POTENTIAL YEARS OF LIFE LOST BETWEEN AGES 1 AND 70 - INDICATOR OF PREMATURE MORTALITY FOR HEALTH-PLANNING

POTENTIAL YEARS OF LIFE LOST BETWEEN AGES 1 AND 70 - INDICATOR OF PREMATURE MORTALITY FOR HEALTH-PLANNING
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DOI:
10.1093/ije/6.2.143
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发表时间:
1977-01-01
影响因子:
7.7
通讯作者:
MCWHINNIE, JR
MCWHINNIE, JR
中科院分区:
医学1区
文献类型:
--
作者:
ROMEDER, JM;MCWHINNIE, JR

文献摘要

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1岁至70岁之间的潜在寿命损失年数(PYLL)指标被提出,其主要目标是对过早死亡的主要原因进行排名。这项建议是基于对现有死亡率指标和指数以及潜在寿命损失年数概念历史的审查。讨论了计算方法以及相应的比率和年龄调整比率,并给出了对加拿大数据和解释的应用。讨论了几个方法论方面,特别是与基于寿命表的更复杂的方法的比较,这些方法似乎不会改变过早死亡的主要原因的排名。这一指标非常适合社会指标类别,可以帮助卫生规划者确定预防过早死亡的优先事项。流行病学研究也可以利用这一过早死亡的指标。计算的简单性和理解的简易性应该会促进它的使用。
The indicator of Potential Years of Life Lost between ages 1 and 70 (PYLL) is proposed with the primary objective of ranking major causes of premature [human] mortality. This proposal is based on a review of existing mortality indicators and indices and of the history of the concept of potential years of life lost. The method of calculation along with the corresponding rate and the age-adjusted rate are discussed and presented with applications to Canadian data and interpretation. Several methodological aspects are discussed, particularly the comparison with more sophisticated approaches based on life tables which do not appear to alter the ranking of major causes of premature death. This indicator fits well into the category of Social Indicators and can help health planners define priorities for the prevention of premature deaths. Epidemiological studies could also make use of this indicator of premature mortality. The simplicity of calculation and ease of comprehension should facilitate its use.