Bryła Marek, Maniecka-Bryła Irena, Burzyńska Monika, Pikala Małgorzata
Department of Social Medicine, Chair of Social and Preventive Medicine, Medical University, Lodz, Poland.
Department of Epidemiology and Biostatistics, Chair of Social and Preventive Medicine, Medical University, Lodz, Poland.
Ann Agric Environ Med. 2016 Dec 23;23(4):598-603. doi: 10.5604/12321966.1226853.
External causes of death are the third most common causes of death, after cardiovascular diseases and malignant neoplasms, in inhabitants of Poland. External causes of death pose the greatest threat to people aged 5-44, which results in a great number of years of life lost.
The aim of the study is the analysis of years of life lost due to external causes of death among rural inhabitants in Poland, particularly due to traffic accidents and suicides.
The study material included a database created on the basis of 2,100,785 certificates of rural inhabitants in Poland in the period 1999-2012. The SEYLL (Standard Expected Years of Life Lost per living person) and the SEYLL (per death) indices were used to determine years of life lost due to external causes of death. Joinpoint models were used to analyze time trends.
In the period 1999-2012, 151,037 rural inhabitants died due to external causes, including 27.2% due to traffic accidents and 25.2% due to suicides. In 2012, the SEYLL was 1,817 per 100,000 males and 298 per 100,000 females. Among males, suicides (SEYLL = 633 years per 100,000) and traffic accidents (SEYLL = 473 years per 100,000) contributed to the largest number of years of life lost. Among females, SEYLLp values were: 109 years due to traffic accidents and 69 years due to suicides (per 100,000). Among males, SEYLL values started to decrease in 2008 at the average annual rate of 3.2%. In the group of females in the period 1999-2012, SEYLL values were decreasing by 2.4% per year.
The decreasing trend of the number of lost years of life due to external causes among rural inhabitants does not apply to suicides among men. The SEYLL due to this group of causes has been steadily increasing since 1999. Analysis of the years of life lost focuses on the social and economic aspects of premature mortality due to external causes.
在波兰居民中，外部死因是继心血管疾病和恶性肿瘤之后第三大常见死因。外部死因对5至44岁的人群构成最大威胁，这导致大量生命年损失。
本研究的目的是分析波兰农村居民因外部死因导致的生命年损失，特别是交通事故和自杀所致。
研究材料包括一个基于1999年至2012年期间波兰2100785份农村居民死亡证明创建的数据库。使用标准预期寿命损失年数（SEYLL）（每人）和标准预期寿命损失年数（每例死亡）指数来确定因外部死因导致的生命年损失。采用连接点模型分析时间趋势。
在1999年至2012年期间，151037名农村居民死于外部原因，其中27.2%死于交通事故，25.2%死于自杀。2012年，每10万名男性的标准预期寿命损失年数为1817年，每10万名女性为298年。在男性中，自杀（每10万人标准预期寿命损失年数 = 633年）和交通事故（每10万人标准预期寿命损失年数 = 473年）导致的生命年损失最多。在女性中，每10万人因交通事故的标准预期寿命损失年数为109年，因自杀为69年。在男性中，标准预期寿命损失年数自2008年开始以每年3.2%的平均速度下降。在1999年至2012年期间的女性群体中，标准预期寿命损失年数以每年2.4%的速度下降。
农村居民因外部原因导致的生命年损失数量的下降趋势不适用于男性自杀情况。自1999年以来，因这组原因导致的标准预期寿命损失年数一直在稳步增加。对生命年损失的分析侧重于外部原因导致过早死亡的社会和经济方面。
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