scholarly journals The Mortality Due to External Causes in Ukraine: Lives That Could Be Saved

2020 ◽  
Vol 89 (2-3) ◽  
pp. 96-106
Author(s):  
N. О. Ryngach
Keyword(s):  
Causes Of Death ◽  
Absolute Number ◽  
Accidental Poisoning ◽  
Undetermined Intent ◽  
Gender And Age ◽  
Causes Of Mortality ◽  
Self Harm ◽  
External Causes ◽  
National Databases ◽  
Noxious Substances

The article’s objective is to assess the losses of human lives in Ukraine, resulting from the mortality due to external causes (by absolute number, rate and structure), reveal the patterns by gender and age, with distribution by main cause. A comparative analysis of the mortality due to external causes in Ukraine and other countries is made by data on the distribution of deaths by gender, age and cause of death, taken from the State Statistics Service of Ukraine, international and national databases. It is shown that the major share of deaths were due to four main causes accounted for more than 68% of all the cases: intentional self-harm (suicides); harm of undetermined intent; accidental poisonings caused by noxious substances; and transport accidents. An essential gender disproportion due to external causes is revealed: the mortality rate of males is 4.7 times higher than females. In Ukraine males account for 80.2% of the total deaths due to external causes (against two thirds, or 64.2%, in EU). The excess of males is the most significant in the causes such as drowning, suicides and accidental poisonings (with more than eight times to six times excess of the respective figure over females). In view of this, the share of deaths due to external causes in the overall structure of mortality was higher for Ukrainian males (8.4%) than for females (2.0%). The rate of sudden mortality (in the age younger than 65) due to external causes of death in Ukraine is 2.5 time higher than in Sweden chosen as a reference country, and thrice higher than in EU until 2004. The majority of deaths due to external causes in Ukraine are concentrated in this age group: nearly 80% in 2019 (against 49% in EU countries). A pressing social problem for modern Ukraine is the excessive mortality due to accidental poisoning and alcohol effects: from the age of 30 years and on, such cases exceed the poisonings caused by noxious substances (the gap being 1.75 times for the total population and more than trice (3.25 times) for the middle age of 45–49 years. Special attention is given to the problem of the increasing rate of deaths classified as “harm with undetermined intent” (which rate in Ukraine is seven times higher than in EU). It raises the need for analysis of the veracity of determined causes of death and quality enhancement of the official statistics for this class of causes in Ukraine, to have better understanding of the real situation and tendencies of change in the epidemiological situation with respect to external causes of mortality.    

scholarly journals Mortality from undetermined causes of death in Russia and in selected countries

2015 ◽  
pp. 34-61
Author(s):  
Sergey Vasin
Keyword(s):  
Causes Of Death ◽  
Developed Countries ◽  
The Past ◽  
Undetermined Intent ◽  
Contextual Framework ◽  
Technical Indicator ◽  
Long Term Trends ◽  
Self Harm ◽  
External Causes

Deaths due to injuries and poisoning which experts cannot identify, such as homicide, suicide or accident, are registered in statistical databases as deaths due to an event of undetermined intent. The proportion of such deaths can indicate the quality of statistics on causes of death, above all of statistics on intentional self-harm and assaults. In Russia, the proportion of deaths due to events of undetermined intent among other external causes has been growing for almost four decades. Such a trend was observed in the past during periods of growing mortality from external causes. Yet the steady and long decline in mortality from external causes in Russia that began in 2003 has not stopped the trend. The displacement of other external causes continues, though mortality from events of undetermined intent has exceeded both suicide and homicide mortality, and its proportion has increased tenfold, reaching very high levels relative to those of other countries. In several studies done in Russia over the past decade, scholars have argued that such a high proportion essentially results from the manipulation of statistics on mortality from external causes, the so-called conversion of socially important causes of death to a latent form. The factors behind the persistent rise of the proportion of deaths due to events of undetermined intent (EUI) are analysed on the basis of a review of relevant research and long-term trends in mortality from external causes in Russia and selected developed countries. This makes it possible to expand the contextual framework of the discussion about the factors of the persistent growth of this “technical” indicator and about the hypothesis of the “natural” character of such dynamics.

