
Full textIn epidemiology, the probability of survival (associated to the delay until death) of a cohort of patients is a key indicator of the impact of the disease. But, this survival may be estimated according to various causes of death; these constitute then competing events. In this dissertation, after presenting the analysis setting, we propose a flexible model to estimate jointly the hazards of competing events as well as the effects of prognostic factors in function of the time elapsed since diagnosis. Furthermore, this model allows comparing the effects of the prognostic factors on the competing events; it was applied to an analysis of data on an American cohort of patients with colorectal cancer. However, the causes of death may sometimes be missing or invalid (case of registries that do not routinely collect the causes of death). The statistical method of the excess hazard makes it possible to overcome the need for the causes of death by using the general population mortality to estimate the excess mortality directly or indirectly linked to the disease. An analysis strategy is proposed to estimate the excess mortality as well as the non-linear and/or time-dependent effects of the prognostic factors. In addition to death, the competing events method is also applied to intercurrent events such as relapse or metastasis. A model that combines the competing events and the excess hazard methods is proposed to estimate the hazards of intercurrent events and the excess mortality; it is applied to data from FRANCIM registries on colorectal cancer cases with curative-intent treatment
Demesmaeker, Alice. "La morbi-mortalité par suicide : de l'épidémiologie longitudinale à l'évaluation d'un dispositif de prévention." Electronic Thesis or Diss., Université de Lille (2022-....), 2023. http://www.theses.fr/2023ULILS014.
Full textPatients with a psychiatric disorder have a decreased life expectancy associated with a high rate of suicide and non-psychiatric diseases. In addition, patients who have attempted suicide (SA) are at particular risk for re-attempt and premature death. First, we tried to identify risk factors for re-attempt with novel statistical approaches. Thus, patients with an alcohol use disorder and with an acute alcohol use during their SA, patients with an anxiety disorder, those who had more than 2 SAs and those who consumed benzodiazepines and/or hypnotics had a high risk of re-attempt.Then, we estimated the rate of death by suicide after SA using a meta-analysis. Our results showed a rate of 2.8% at 1 year. Then, we searched for causes of death in the Vigilans cohort. One year after SA, the most common causes of death were suicide and cardiovascular diseases.Finally, we showed an example of an assessment of a suicide prevention program. We evaluated the effectiveness of training gatekeepers in nursing homes. Our results showed an improvement in knowledge about the suicidal crisis and a decrease in the number of SAs after the training.In conclusion, the reduction of the morbidity and mortality of those who have attempted suicide requires a global management: by suicide prevention, but also by the management of non-psychiatric diseases
Burg, Antoine. "Multivariate extensions for mortality modelling." Electronic Thesis or Diss., Université Paris sciences et lettres, 2025. http://www.theses.fr/2025UPSLD002.
Full textOver the past two centuries, life expectancy around the globe has increased considerably. While the long-term trend is fairly regular, the improvement in longevity can be broken down into several phases in the short term, which can most often be linked to medical progress and the reduction in specific causes of mortality. The year 2020 marks a turning point due to the scale of the Covid-19 pandemic and its consequences. Its direct and indirect effects on the economy and healthcare systems will also be felt through other major causes of death. To understand and anticipate mortality-related risks, it is becoming increasingly necessary for reinsurance players to reason and model in terms of causes of death. However, this type of modeling poses specific challenges. By its very nature, it involves multivariate models, whose complexity exceeds that of conventional actuary tools. In this thesis, we propose several avenues for extending mortality modeling to a multivariate framework. These are presented in the form of research articles. The first study deals with technical aspects of multivariate distributions within generalized linear models. When the explanatory variables are categorical, we propose new estimators for the multinomial, negative multinomial and Dirichlet distributions in the form of closed formulas, which notably enable considerable savings in computation time. These estimators are used in the second study to propose a new method for estimating the parameters of mortality models. This method extends the existing framework for all-cause mortality, and enables all mortality modeling issues to be addressed in a single step, particularly by cause-of-death. The third axis concerns mortality forecasts. We study neural networks specifically adapted to time series. Based on concrete use cases, we show that these models are sufficiently flexible and robust to offer a credible alternative to conventional models
Garcia, Arias Jenny. "Disparités de mortalité par causes en Amérique latine : l'hypothèse du «biais urbain»." Thesis, Paris 1, 2020. http://www.theses.fr/2020PA01H014.
