Department of Epidemiology and Biostatistics, Medical University, Łódż, Poland.
Ann Agric Environ Med. 2021 Jun 14;28(2):300-305. doi: 10.26444/aaem/122301. Epub 2020 May 26.
Viral hepatitis often affects young people; it therefore seems reasonable to analyze the phenomenon of premature mortality due to this reason, using Years of Life Lost (YLLs) measurement.
The aim of the study was to analyze YLLs due to viral hepatitis in Poland in 2000-2014. For the years 2002 and 2011, socio-economic variables (marital status, level of education, working status, place of residence) were included.
The research material was a database containing information from 5,601,568 death certificates of Polish citizens from 2000-2014. The data on deaths caused by viral hepatitis, i.e. coded as B15-B19 according to the ICD-10, was used for the analysis. The Standard Expected Years of Life Lost measure was used to calculate YLLs. Analysis of time trends was performed with the linear regression method using the joinpoint model.
In the studied period, 3.628 deaths of Polish citizens were caused by viral hepatitis (0.06% of all deaths), which translated to 92,845.70 YLLs (16.17 years per 100,000 inhabitants). The number of YLLs increased over time (p<0.05), reaching its highest value in the last analyzed year - 22.14 years per 100,000. The YLLs average per one death was 25.59 years. Among the risk group there were individuals living in urban areas, divorced/separated, with lower than secondary education, and economically inactive.
Despite the fact that Poland belongs to a group of countries with low mortality due to viral hepatitis, this disease is a serious social problem as measured with YLLs. The study provides the basis for policymakers to implement more effective methods to prevent premature deaths caused by this disease.
病毒性肝炎常影响年轻人；因此，分析因该病导致的过早死亡现象，使用生命损失年（Years of Life Lost，YLLs）测量似乎是合理的。
本研究旨在分析 2000-2014 年波兰因病毒性肝炎导致的 YLLs。对于 2002 年和 2011 年，纳入了社会经济变量（婚姻状况、教育程度、工作状况、居住地点）。
研究材料为一个包含 2000-2014 年波兰公民 5601568 份死亡证明的数据库。分析使用了因病毒性肝炎导致的死亡数据，即按照 ICD-10 编码为 B15-B19。使用标准预期生命损失年测量来计算 YLLs。使用线性回归方法和连接点模型分析时间趋势。
在所研究期间，3628 名波兰公民死于病毒性肝炎（所有死亡人数的 0.06%），导致 92845.70 YLLs（每 10 万人中有 16.17 年）。YLLs 数量随时间增加（p<0.05），在最后分析的年份达到最高值，即每 10 万人中有 22.14 年。每例死亡的 YLLs 平均为 25.59 年。在风险组中，有居住在城市地区、离婚/分居、受教育程度低于中等教育和无经济活动的个体。
尽管波兰属于因病毒性肝炎导致死亡率较低的国家之列，但就 YLLs 测量而言，该病仍是一个严重的社会问题。该研究为政策制定者提供了基础，以实施更有效的方法来预防因该病导致的过早死亡。
