Ramírez de Arellano A B
School of Health Sciences, Hunter College/CUNY.
Bol Asoc Med P R. 1992 Jan;84(1):11-4.
The use of the indicator "years of potential life lost" (YPLL) highlights the extent to which premature mortality in Puerto Rico is a predominantly male phenomenon. While men accounted for 58.6% of all deaths in 1987, they represented fully 71.8% of all YPLL attributed to the thirteen leading causes of death. The breakdown of YPLL by gender also underlines sex-specific differences in the causes of mortality. While accidents constitute the leading cause of premature death among men, malignant neoplasms take the lead among women. Similarly, homicides and cirrhosis are significant sources of years of life lost among males, while pneumonia/influenza and diabetes are higher priorities among females. These findings suggest that health promotion strategies need to be gender-specific in order to reach the right targets.
“潜在寿命损失年数”（YPLL）这一指标的使用凸显了波多黎各过早死亡在很大程度上是男性现象。1987年，男性占所有死亡人数的58.6%，但在归因于13种主要死因的所有潜在寿命损失年数中，男性占了整整71.8%。按性别划分的潜在寿命损失年数也突显了死亡率原因方面的性别差异。事故是男性过早死亡的主要原因，而恶性肿瘤则是女性的首要死因。同样，凶杀和肝硬化是男性寿命损失年数的重要来源，而肺炎/流感和糖尿病在女性中则是更需优先关注的问题。这些发现表明，健康促进策略需要针对不同性别，以便找准目标群体。