scholarly journals Mortality from external causes in Russia over half a century

2015 ◽  
pp. 85-108
Author(s):  
Ekaterina Kvasha ◽  
Tatiana Kharkova ◽  
Valeriy Yumaguzin
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
Circulatory System ◽  
Developed Countries ◽  
Large Contribution ◽  
Mortality Trends ◽  
Undetermined Intent ◽  
External Causes Of Death ◽  
Excess Number ◽  
External Causes

The article discusses long-term mortality trends (since 1956) from external causes of death in Russia. Russia has long lagged behind developed countries in this domain. The level of mortality from external causes of death remains high and its structure is still archaic with large contribution of homicides, alcohol poisoning and injuries of undetermined intent. Excess number of deaths from life tables of Russia and Western European countries is compared. It is shown that in Russia the greatest excess losses are associated with mortality from poisonings among both sexes, suicide among men and homicide among women. Mortality from external causes, along with mortality from diseases of the circulatory system, has had a significant impact on life expectancy. In general, over the period 1956-2012 the increase in mortality from external causes in the 15-64 age group reduced life expectancy by 2.6 years for males and 0.7 years for females. The decline, starting in 2003, of mortality from external causes of death has slightly reduced the gap between Russia and developed countries, bringing the current Russian level closer to those levels reached in Russia in the mid-1960s and 1980s. However, given the fluctuations of mortality from external causes, it is premature to say whether the current decline in mortality is robust.

scholarly journals ANALYSIS OF THE MORTALITY RATE AMONG THE POPULATION OF THE POLTAVA REGION AND THE WAYS OF ITS REDUCTION

2019 ◽  
Vol 72 (5) ◽  
pp. 1087-1091
Author(s):  
Valentyn M. Dvornyk ◽  
Inna V. Bielikova ◽  
Ludmyla M. Shylkina ◽  
Valentyna L. Filatova ◽  
Natalia M. Martynenko
Keyword(s):  
Mortality Rate ◽  
Digestive System ◽  
Causes Of Death ◽  
Health Care Systems ◽  
Second Neoplasms ◽  
Care Systems ◽  
Causes Of Mortality ◽  
External Causes Of Death ◽  
External Causes

Introduction: Saving and improvement of population’ health is one of the main priorities of the policy in any country. Studying of the level and causes of mortality is a powerful tool for assessing the effectiveness of health care systems. WHO recommends using of the European classification of preventable causes of death that based on three levels of prevention. The aim of this study is to compare the level and structure of mortality of the population of Ukraine and the Poltava region, to substantiate scientific approaches to the study and identification of those causes of death that can be prevented in order to formulate prevention programs at different level. Materials and methods: In research are used the information from the State Statistics Service of Ukraine and from the Center for Medical Statistics of the MoH of Ukraine. Review: Despite the positive dynamics of mortality in recent years, both in the Poltava region and in Ukraine, the indicators remain extremely negative. About 73.3% of all fatalities in Ukraine are three main types of causes cardiovascular diseases, external causes of death and neoplasms. In the Poltava region, 70.56% of all causes of death are due to cardiovascular disease; neoplasms occupy 13.88%; external causes - 4.87%; diseases of the digestive system - 3,06%; respiratory diseases - 1.31% of the causes of death. Conclusions: The mortality rate both in the Poltava region and in Ukraine has tendency for declines, but remains rather high. General trends in the structure of causes of death: in the first place are diseases of the cardiovascular system, the second - neoplasms, the third -external causes. Structuring of the causes of death that based on the principle of prevention in Ukraine do not conduct.

scholarly journals Mortality rate of adolescents in the Republic of Serbia

2008 ◽  
Vol 61 (9-10) ◽  
pp. 503-506
Author(s):  
Nevenka Roncevic ◽  
Aleksandra Stojadinovic
Keyword(s):  
Mortality Rate ◽  
Regional Differences ◽  
Causes Of Death ◽  
Health Indicators ◽  
Vital Statistics ◽  
Male Adolescents ◽  
Icd 10 ◽  
Causes Of Mortality ◽  
The Republic ◽  
External Causes

