OBJECTIVE: 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. DATA SOURCES: Secondary data from 32 countries during 2000-2013, gathered from the World Health Organization Mortality Database. STUDY DESIGN: Time trend analysis. DATA COLLECTION: 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. PRINCIPAL FINDINGS: 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. CONCLUSION: Declining trend of amenable SDRs was continuing to 2013 but with steepness change compared with previous periods and with a slowdown.

Gianino, M. M., Lenzi, J., Muça, A., Fantini, M., Siliquini, R., Ricciardi, G., Damiani, G., Declining Amenable Mortality: Time Trend (2000-2013) and Geographic Area Analysis, <<HEALTH SERVICES RESEARCH>>, 2017; 2017 (52 (5)): 1908-1927. [doi:10.1111/1475-6773.12563] [http://hdl.handle.net/10807/86726]

Declining Amenable Mortality: Time Trend (2000-2013) and Geographic Area Analysis

Gianino, Maria Michela
Primo
;
Siliquini, Roberta;Ricciardi, Gualtiero
Penultimo
;
Damiani, Gianfranco
Ultimo
2017

Abstract

OBJECTIVE: 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. DATA SOURCES: Secondary data from 32 countries during 2000-2013, gathered from the World Health Organization Mortality Database. STUDY DESIGN: Time trend analysis. DATA COLLECTION: 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. PRINCIPAL FINDINGS: 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. CONCLUSION: Declining trend of amenable SDRs was continuing to 2013 but with steepness change compared with previous periods and with a slowdown.
Inglese
Gianino, M. M., Lenzi, J., Muça, A., Fantini, M., Siliquini, R., Ricciardi, G., Damiani, G., Declining Amenable Mortality: Time Trend (2000-2013) and Geographic Area Analysis, <<HEALTH SERVICES RESEARCH>>, 2017; 2017 (52 (5)): 1908-1927. [doi:10.1111/1475-6773.12563] [http://hdl.handle.net/10807/86726]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/86726
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