Stage I. Calculating age indices. 


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Stage I. Calculating age indices.



Table 39            
Stage I. Calculating age indices.            
Age, in years   City population     Village population  
  Number of inhabitants Number of diphtheria cases Index of sickness rate per 100000 inhabitants Number of inhabitants Number of diphtheria cases Index of sickness rate per 100000 inhabitants
0-4 160000 160 10.0 320000 220 6.9
5-9 120000 60 5.0 225000 150 6.7
10-19 240000 35 1.5 315000 60 1.9
20-49 350000 20 0.6 400000 40 1.0

Table 40

Stage II. Calculating age composition of population, assumed for standard

Age, in years   Number of inhabitants   Age composition of population
  City Village Total  
0-4 160000 320000 480000 1920
5-9 120000 225000 345000 1380
10-19 240000 315000 555000 2220
20-49 350000 400000 750000 3000
50 130000 240000 370000 1480
Total 1000000 1500000 2500000 10000

Table 41

Stage III. Calculating standardized coefficients.

Age, in years  

Age indices of sickness rate per 10000 inhabitants

Standard of age composition of population

How many people of a given age under given indices and age distribution of population by a standard

    City Village     City population Village population
0-4   5-9 10-19 20-49 50 and over 10.0 5.0 1.5 0.6 0.4 6.9   6.7 1.9 1.0 0.4 1920   1380 2220 3000 1480 10x1920/10000 1.92 0.69 0.33 0.18 0.06 6.9x1920/10000 = 1.32 0.92 0.42 0.30 0.06
Total 2.8 3.2 10000 3.18 3.02

 

 

Main question:

1. What is dynamic row?

2. Kinds of dynamic row.

3. Method to smooth out dynamic row.

4. Indices of dynamic row.

5. Using dynamic row in the practical work of doctors.

6. Direct method of standardization.

7. Stage of standardization.

8. Using the standardization in practical medicine.

 

DYNAMIC ROW

Example:

Number of the population of Russian from 1991-2011.

1991 216.3
1996 232.2
2001 243.9
2006 255.6
2011 266.6

 

1. Absolute growth of difference between the past and following years:

1996 – 232.2 2001 – 243.9 2006 – 255.6 2011 – 266.6

 

1991= 216.3 1996 = 232.2 2001 = 243.9       2006 = 255.6

15.9              11.7              11.7                     11.0

For the past 20 years: 2011-266.6

                   1991= 216.3

50.3

2. Rate of growth = Absolute growth x 100

Previous level

15.9 x 100 =7.3% 11.7 x 100 =5% 11.7 x 100 = 4.8% 11.0 x 100 =4.3%

26.3                           232.2               243.9                 255.6                  

 

For the past 20 years: 50.3 x 100 =23.2%

3. Value of 1% = Absolute growth x 100

                           Rate of growth

15.9 = 2.2  11.7= 2.3    11.7= 2.4  11.0 = 2.6

7.3               5.0               4.8          4.3

For the past 20 years: 50.3 = 2.2

                                23.2

4. Rate of growth= Previous level x 100

                              Past level

232.2 x 100 = 107.3% 243.9 x 100 = 105% 255.6 x 100 = 104.8%

216.3                          232.2                     243.9

266.6 x 100 = 104.3%

255.6

For the past 20 years: 266.6 x 100 = 123.2%

                               216.3

Calculate the indices of dynamic row for the following variants:


Variant 1

Number of the urban population

.

1991 – 107.9

1996 – 123.7

2001 – 138.8

2006 – 155.1

2011 – 168.9

 

Variant 2

Number of the village population

 

1991 – 108.4

1996 – 108.5

2001 – 105.1

2006 – 100.5

2011 – 97.7

Variant 3

Number of the man’s population

 

1991 – 97.9

1996 – 106.3

2001 – 112.6

2006 – 118.7

2011 – 124.5

Variant 4

Number of the female population

 

1991 – 118.4

1996 – 125.9

2001 – 131.3

2006 – 136.9

 

Variant 5

Number of the doctors of all specialties

 

1990 – 554.2

1995 – 668.2

2005 – 834.1

2010 – 995.6

Variant 6

Number of the average medical personnel

 

1990 – 1692

1995 – 2123

2000 – 2515

2005 – 2790

Variant 7

Number of  hospital beds

 

1990 – 2226

1995 – 2663

2000 – 3009

2005 – 3324

Variant 8

Natural growth of the population

 

1990 – 17.8

1995 – 11.1

2000 – 9.2

2005 – 8.8

2010 – 8.0


2011 – 142.1

STANDARDIZATION

 

VARIANT 1

Table 42

Distribution of population according to age and number of the dead in town A and B.

Age in years

City A

City B

Number of population Number of the dead Number of the population Number of the dead
0-14years 3.000 30 1.000 10
15-49years 5.000 10 5.000 10
50 and above 2.000 60 4.000 120
Altogether 10.000 100 10.000 140

For standardization take half the sum of population by age in cities A and B.

VARIANT 2

 Table 43

Distribution of city and rural population according to age and number of the dead.

Age in years

City A

City B

Number of population Number of the dead Number of the population Number of the dead
0-14years 50.000 600 100.000 1.400
15-49years 100.000 400 400.000 1.600
50 and above 50.000 1.000 300.000 5.400
Altogether 200.000 2.000 800.000 8.400

 

For standardization take half the sum of city and rural population by ages/

VARIANT 3

Table 44

Distribution of persons suffering from traumas in industrial enterprises by sex in two periods of time.

Sex

1st period

2nd period

Number of workers Number of traumas Number of workers Number of traumas
Male 50.000 32 600 72
Female 400 28 200 16
Altogether 600 60 800 88

 

For standardization take half sum of structure in two periods of time

VARIANT 4

Table 45

Distribution of the examined patients with hypertension by sex in districts A and B

Sex

District A

District B

Number of the examined Number of patients Number of the examined Number of patients
Male 200 3 600 9
Female 800 48 400 24
Altogether 1.000 51 1.000 33

 

For standardization take sum of the examined population by age in districts A and B

VARIANT 5

Table 46

Distribution of patients and the dead from appendicitis in two hospitals depending on term of hospitalization.

Term of hospitalization(day)

Hospital No.1

Hospital No.2

Number of the patient Number of the dead Number of patients Number of the dead
1-3 400 1 100 -
3-4 150 3 200 2
5-6 50 6 300 10
Altogether 600 10 600 12

 

For standardization take sum of patients by term of hospitalization in hospital No. 1 and No.

VARIANT 6

 Table 47



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