Full textIn 1977, Michael Lipton introduced the Urban Bias Thesis as a framework for understanding how most macro- and microeconomic policy initiatives have historically benefited the over-development of urban areas and the underdevelopment of rural areas. In Latin America, urbanization and mortality decline have historically been positively related: the health transition in the region has been initiated in the main cities and has tended to proceed more rapidly in countries with higher levels of urbanization. This research looks for evidence on: the persistence of an urban advantage in mortality; and traces of an "urban bias" in the causes of death patterns in the region. Using a sample of Latin American countries over the period 2000-2010, I apply decomposition methods on life expectancy at birth to analyze the disparities in mortality patterns and causes of death when urban and rural areas are considered separately. Urban is defined as a continuum category instead of a dichotomous concept. Hence, three types of spatial groups are recognizable in each country. The countries under analysis are Brazil, Chile, Colombia, Ecuador, Mexico, Peru and Venezuela. The results indicate that the urban advantage is persistent and that rural-urban mortality differentials have consistently favored cities. This advantage in mortality comes as an outcome of lower rates for causes of death that are amenable to primary interventions, meaning they are made amenable by the existence of basic public infrastructures as well as by the provision of basic goods and services
Leray, Emmanuelle. "Mortalité dans la sclérose en plaques : mesures, facteurs pronostiques et comparaison à la population générale. Etude de la base de données EDMUS de Rennes." Rennes 1, 2005. http://www.theses.fr/2005REN1B089.
Full textMechinaud, Lamarche Vadel Agathe. "Elaboration d'indicateurs de mortalité post-hospitalière à différents délais avec prise en compte des causes médicales de décès." Thesis, Paris 11, 2014. http://www.theses.fr/2014PA11T073/document.
Full textThe main objective of this PhD work was to investigate different methodological options for the elaboration of post hospital mortality indicators aiming at reflecting quality of care, in particular to identify the most relevant timeframes and to assess the contribution of the causes of death information.In a first phase, the hospital discharge data of the French General health insurance scheme beneficiaries who died during the year following an hospital stay in 2008 or 2009 were linked to the cause of death register. The matching rate was 96.4%.In a second phase, the hospital stays for which the underlying cause of death could be qualified as independent from the main diagnosis were identified with an algorithm and a software relying on international standards.In a third phase, the method most widely used to assess in-hospital mortality (Dr Foster Unit method) was reproduced and used to construct hospital mortality indicators at 30, 60, 90, 180 et 365 days post-admission, on year 2009 (12 322 831 acute-care stays)..As in other countries, in-hospital mortality revealed biased by discharge patterns in the French data: hospitals : short length-of-stay or high transfer-out rates for comparable casemix tend to have lower in-hospital mortality. The 60-day and 90-day indicators should be preferred to the 30-day indicator, because they reflect a larger part of in-hospital mortality, and are less subject to the incentives either to maintain patients alive until the end of the follow-up window or to shift resources away when this length of stay is reached. The contribution of the causes of death seems negligible in the context of hospital-wide indicators, but it could prove its utility in future health services research about specific indicators limited to selected conditions or procedures.However, reservations about the relevance of hospital-wide mortality indicators aiming at assessing quality of care are described (limits of the statistical model and adjustment variables available, heterogeneity of the coding quality between hospitals). Further research is needed, in particular on the capacity of these indicators to reflect quality of care and on the impact of their public reporting. To date, the use of hospital-wide mortality indicators needs to be extremely cautious
Barro, Golo Seydou. "Certification des causes de décès en Afrique : "Analyse de modèle au CHU Souro Sanou de Bobo Dioulasso, Burkina Faso"." Thesis, Aix-Marseille, 2014. http://www.theses.fr/2014AIXM5085/document.
