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Patterns of Mortality in the Elderly in Chi Linh, Hai Duong, Vietnam, Period 2004–2012

1 Department of Biostatistics, The Hanoi School of Public Health, Ha Noi, Vietnam
2 Information Technology Unit, The Hanoi School of Public Health, Ha Noi, Vietnam

Special Issues: Scientific evidence for better health and health care in Vietnam

Objective: This paper examines the trends of mortality in the elderly people in Chi Linh during period 2004–2012 and identifies a number of factors related to mortality in the elderly. Design: The longitudinal study method is used. The analyzed data is extracted from database of theDemographic—Epidemiologic Surveillance System (DESS) of Chililab. The data is collected from 7 communes/town of Chi Linh district, Hai Duong province during 2004–2012 with all elderly people. Descriptive statistical analysis and survival analysis using Kaplan Meier survival estimates and Cox regression models were used. The indirect standardization was used to compare between the mortality rate of the elderly in Chi Linh and the rates of those in some reference groups. Results: Mortality rate in elderly tend to decrease over the period 2004–2012. In all the time, mortality rate in elderly men is higher than that in the elderly women. Specific mortality rates by age groups have increased in both males and females. The increase Age specific mortality rates in males is higher than females. Indirect standardized mortality data for the elderly in 2009 in Chi Linh, Vietnam, Canada, the United States of America (USA) showed that elderly mortality rate in Chililab in 2009 was lower than that in elderly of Vietnam (standardized mortality ratio—SMR of elderly in Chililab is only by 75% in comparison with elderly of Vietnam), and also lower than that in elderly people in the US, and Canada. Cox regression analysis (multivariate models) show that with every 1 year older, the risk of death in elderly men increased by 9% and 12% increase in elderly female, for both men and women general risk increased by 10% (p < 0.05). Elderly with higher education levels, elderly with better family economic conditions; elderly living with wife/ husband have lower mortality risk than the other counterparts. Conclusions: The research results suggest some recommendations: Strengthening health care programs for elderly people with low education levels, poor economic conditions, and celibacy groups (the vulnerable groups).
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Keywords mortality; elderly; pattern; Chililab; Vietnam

Citation: Quyen Thi-Tu Bui, Cuong Viet Pham. Patterns of Mortality in the Elderly in Chi Linh, Hai Duong, Vietnam, Period 2004–2012. AIMS Public Health , 2016, 3(3): 615-628. doi: 10.3934/publichealth.2016.3.615


  • 1. United Nations, Department of Economic and Social Affairs, Population Division (2010) World Population Prospects. The 2010 Revision.
  • 2. Wang H, Dwyer-Lindgren L, Lofgren KT, et al. (2012) Age-specific and sex-specific mortality in 187 countries, 1970–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380: 2071-2094.    
  • 3. Christensen K, Doblhammer G, Rau R, et al. (2009) Ageing populations: the challenges ahead. Lancet 374: 1196-1208.    
  • 4. United Nations, Department of Economic and Social Affairs, Population Division (2012) World Population Prospects. The 2012 Revision.
  • 5. The World Bank Life Expectancy at Birth. Available from: http://data.worldbank.org/indicator/SP.DYN.LE00.IN.
  • 6. Gillum RF, Obisesan TO (2010) Physical activity, cognitive function, and mortality in a US national cohort. Ann Epidemiol 20: 251-257.    
  • 7. Gomez-Olive FX, Thorogood M, Bocquier P, et al. (2014) Social conditions and disability related to the mortality of older people in rural South Africa. Int J Epidemiol 43: 1531-1541.    
  • 8. Holt-Lunstad J, Smith TB, Layton JB (2010) Social relationships and mortality risk: a meta-analytic review. PLoS Med 7: e1000316.    
  • 9. Ikeda A, Iso H, Toyoshima H, et al. (2007) Marital status and mortality among Japanese men and women: the Japan Collaborative Cohort Study. BMC Public Health 7: 7.    
  • 10. Kandler U, Meisinger C, Baumert J, et al. (2007) Living alone is a risk factor for mortality in men but not women from the general population: a prospective cohort study. BMC Public Health 7: 335.    
  • 11. Rizzuto D, Fratiglioni L (2014) Lifestyle factors related to mortality and survival: a mini-review. Gerontology 60: 327-335.    
  • 12. Hoa NP, Rao C, Hoy DG, et al. (2012) Mortality measures from sample-based surveillance: evidence of the epidemiological transition in Vietnam. Bull World Health Organization 2012: 9.
  • 13. Statistics Canada (2009) Mortality: Overview, 2008 and 2009.
  • 14. Murphy SL, Xu JQ, KD. K (2012) Deaths: Preliminary data for 2010. National vital statistics reports. National Center for Health Statistics 60.
  • 15. Minino AM, Murphy SL (2012) Death in the United States, 2010. NCHS Data Brief: 1-8.
  • 16. General Statistics Office (2009) Results of the Household living standard surveys 2008,. Hanoi: Statistical Publishing House.
  • 17. Mostafa G, van Ginneken JK (2000) Trends in and determinants of mortality in the elderly population of Matlab, Bangladesh. Soc Sci Med 50: 763-771.    
  • 18. Thang P, Hy DTK (2009) Overview of the policy on elderly care adapting to the changing age structure in Vietnam, 2009. Ha Noi: Population and Family Planning General Office, Vietnam’s Ministry of Health.
  • 19. General Statistics Office (2010) Fertility and mortality levels in Vietnam: Current situation, Trends and Differences, 2010. Ha Noi: General Statistics Office. p. 31-50.
  • 20. Gu D, Kelly TN, Wu X, et al. (2009) Mortality attributable to smoking in China. N Engl J Med 360: 150-159.    
  • 21. Eng PM, Rimm EB, Fitzmaurice G, et al. (2002) Social ties and change in social ties in relation to subsequent total and cause-specific mortality and coronary heart disease incidence in men. Am J Epidemiol 155: 700-709.    


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