Primary Care General Directorate, Regional Health Council, Madrid, Spain.
BMC Public Health. 2011 Oct 11;11:787. doi: 10.1186/1471-2458-11-787.
Measures of premature mortality have been used to guide debates on future health priorities and to monitor the population health status. Standard expected years of life lost (SEYLL) is one of the methods used to assess the time lost due to premature death. This article affords an overview of premature mortality in Spain for the year 2008.
A population-based study was conducted estimating SEYLL by sex and age groups. SEYLL, a key component of the disability-adjusted life years measure of disease burden, was calculated using Princeton West standard life tables with life expectancy at birth fixed at 80 years for males and 82.5 years for females. Population data and specific death records were obtained from the official registers of the National Institute of Statistics. All data were analysed and prepared in GesMor and Epidat software packages.
The burden of premature mortality was estimated at 2.1 million SEYLL when age at death is taken into account. Males lost 60.9% and females lost 39.1% of total SEYLL. Malignant tumors (34.5%) and cardiovascular diseases (24.0%) were the leading categories in terms of SEYLL. Ischaemic heart disease (8.5%) and lung cancers (8.0%) were the most common specific causes of SEYLL followed by cerebrovascular diseases (5.9%), colorectal cancer (4.1%), road traffic accidents (3.5%), Alzheimer and other dementias (2.9%), chronic obstructive pulmonary disease (2.8%), breast cancer (2.8%) and suicides (2.6%).
In Spain, premature mortality was essentially due to chronic non-communicable diseases. Data provided in this study are relevant for a more balanced health agenda aimed at reducing the burden of premature mortality. This study also represents a first step in estimating the overall burden of disease in terms of premature death and disability.
过早死亡的衡量标准被用于指导未来卫生重点的讨论，并监测人口健康状况。标准预期寿命损失（SEYLL）是评估因过早死亡而损失的时间的方法之一。本文概述了 2008 年西班牙的过早死亡率。
进行了一项基于人群的研究，通过性别和年龄组来估计 SEYLL。SEYLL 是疾病负担的残疾调整生命年衡量标准的一个关键组成部分，使用普林斯顿西部标准生命表进行计算，出生时的预期寿命固定为男性 80 岁，女性 82.5 岁。人口数据和特定死亡记录从国家统计局的官方登记处获得。所有数据均在 GesMor 和 Epidat 软件包中进行分析和准备。
考虑到死亡年龄，过早死亡的负担估计为 210 万 SEYLL。男性损失了总 SEYLL 的 60.9%，女性损失了 39.1%。恶性肿瘤（34.5%）和心血管疾病（24.0%）是 SEYLL 的主要类别。缺血性心脏病（8.5%）和肺癌（8.0%）是 SEYLL 最常见的特定原因，其次是脑血管疾病（5.9%）、结直肠癌（4.1%）、道路交通意外（3.5%）、阿尔茨海默病和其他痴呆症（2.9%）、慢性阻塞性肺疾病（2.8%）、乳腺癌（2.8%）和自杀（2.6%）。
在西班牙，过早死亡主要是由于慢性非传染性疾病。本研究提供的数据对于制定更加平衡的卫生议程以减轻过早死亡负担具有重要意义。本研究也是评估过早死亡和残疾方面疾病总负担的第一步。