Full textMortality statistics are basic data the WHO employs to measure health problems in different countries. However, their reliability depends on the quality of death data collected by different doctors. It appears, however, that over 25% African data are of no use because they are not available on time or lack quality. The main reason for this lack of information could be the nonperformance of data logging systems and tools. Our work aimed at investigating a death registration model taking into account both WHO's standards and the realities of Africa. We tried to understand if certification of death causes could improve mortality statistics production in Africa. Our methodology was based on a combination of interventional research, project process, and an epidemiological approach. The study resulted in the design and implementation of a three scenarios model, depending on ICT equipment and qualified staff level of health care facilities. The system has been validated and implemented in the University Hospital of Bobo Dioulasso. All the actors were trained and the device operates since January 1st, 2014, after the training of the actors. A first evaluation of the model was performed after three months of operation. The establishment of a monitoring committee and of an annual training plan, the involvement of the Ministry of Health and of the West African Health Organization, the technical assistance of CepiDc (France) and of the General Directorate for Modernization of Civil Status, are elements of appropriation, sustainability and hope. However, deaths registration outside hospitals remains an active challenge
Requena, Maria Bernarda. "Risque résiduel de décès chez les personnes vivant avec le VIH et guéries de l’hépatite C par antiviraux à action directe." Electronic Thesis or Diss., Sorbonne université, 2023. https://accesdistant.sorbonne-universite.fr/login?url=https://theses-intra.sorbonne-universite.fr/2023SORUS624.pdf.
Full textSince 2014, direct-acting antivirals (DAAs) have cured nearly 95% of people treated for hepatitis C virus (HCV) after an average of 12 weeks' treatment, whereas few effective therapeutic options existed before. However, several studies of HCV monoinfected individuals have shown that this cure is not always accompanied by a return to a life expectancy equal to that of the HCV-naïve, due to comorbidities and socio-behavioral risk factors. Few studies have examined the mortality of people living with HIV (PLHIV) cured of HCV by DAAs. Since being marketed, the availability of DAA treatments has varied from country to country, restricting access to the most vulnerable populations. It is critical to understand the influence on mortality of structural and socio-behavioral risk factors and of difficulties in access to care for developing targeted interventions in PLHIV cured of HCV by DAAs. Firstly, we were interested in determining mortality in PLWH cured of HCV by DAA and comparing it with people with HIV monoinfection in France, using data from the ANRS CO4 FHDH hospital cohort. We included 4,382 PLHIV cured of HCV by DAA between 2013 and 2020 and 37,305 PLHIV monoinfected with HIV. We observed a higher risk of all-cause death in HIV/HCV coinfected patients cured by DAA compared to HIV monoinfected patients, despite cure, HIV suppression and after control on CD4 nadir and other variables. We also found that this risk was higher after 12 months of follow-up. Secondly, we sought to compare changes in mortality among PLHIV with HCV coinfection before and after the introduction of DAAs, in different key populations, adjusting for individual clinical characteristics in the context of care systems with universal coverage. We used data from the InCHEHC consortium, from five countries (Canada, France, Netherlands, Spain, Switzerland) and 105,806 PLHIV followed up since 1997. Analyses showed that despite the availability of DAAs in all five countries, all-cause mortality has not decreased among injecting drug users, unlike among men who have sex with men. Moreover, female injecting drug users also had a higher mortality risk than other women. Taking into account social exclusion and drug use patterns on the mortality of PLWHA living with HIV/HCV is necessary to enable stakeholders to target the needs of key populations in order to achieve the HCV and HIV elimination targets set by the World Health Organization
Morisot, Adeline. "Méthodes d’analyse de survie, valeurs manquantes et fractions attribuables temps dépendantes : application aux décès par cancer de la prostate." Thesis, Montpellier, 2015. http://www.theses.fr/2015MONTT010/document.
