Calculating expected years of life lost for assessing local ethnic disparities in causes of premature death.
Calculating expected years of life lost for assessing local ethnic disparities in causes of premature death.
复制标题
DOI：
10.1186/1471-2458-8-116
复制
发表时间：
2008-04-10
影响因子：
4.5
通讯作者：
Katz MH
中科院分区：
文献类型：
--
作者：
Aragón TJ;Lichtensztajn DY;Katcher BS;Reiter R;Katz MH
地方卫生部门的一项核心职能是进行健康评估。对死亡证明的分析提供了关于可能导致死亡的疾病、状况和伤害的信息——这是人口健康的一个重要结果指标。预期寿命损失年数（YLL）措施是一种有效的、独立的措施，用于确定和对过早死亡的潜在原因进行排序。这项研究的目的是对旧金山居民过早死亡的主要原因进行排名，并分享详细的方法，以便这些分析可以在其他地方卫生管辖区使用。使用2003-2004年旧金山死亡登记数据和人口估计，我们计算了死亡人数、YLL和年龄标准化YLL率（ASYRs）。结果按性别、种族和潜在死亡原因分层。YLL值用于按种族对男女过早死亡的主要原因进行排序。2003-2004年期间，6312名男性死亡（损失73,627年寿命），5726名女性死亡（损失51,194年寿命）。男性的ASYR比女性高65% （8971.1 vs 5438.6 / 10万人/年）。过早死亡的主要原因是那些平均生命周期最长的疾病，而这些疾病在很大程度上是可以预防的。在男性中，这些是艾滋病毒/艾滋病、自杀、药物过量、杀人和酒精使用障碍；在女性中，这些疾病包括肺癌、乳腺癌、高血压心脏病、结肠癌和糖尿病。非裔美国人和其他种族群体之间存在着巨大的健康差异：非裔美国人经年龄调整后的总体和特定原因的YLL率更高，尤其是男性凶杀率。除了拉丁裔男性的他杀外，拉丁裔和亚洲人在主要死因中与白人相比，YLL率相当或更低。当地死亡登记数据可用于衡量、排序和监测导致过早死亡的主要原因，以及衡量和监测族裔健康差异。
A core function of local health departments is to conduct health assessments. The analysis of death certificates provides information on diseases, conditions, and injuries that are likely to cause death – an important outcome indicator of population health. The expected years of life lost (YLL) measure is a valid, stand-alone measure for identifying and ranking the underlying causes of premature death. The purpose of this study was to rank the leading causes of premature death among San Francisco residents, and to share detailed methods so that these analyses can be used in other local health jurisdictions. Using death registry data and population estimates for San Francisco deaths in 2003–2004, we calculated the number of deaths, YLL, and age-standardized YLL rates (ASYRs). The results were stratified by sex, ethnicity, and underlying cause of death. The YLL values were used to rank the leading causes of premature death for men and women, and by ethnicity. In the years 2003–2004, 6312 men died (73,627 years of life lost), and 5726 women died (51,194 years of life lost). The ASYR for men was 65% higher compared to the ASYR for women (8971.1 vs. 5438.6 per 100,000 persons per year). The leading causes of premature deaths are those with the largest average YLLs and are largely preventable. Among men, these were HIV/AIDS, suicide, drug overdose, homicide, and alcohol use disorder; and among women, these were lung cancer, breast cancer, hypertensive heart disease, colon cancer, and diabetes mellitus. A large health disparity exists between African Americans and other ethnic groups: African American age-adjusted overall and cause-specific YLL rates were higher, especially for homicide among men. Except for homicide among Latino men, Latinos and Asians have comparable or lower YLL rates among the leading causes of death compared to whites. Local death registry data can be used to measure, rank, and monitor the leading causes of premature death, and to measure and monitor ethnic health disparities.
登录
查看更多内容
影响因子：
15.8
作者：
Murray CJ;Kulkarni SC;Michaud C;Tomijima N;Bulzacchelli MT;Iandiorio TJ;Ezzati M
通讯作者：
Ezzati M
影响因子：
13.6
作者：
Mariotti, S;D'Errigo, P;Freeman, K
通讯作者：
Freeman, K
影响因子：
5.4
作者：
Redelings, MD;Sorvillo, F;Simon, P
通讯作者：
Simon, P
DOI：
10.1097/00001648-199007000-00012
发表时间：
1990-07-01
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Gardner, J W;Sanborn, J S
通讯作者：
Sanborn, J S
影响因子：
158.5
作者：
Wong, MD;Shapiro, MF;Ettner, SL
通讯作者：
Ettner, SL