Hemminki E, Hemminki K, Hakulinen T, Hakama M
Scand J Soc Med. 1976;4(1):1-6. doi: 10.1177/140349487600400101.
The theory of competing risks of death has been applied in this study for the construction of two indices: (1) increase in the expectation of life as a function of age, and (2) increase in the average number of years to be lived by a newborn up to various ages, when selected causes of death are eliminated. The indices have been applied to the 1970 mortality in Finland. Vascular diseases comprise the most important cause of death in both sexes, when the first index is applied. According to the second index, considering ages up to 65 years, violent deaths emerge as the most important cause of death among men and neoplasms appear equally important as vascular diseases among women. The magnitude of a health problem was found to be dependent on the index selected, which should be considered in health planning.
死亡竞争风险理论已应用于本研究，以构建两个指数：（1）预期寿命随年龄增长的增加量，作为年龄的函数；（2）当消除特定死因时，新生儿活到不同年龄的平均存活年数的增加量。这些指数已应用于芬兰1970年的死亡率。当应用第一个指数时，血管疾病是两性中最重要的死因。根据第二个指数，考虑到65岁及以下的年龄，暴力死亡是男性中最重要的死因，而肿瘤在女性中与血管疾病同样重要。发现健康问题的严重程度取决于所选择的指数，在卫生规划中应予以考虑。