Full textThe term survival analysis refers to methods used for modeling the time of occurrence of one or more events taking censoring into account. The event of interest may be either the onset or the recurrence of a disease, or death. The causes of death may have missing values, a status that may be modeled by imputation methods. In the first section of this thesis we made a review of the methods used to deal with these missing data. Then, we detailed the procedures that enable multiple imputation of causes of death. We have developed these methods in a subset of the ERSPC (European Randomized Study of Screening for Prostate Cancer), which studied screening and mortality for prostate cancer. We proposed a theoretical formulation of Rubin rules after a complementary log-log transformation to combine estimates of survival. In addition, we provided the related R code. In a second section, we presented the survival analysis methods, by proposing a unified writing based on the definitions of crude and net survival, while considering either all-cause or specific cause of death. This involves consideration of censoring which can then be informative. We considered the so-called traditional methods (Kaplan-Meier, Nelson-Aalen, Cox and parametric) methods of competing risks (considering a multistate model or a latent failure time model), methods called specific that are corrected using IPCW (Inverse Ponderation Censoring Weighting) and relative survival methods. The classical methods are based on a non-informative censoring assumption. When we are interested in deaths from all causes, this assumption is often valid. However, for a particular cause of death, other causes of death are considered as a censoring. In this case, censoring by other causes of death is generally considered informative. We introduced an approach based on the IPCW method to correct this informative censoring, and we provided an R function to apply this approach directly. All methods presented in this chapter were applied to datasets completed by multiple imputation. Finally, in a last part we sought to determine the percentage of deaths explained by one or more variables using attributable fractions. We presented the theoretical formulations of attributable fractions, time-independent and time-dependent that are expressed as survival. We illustrated these concepts using all the survival methods presented in section 2, and compared the results. Estimates obtained with the different methods were very similar
Mittoux, Aurélia. "Évaluation de la mortalité chez les patients schizophrènes traités par des antipsychotiques dans des conditions normales de prescription en Europe et en Asie." Thesis, Lyon 1, 2011. http://www.theses.fr/2011LYO10268.
Full textLaanani, Moussa. "Étude des relations entre l’état de santé, sa prise en charge et le décès par suicide à partir du Système national des données de santé Contacts with Health Services During the Year Prior to Suicide Death andPrevalent Conditions A Nationwide Study Collider and Reporting Biases Involved in the Analyses of Cause of Death Associations in Death Certificates: an Illustration with Cancer and Suicide." Thesis, université Paris-Saclay, 2020. http://www.theses.fr/2020UPASR016.
Full textSuicide is a major public health problem in France, with nearly 10,000 premature deaths each year. Studying the determinants of suicide is complex. It is a multi-factorial phenomenon, which can be influenced by personal and/or environmental, biomedical and/or socio-economic factors. The presence of diseases (psychiatric or physical) in the individual plays an important role. Psychiatric pathologies can be complicated by suicidal processes (suicidal ideation, which may be followed by suicidal behaviour and then death by suicide). For physical diseases, the disease can have a significant impact on the quality of life of the individual, favouring suicidal processes, and thus death by suicide. Psychiatric disorders can thus worsen physical illnesses and be a step towards the occurrence of suicidal processes. Physical diseases can also occur in individuals suffering from psychiatric disorders, and can trigger suicidal processes. For both psychiatric and physical diseases, suicidal processes can also be the consequence of adverse effects of drug treatments. In such cases, it is often difficult to disentangle the role of the treatment and that of the pathology being treated. The aim of this thesis was to study the complex relationships between diseases and suicide death, using data from the French National Health Data System (SNDS)
Quinquis, Anthony. "Étude de la mortalité aux grands âges à l’aide du Registre des décès d’Antananarivo (Madagascar)." Thèse, 2019. http://hdl.handle.net/1866/22479.
Full textDiaconu, Viorela. "Nouveaux regards sur la longévité : analyse de l'âge modal au décès et de la dispersion des durées de vie selon les principales causes de décès au Canada (1974-2011)." Thèse, 2017. http://hdl.handle.net/1866/20444.
