National Health Observatory, National Public Health Institute, Praia, Cabo Verde.
Department of Research, Science and Innovation in Health, National Public Health Institute, Praia, Cabo Verde.
PLoS One. 2023 May 24;18(5):e0278590. doi: 10.1371/journal.pone.0278590. eCollection 2023.
Mortality analysis studies in Cabo Verde are scarce and those available are limited to short periods of analysis and to specific population groups. National mortality data reports do not quantify the burden of disease associated with premature mortality. This study estimated the years of potential life lost (YPLL), years of potential productive life lost (YPPLL) and the costs associated with them in Cabo Verde from 2016 to 2020 and aimed to determine trends of early mortality due to all causes of death. Mortality data were obtained from the Ministry of Health, Cabo Verde. Deaths that occurred from 2016 to 2020, in individuals aged between one (1) and 73 years old were analyzed by sex, age group, municipality and cause of death. YPLL, YPPLL and cost of productivity lost (CPL) were estimated using life expectancy and the human capital approach methods, respectively. There were 6100 deaths recorded in the sample population and males represented 68.1% (n = 4,154) of the reported deaths. The number of deaths verified corresponded to 145,544 YPLL, of which 69.0% (n = 100,389) were attributed to males. There were 4,634 deaths among individuals of working age, which resulted in 80 965 YPPLL, with males contributing 72.1% (n = 58,403) of the total YPPLL. The estimated CPL due to premature death was 98,659,153.23 USD. Injuries and external causes together accounted for 21,580,954.42 USD (21.9%) of CPL, while diseases of the circulatory system 18,843,260.42 USD (19.1%) and certain infectious and parasitic diseases accounted for 16,633,842.70 USD (16.9%). The study demonstrated the social and economic burden of premature mortality. The YPLL, YPPLL and CPL measures can be used to complement measures traditionally used to demonstrate the burden and loss of productivity due to premature mortality and to support resource allocation and public health decision making in Cabo Verde.
佛得角的死亡率分析研究很少，现有的研究仅限于短期分析和特定人群。国家死亡率数据报告没有量化与过早死亡相关的疾病负担。本研究旨在评估 2016 年至 2020 年佛得角因所有原因导致的过早死亡的潜在寿命损失年数 (YPLL)、潜在生产寿命损失年数 (YPPLL) 及其相关成本，并确定早期死亡率的趋势。死亡率数据由佛得角卫生部提供。分析了 2016 年至 2020 年期间 1 至 73 岁人群的性别、年龄组、市和死因。使用预期寿命和人力资本方法分别估计 YPLL、YPPLL 和生产力损失成本 (CPL)。样本人群中有 6100 人死亡，其中男性占报告死亡人数的 68.1%（n=4154）。核实的死亡人数为 145544 YPLL，其中 69.0%（n=100389）归因于男性。在工作年龄人群中，有 4634 人死亡，导致 80965 YPPLL，其中男性占 YPPLL 总数的 72.1%（n=58403）。由于过早死亡造成的估计 CPL 为 98659153.23 美元。伤害和外部原因合计占 CPL 的 21580954.42 美元（21.9%），循环系统疾病占 18843260.42 美元（19.1%），某些传染病和寄生虫病占 16633842.70 美元（16.9%）。该研究表明了过早死亡的社会和经济负担。YPLL、YPPLL 和 CPL 措施可用于补充传统上用于证明过早死亡导致的疾病负担和生产力损失的措施，并支持佛得角的资源分配和公共卫生决策。
