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- Title
Declining Amenable Mortality: Time Trend (2000-2013) and Geographic Area Analysis.
- Authors
Gianino, Maria Michela; Lenzi, Jacopo; Muça, Aida; Fantini, Maria Pia; Siliquini, Roberta; Ricciardi, Walter; Damiani, Gianfranco; Muça, Aida
- Abstract
<bold>Objective: </bold>To update amenable mortality in 32 OECD countries at 2013 (or last available year), to describe the time trends during 2000-2013, and to evaluate the association of these trends with various geographic areas.<bold>Data Sources: </bold>Secondary data from 32 countries during 2000-2013, gathered from the World Health Organization Mortality Database.<bold>Study Design: </bold>Time trend analysis.<bold>Data Collection: </bold>Using Nolte and McKee's list, age-standardized amenable mortality rates (SDRs) were calculated as the annual number of deaths over the population aged 0-74 years per 100,000 inhabitants. We performed a mixed-effects polynomial regression analysis on the annual SDRs to determine whether specific geographic areas were associated with different SDR trajectories over time.<bold>Principal Findings: </bold>The OECD average annual decrease was 3.6/100,000 (p < .001), but slowed over time (coefficient for the quadratic term = 0.11, p < .001). Eastern and Atlantic European countries had the steepest decline (-6.1 and -4.7, respectively), while Latin American countries had the lowest slope (-1.7). The OECD average annual decline during the 14-year period was -0.5 (p < .001) for cancers and -2.5 (p < .001) for cardiovascular diseases, with significant differences among countries.<bold>Conclusion: </bold>Declining trend of amenable SDRs was continuing to 2013 but with steepness change compared with previous periods and with a slowdown.
- Subjects
OECD countries; DEATH rate; MORTALITY; DEMOGRAPHIC surveys; VITAL statistics; CAUSES of death; HEALTH services accessibility; HEALTH status indicators; MEDICAL quality control; WORLD health; DEVELOPED countries
- Publication
Health Services Research, 2017, Vol 52, Issue 5, p1908
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12563