Ontology highlight
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.
SUBMITTER: Gianino MM
PROVIDER: S-EPMC5583294 | biostudies-literature | 2017 Oct
REPOSITORIES: biostudies-literature
Gianino Maria Michela MM Lenzi Jacopo J Muça Aida A Fantini Maria Pia MP Siliquini Roberta R Ricciardi Walter W Damiani Gianfranco G
Health services research 20161005 5
<h4>Objective</h4>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.<h4>Data sources</h4>Secondary data from 32 countries during 2000-2013, gathered from the World Health Organization Mortality Database.<h4>Study design</h4>Time trend analysis.<h4>Data collection</h4>Using Nolte and McKee's list, age-standardized amenable mortality rates (S ...[more]