Full textBlagrave, Allison. "Causes multiples de décès chez les personnes âgées au Québec, 2000-2004." Thèse, 2010. http://hdl.handle.net/1866/5083.
Full textTo this day, mortality analysis has primarily focused on the underlying cause of death which represents the disease or injury which initiated the sequence of morbid events leading to the death. But since death is due to a complex process, especially at advanced ages, analysis based solely on this concept has its limitations and some causes are more likely to be identified as the underlying cause than others. Selecting only one cause per death may influence the relative importance of the various causes of death. Multiple causes of death statistics provide a more complete view of mortality patterns. The analysis of multiple causes of death among the elderly in Quebec for 2000-2004 identifies certain conditions that contributed to death, but have not been selected as the cause that initiated the disease process. This is particularly the case of hypertension, atherosclerosis, sepsis, influenza and pneumonia, diabetes mellitus and nephritis, nephrotic syndrome and nephrosis. This research therefore demonstrates the importance of taking into account multiple causes in order to provide a more accurate portrait of Quebec's mortality at older ages that allows analysis of the underlying cause alone.
Ouellette, Nadine. "Changements dans la répartition des décès selon l'âge : une approche non paramétrique pour l'étude de la mortalité adulte." Thèse, 2011. http://hdl.handle.net/1866/5055.
Full textOver the course of the last century, we have witnessed major improvements in the level of mortality in regions all across the globe, in particular in developed countries. This remarkable mortality decrease has also been characterized by fundamental changes in the mortality profile by age. Indeed, deaths are no longer occurring mainly at very young ages but rather at advanced ages such as above age 65. Our research focuses on monitoring and understanding historical changes in the age-at-death distribution among the elderly population. We propose a new flexible nonparametric smoothing approach based on P-splines leading to detailed mortality representations, as described by actual data. The results are presented in three scientific papers, which rest upon reliable data taken from the Human Mortality Database, the Canadian Human Mortality Database, and the Registre de la population du Québec ancien. Findings from the first paper suggest that some low mortality countries may have recently reached the end of the old-age compression of mortality era, where deaths among the elderly population tend to concentrate into a progressively shorter age interval over time. Indeed, since the early 1990s in Japan, the modal age at death continues to increase while reductions in the variability of age at death above the mode have stopped. Thus, the distribution of age at death at older ages has been sliding towards higher ages without changing its shape. In France and Canada, women show such developments since the early 2000s, whereas men are still boldly engaged in an old-age mortality compression regime. In the USA, the picture for the latest decade is worrying because for several consecutive years in that timeframe, women and men have both recorded important declines in their modal age at death, which corresponds to the most common age at death among adults. The second paper takes a look within national boundaries and examines regional adult mortality differentials in Canada between 1930 and 2007. Smoothed mortality surfaces reveal that provincial disparities among adults in general and among the elderly population in particular are substantial in this country and deserve to be monitored closely. More specifically, based on modal age at death and standard deviation above the mode time trends, provincial disparities at older ages have barely reduced during the period studied, despite the great mortality improvements recorded in all provinces since the early XXth century. Also, we find that women who have reached the end of the old-age compression of mortality era in Canada are respectively those of Western and Central provinces. The last paper focuses on adult longevity during the XVIIIth century in historical Quebec and provides new insight on the most common adult age at death. Indeed, our analysis reveals that the modal age at death increased among French-Canadian adults between 1740-1754 and 1785-1799. In 1740-1754, it was estimated at 73 years among females and at about 70 years among males. By 1785-1799, modal age at death estimates were almost 3 years higher for females and 4 years higher for males. Specific living conditions of the French-Canadian population at the time could explain these results.
Chentir, Atika. "Estimation de la mortalité évitable au Québec de 1981-1985 à 2005-2009." Thèse, 2014. http://hdl.handle.net/1866/11957.
