ASMR (Age-Standardized Mortality Rate)
ASMR stands for Age-Standardized Mortality Rate, a statistical measure that adjusts mortality rates to a standard age distribution, allowing fair comparisons between populations with different age structures.
Purpose
- To remove the effect of differing age distributions between populations.
- To enable comparisons of mortality across:
- Countries or regions
- Time periods
- Demographic groups
- Widely used in Global Burden of Disease (GBD) studies and public health surveillance.
Calculation
- Weighted sum of age-specific mortality rates, using a standard population (e.g., WHO or GBD reference population).
- Expressed as: deaths per 100,000 population (age-standardized)
Interpretation
- A higher ASMR indicates a greater risk of death independent of population age structure.
- A decline in ASMR over time reflects improved survival or effective prevention, not just demographic change.
Example
- If Country A has an older population than Country B, its crude mortality rate may be higher.
- ASMR adjusts for age, so we can compare the underlying risk of dying across countries or over time.
Applications
- Global comparisons of disease-specific mortality (e.g., ICH, cardiovascular disease, cancer)
- Monitoring trends in population health
- Evaluating impact of interventions