Quantifying the burden of disease due to premature mortality in Hong Kong using standard expected years of life lost

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• 作者：Dietrich Plass (39)
  Patsy Yuen Kwan Chau (40)
  Thuan Quoc Thach (40)
  Heiko J Jahn (39)
  Poh Chin Lai (41)
  Chit Ming Wong (40)
  Alexander Kraemer (39)
  
• 关键词：Burden of disease ; Hong Kong ; Standard expected years of life lost ; SEYLL
• 刊名：BMC Public Health
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：1,024 KB
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  40. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/13/863/prepub
  
• 作者单位：Dietrich Plass (39)
  Patsy Yuen Kwan Chau (40)
  Thuan Quoc Thach (40)
  Heiko J Jahn (39)
  Poh Chin Lai (41)
  Chit Ming Wong (40)
  Alexander Kraemer (39)
  
  39. Department of Public Health Medicine, School of Public Health, Bielefeld University, Bielefeld, Germany
  40. School of Public Health, The University of Hong Kong, Hong Kong SAR, China
  41. Department of Geography, The University of Hong Kong, Hong Kong SAR, China
  
• ISSN：1471-2458

文摘

Background To complement available information on mortality in a population Standard Expected Years of Life Lost (SEYLL), an indicator of premature mortality, is increasingly used to calculate the mortality-associated disease burden. SEYLL consider the age at death and therefore allow a more accurate view on mortality patterns as compared to routinely used measures (e.g. death counts). This study provides a comprehensive assessment of disease and injury SEYLL for Hong Kong in 2010. Methods To estimate the SEYLL, life-expectancy at birth was set according to the 2004 Global Burden of Disease study at 82.5 and 80?years for females and males, respectively. Cause of death data for 2010 were corrected for misclassification of cardiovascular and cancer causes. In addition to the baseline estimates, scenario analyses were performed using alternative assumptions on life-expectancy (Hong Kong standard life-expectancy), time-discounting and age-weighting. To estimate a trend of premature mortality a time-series analysis from 2001 to 2010 was conducted. Results In 2010 524,706.5?years were lost due to premature death in Hong Kong with 58.3% of the SEYLL attributable to male deaths. The three overall leading single causes of SEYLL were “trachea, bronchus and lung cancers- “ischaemic heart disease-and “lower respiratory infections-together accounting for about 29% of the overall SEYLL. Further, self-inflicted injuries (5.6%; ranked 5) and liver cancer (4.9%; ranked 7) were identified as important causes not adequately captured by classical mortality measures. Scenario analyses highlighted that by using a 3% time-discount rate and non-uniform age-weights the SEYLL dropped by 51.6%. Using Hong Kong’s standard life-expectancy values resulted in an overall increase of SEYLL by 10.8% as compared to the baseline SEYLL. Time-series analysis indicates an overall increase of SEYLL by 6.4%. In particular, group I (communicable, maternal, perinatal and nutritional) conditions showed highest increases with SEYLL-rates per 100,000 in 2010 being 1.4 times higher than 2001. Conclusions The study stresses the mortality impact of diseases and injuries that occur in earlier stages of life and thus presents the SEYLL measure as a more sensitive indicator compared to classical mortality indicators. SEYLL provide useful additional information and supplement available death statistics.