Full textThe upward trend observed in Quebec’s life expectancy in past years suggests that population health has continued to improve. However, a number of deaths continue to occur prematurely before the age of 75 years. A part of this premature mortality is potentially avoidable. The objective of this paper is to estimate avoidable mortality rates in Quebec from 1981-1985 to 2005-2009. Avoidable mortality rates were obtained by applying the method of Tobias and Jackson (2001) to mortality data made available to us by the Institut national de santé publique du Québec. Furthermore, this approach allowed us to evaluate avoidable mortality rates by three levels of prevention: primary, secondary and tertiary. Our results show a downward trend in avoidable mortality from 1981-1985 to 2005-2009. This decline was observed for the whole population and also for both sexes. Differences in male’s and female’s avoidable mortality trends are however noticed. Indeed, avoidable mortality is higher for men than women and a large part of this difference is associated to primary prevention. The analysis by cause of death revealed that lung cancer was the leading cause of avoidable death in both men and women in 2005-2009. During this same period, the second leading cause of avoidable mortality is breast cancer and ischemic heart diseases in females and males respectively.
Bergeron, Boucher Marie-Pier. "Changements épidémiologiques au Canada : un regard sur les causes de décès des personnes âgées de 65 ans et plus, 1979-2007." Thèse, 2012. http://hdl.handle.net/1866/8685.
Full textWith the decrease of mortality at younger ages, gain in life expectancy is heavily dependent on the progress in old age mortality. However, over the last three decades, life expectancies at 65 and 85 years old have not experienced a constant rate of progress. Changes in life expectancy progress come from changes in specific causes of death trends and their interactions. The present thesis studies the contribution of causes of death on the changes in life expectancies and the trends in death rates of specific causes of death in Canada between 1979 and 2007. An analysis of those changes in an epidemiological transition context has also been done by questioning whether or not we are witnessing a shift from certain dominant diseases to others. This questioning will be answered by studying variation in the causes of death by age and over time. The results of this study show that progress in life expectancies at 65 and 85 years old are still mainly due to the decrease in cardiovascular mortality. However, cardiovascular diseases are not the only causes of death to contribute to the progress in life expectancy. Since 1979, mortality rates from the ten leading causes of death in Canada have all declined but in different ways. Thus, there does not seem to be a shift in the dominant causes of death towards others in Canada, but there is a general mortality decline from chronic diseases and a greater diversification of causes of death at older ages.
Canon, Lorena. "Analyse de la distribution des décès aux grands âges selon le niveau de scolarité à partir d’un suivi de la mortalité sur 20 ans au Canada." Thèse, 2018. http://hdl.handle.net/1866/20100.
Full textLecours, Chantale. "Les inégalités sociales dans la durée de vie la plus commune : la répartition des décès selon l'âge et le quintile de défavorisation au Québec en 2000-2002 et 2005-2007." Thèse, 2011. http://hdl.handle.net/1866/6046.
Full text"Social inequalities in the most common age at death : the distribution of deaths by age and deprivation quintile in Quebec in 2000-2002 and 2005-2007" We chose to focus our analysis on the social inequalities of mortality at older ages especially. The use of the modal age at death, combined with the dispersion of deaths above this age is particularly adapted to capture such disparities. Indeed, these measures are not dependent on premature mortality. From the distribution of ages at death by level of deprivation in Quebec during the periods of 2000-2002 and 2005-2007, we determined the most common age at death and the dispersion of deaths above it. We first estimated the distribution of deaths by age and level of deprivation with a nonparametric smoothing approach based on P-splines developed by Nadine Ouellette in her doctoral thesis. Our results show that the modal age at death does not allow to detect disparities in mortality among women by level of deprivation in Quebec in 2000-2002 and in 2005-2007. Nevertheless, mortality shifted to older ages, while the compression of mortality seems to have stabilized. For men, social inequalities in mortality are particularly important between the most and least favored subgroups. There is a shift in male modal age at death towards older ages, regardless of the level of deprivation. However, unlike their female counterparts, the phenomenon of compression of mortality still seems ongoing.
Ah-kion, Cecilia. "La mortalité différentielle aux âges adultes et avancés selon le groupe linguistique au Québec : une étude de suivi sur la période 1991-2011." Thèse, 2019. http://hdl.handle.net/1866/22475.
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