Department of Epidemiology and Biostatistics, the Chair of Social and Preventive Medicine of the Medical University of Lodz, Żeligowskiego 7/9, Lodz, Poland.
Sci Rep. 2017 Aug 18;7(1):8730. doi: 10.1038/s41598-017-09441-5.
The aim of the study is an evaluation of years of life lost by inhabitants of Poland according to the most important causes of mortality and identification of trends in the period 2000-2014. The study material included a database which contained information gathered from 5,601,568 death certificates of inhabitants of Poland. In order to calculate years of life lost, the SEYLL index (Standard Expected Years of Life Lost per living person) was applied. We also calculated AAPC (Average Annual Percentage Change). The SEYLL index (per 10,000 population) in Poland decreased from 2503.4 in 2000 to 2193.2 in 2014 among males (AAPC = -0.8%, p < 0.05) and from 1430.2 in 2000 to 1269.4 in 2014 among females (AAPC = -0.6%, p < 0.05). In 2014, the top 5 causes of years of life lost were: cardiovascular diseases (721.4 per 10,000 males and 475.6 per 10,000 females), malignant tumours (575.5 and 418.3), unintentional injuries (202.2 and 46.8), intentional injuries (114.6 and 16.3) and digestive diseases (120.2 and 58.3). Due to negative trends, there is a need to implement preventative measures, aimed at reducing mortality caused by respiratory infections in both males and females, malignant tumours in females and diabetes mellitus and intentional injuries in males.
本研究旨在评估波兰居民因主要死亡原因而丧失的寿命年数,并确定 2000-2014 年期间的趋势。研究材料包括一个数据库,其中包含了从波兰 5601568 份居民死亡证明中收集的信息。为了计算丧失的寿命年数,应用了 SEYLL 指数(每个存活人口预期丧失的标准寿命年数)。我们还计算了 AAPC(平均年百分比变化)。波兰男性的 SEYLL 指数(每 10000 人)从 2000 年的 2503.4 降至 2014 年的 2193.2(AAPC=-0.8%,p<0.05),女性的 SEYLL 指数(每 10000 人)从 2000 年的 1430.2 降至 2014 年的 1269.4(AAPC=-0.6%,p<0.05)。2014 年,丧失寿命年数的前 5 位原因是:心血管疾病(男性为每 10000 人 721.4,女性为每 10000 人 475.6)、恶性肿瘤(男性为每 10000 人 575.5,女性为每 10000 人 418.3)、意外伤害(男性为每 10000 人 202.2,女性为每 10000 人 46.8)、故意伤害(男性为每 10000 人 114.6,女性为每 10000 人 16.3)和消化系统疾病(男性为每 10000 人 120.2,女性为每 10000 人 58.3)。由于呈负面趋势,因此需要采取预防措施,旨在降低男性和女性的呼吸道感染、女性的恶性肿瘤、男性的糖尿病和故意伤害导致的死亡率。