PMID- 15255160
OWN - NLM
STAT- MEDLINE
DCOM- 20040819
LR  - 20170321
IS  - 0301-0422 (Print)
IS  - 0301-0422 (Linking)
VI  - 31
IP  - 2
DP  - 2003
TI  - Standardized mortality ratios by region of residence, Israel, 1987-1994: a tool 
      for public health policy.
PG  - 111-31
AB  - BACKGROUND: Standardized mortality ratios (SMRs) are used internationally to 
      compare health status across regions and to identify high risk areas for 
      investigation of specific diseases, for funding determination, and for planning 
      purposes. OBJECTIVE: To ascertain regional differences in SMRs by sub-District in 
      Israel for 1987-1994. METHOD: The indirect method of standardization of mortality 
      rates with adjustment for age, gender, and continent of birth was used to 
      calculate SMRs by major cause of death, by sub-District of residence for the 
      Jewish population of Israel. RESULTS: SMRs for all causes of death ranged from 
      regions with low rates (Petah Tikva, Sharon, Rehovot, Ashkelon, and Jerusalem) to 
      those with high rates (Zefat/Golan, Hadera, Yizreel, Ramla, Haifa, Tel Aviv, and 
      Be'er Sheva) (all p<0.0001). Zefat's SMRs are elevated for acute myocardial 
      infarction, stroke, diabetes, and motor vehicle accidents (MVAs). Haifa's SMRs 
      are high for all cardiovascular diseases, liver disease, MVAs, and lung cancer. 
      Be'er Sheva residents had high SMRs for diabetes, liver disease, MVAs, some 
      categories of cardiovascular disease, cervical cancer, and homicide. Yizreel had 
      high SMRs for diabetes, hypertension, stroke, liver disease, and MVAs. Tel Aviv 
      had elevated SMRs for septicemia, acute MI, perinatal causes, and colon, lung and 
      breast cancer. Jerusalem (p<0.0001) and Kinneret residents (p<0.05) had low SMRs 
      for everything except congenital anomalies. CONCLUSIONS: Regional SMR 
      differences, adjusted for age, gender, and ethnicity, may be due to 
      socioeconomic, nutritional, environmental, occupational, or health care factors. 
      SMRs provide a tool to identify regions for epidemiological investigation and 
      priorities for preventive interventions. Regional health monitoring should be 
      undertaken routinely on mortality data, as well as other national databases, as 
      part of national health monitoring.
FAU - Ginsberg, Gary M
AU  - Ginsberg GM
AD  - Department of Technology Assessment, Ministry of Health, Jerusalem, Israel. 
      ginsberg@who.int
FAU - Tulchinsky, Theodore H
AU  - Tulchinsky TH
FAU - Salahov, Eduard
AU  - Salahov E
FAU - Clayman, Marla
AU  - Clayman M
LA  - eng
PT  - Journal Article
PL  - Switzerland
TA  - Public Health Rev
JT  - Public health reviews
JID - 0370123
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cause of Death
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - *Health Status Indicators
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Israel/epidemiology
MH  - Jews/*statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - *Mortality/trends
MH  - Population Surveillance/methods
MH  - Reference Standards
MH  - *Residence Characteristics
MH  - Small-Area Analysis
EDAT- 2004/07/17 05:00
MHDA- 2004/08/20 05:00
CRDT- 2004/07/17 05:00
PHST- 2004/07/17 05:00 [pubmed]
PHST- 2004/08/20 05:00 [medline]
PHST- 2004/07/17 05:00 [entrez]
PST - ppublish
SO  - Public Health Rev. 2003;31(2):111-31.