Okobi Okelue E, Ezeamii Patra C, Ezeamii Victor C, Iyun Oluwatosin B, Okoye Tricia O, Nwachukwu Elochukwu U, Oghenebrume Prosper I
Family Medicine, Larkin Community Hospital Palm Springs Campus, Miami, USA.
Family Medicine, Medficient Health Systems, Laurel, USA.
Cureus. 2023 Nov 24;15(11):e49340. doi: 10.7759/cureus.49340. eCollection 2023 Nov.
This study aimed to conduct a comprehensive 16-year analysis of years of potential life lost (YPLL) due to leading causes of death in the United States, focusing on disparities by sex, race/ethnicity, and specific causes of death using the National Center for Health Statistics (NCHS) data.
Data from the NCHS spanning 2000-2016 were included. Age-adjusted YPLL rates per 100,000 population were analyzed, stratified by sex, race/ethnicity, and leading causes of death, including malignant neoplasms, heart disease, and cerebrovascular diseases.
Over 16 years, the total YPLL rate was 7,036.2 per 100,000 population. Males had a higher YPLL rate (8,852.5 per 100,000) than females (5,259.9 per 100,000). Among racial/ethnic groups, Black/African Americans had the highest YPLL rate (10,896.8 per 100,000), followed by American Indian/Alaska Natives (7,310.0 per 100,000), Hispanics/Latinos (5,256.8 per 100,000), and Asians/Pacific Islanders (3,279.7 per 100,000). Leading causes included malignant neoplasms (1,451.6 per 100,000), heart diseases (1,055.4 per 100,000), and cerebrovascular diseases (182.3 per 100,000).
This analysis spanning 16 years highlights notable disparities in YPLL rates among different demographic groups. These differences are evident in the YPLL rates for males, which are higher than those for females. The YPLL rate is most pronounced among Black/African Americans, followed by American Indian/Alaska Natives, Hispanics/Latinos, and Asians/Pacific Islanders. The primary contributors to YPLL are malignant neoplasms, heart diseases, and cerebrovascular diseases. These findings emphasize the importance of addressing these disparities to enhance public health outcomes and mitigate the premature loss of life. Despite progress, disparities persist, highlighting the need for targeted interventions and further research.
本研究旨在对美国主要死因导致的潜在寿命损失年数（YPLL）进行全面的16年分析，重点关注使用美国国家卫生统计中心（NCHS）数据按性别、种族/族裔和具体死因划分的差异。
纳入了NCHS 2000 - 2016年的数据。分析了每10万人的年龄调整后YPLL率，按性别、种族/族裔和主要死因进行分层，主要死因包括恶性肿瘤、心脏病和脑血管疾病。
在16年期间，总YPLL率为每10万人7036.2例。男性的YPLL率（每10万人8852.5例）高于女性（每10万人5259.9例）。在种族/族裔群体中，黑人/非裔美国人的YPLL率最高（每10万人10896.8例），其次是美国印第安人/阿拉斯加原住民（每10万人7310.0例）、西班牙裔/拉丁裔（每10万人5256.8例）和亚裔/太平洋岛民（每10万人3279.7例）。主要死因包括恶性肿瘤（每10万人1451.6例）、心脏病（每10万人1055.4例）和脑血管疾病（每10万人182.3例）。
这项为期16年的分析突出了不同人口群体在YPLL率方面的显著差异。这些差异在男性的YPLL率中很明显，男性高于女性。YPLL率在黑人/非裔美国人中最为显著，其次是美国印第安人/阿拉斯加原住民、西班牙裔/拉丁裔和亚裔/太平洋岛民。YPLL的主要促成因素是恶性肿瘤、心脏病和脑血管疾病。这些发现强调了解决这些差异以改善公共卫生结果和减少过早死亡的重要性。尽管取得了进展，但差异仍然存在，突出了有针对性干预措施和进一步研究的必要性。
