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In this video tutorial, Greg Martin explains age standardization and age adjustment. He begins by discussing the concept of crude mortality rate, which is calculated as deaths per thousand population. However, he highlights the importance of age standardization when comparing mortality rates between different populations with varying age structures. Age standardization helps to account for differences in age distribution and allows for more accurate comparisons. By dividing the population into age bands, he demonstrates the need for age adjustment to ensure fair comparisons between populations.