Introduction. Adolescents are the healthiest age group of the population but many studies show that period of adolescence is marked by significant morbidity and mortality. Health indicators of adolescent population have been getting worse during past decades. The aim of this study was to determine mortality rate of adolescents in the Republic of Serbia to determine most common causes of death in adolescence and to explore regional differences in adolescent mortality. Materials and methods: Documentation tables of vital statistics in the Republic of Serbia in 2004, and Documentation Tables of Census 2002 were used. The causes of mortality were classified according to ICD 10. Results and discussion. Specific morality rate in the Republic of Serbia is 32.08 on 100.000 adolescents. The leading causes of death in adolescence are injuries, malignancies and non specified causes, and there are significant regional differences, as well as gender and age differences. The mortality rate of male adolescents is about 2.4 times higher than the mortality rates in female adolescents. The mortality rate of older adolescents is significantly higher than mortality rate of younger adolescents. The mortality of adolescents is higher in Vojvodina than in Central Serbia. Precise data of external causes of death do not exist in vital statistics in our country. Conclusion. The mortality of adolescents is high, especially for older male adolescents (15 to 19 years of age) and majority of deaths among adolescents could be prevented. It is necessary to improve data of vital statistics to get better insight into causes of adolescent death.

Psychosocial therapy and causes of death after deliberate self-harm: a register-based, nationwide multicentre study using propensity score matching

2016 ◽  
Vol 46 (16) ◽  
pp. 3419-3427 ◽  
Author(s):  
J. Birkbak ◽  
E. A. Stuart ◽  
B. D. Lind ◽  
P. Qin ◽  
E. Stenager ◽  
...  
Keyword(s):  
Causes Of Death ◽  
Comparison Group ◽  
Therapy Group ◽  
Medical Conditions ◽  
Behavioural Disorders ◽  
Deliberate Self Harm ◽  
Psychosocial Therapy ◽  
Self Harm ◽  
External Causes

BackgroundPsychosocial therapy after deliberate self-harm might be associated with reduced risk of specific causes of death.MethodIn this matched cohort study, we included patients, who after an episode of deliberate self-harm received psychosocial therapy at a Suicide Prevention Clinic in Denmark between 1992 and 2010. We used propensity score matching in a 1:3 ratio to select a comparison group from 59 046 individuals who received standard care. National Danish registers supplied data on specific causes of death over a 20-year follow-up period.ResultsAt the end of follow-up, 391 (6.9%) of 5678 patients in the psychosocial therapy group had died, compared with 1736 (10.2%) of 17 034 patients in the matched comparison group. Lower odds ratios of dying by mental or behavioural disorders [0.54, 95% confidence interval (CI) 0.37–0.79], alcohol-related causes (0.63, 95% CI 0.50–0.80) and other diseases and medical conditions (0.61, 95% CI 0.49–0.77) were noted in the psychosocial therapy group. Also, we found a reduced risk of dying by suicide as well as other external causes, however, not by neoplasms and circulatory system diseases. Numbers needed to treat were 212.9 (95% CI 139.5–448.4) for mental or behavioural disorders as a cause of death, 111.1 (95% CI 79.2–210.5) for alcohol-related causes and 96.8 (95% CI 69.1–161.8) for other diseases and medical conditions.ConclusionsOur findings indicate that psychosocial therapy after deliberate self-harm might reduce long-term risk of death from select medical conditions and external causes. These promising results should be tested in a randomized design.

scholarly journals Accidental poisoning, intentional self-harm and event of undetermined intent mortality over 20 years in Iceland: a population-based cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034590
Author(s):  
Oddny Sigurborg Gunnarsdottir ◽  
Vilhjálmur Rafnsson
Keyword(s):  
Road Traffic ◽  
Pearson Correlation ◽  
Population Based ◽  
Road Traffic Injury ◽  
Accidental Poisoning ◽  
Joinpoint Regression ◽  
Suicide Rates ◽  
Traffic Injury ◽  
Undetermined Intent ◽  
Self Harm

ObjectivesThe aim was to study mortality due to suicide, accidental poisoning, event of undetermined intent and drug-related deaths through 20 years in Iceland.DesignA population-based register study.ParticipantsIndividuals who died due to road traffic injury, suicide, accidental poisoning, event of undetermined intent and drug-related deaths in the population of Iceland during the years 1996–2015. Annual age-standardised rates were calculated, and the trend analysed by Pearson correlation and joinpoint regression.SettingThe population of Iceland framed the study material, and the data were obtained from nationwide registries for information on number of deaths and age-specific mean population in each year by gender.ResultsThe crude overall suicide rate during the last 10 years was 12.2 per 100 000 persons per year (95% CI 7.4 to 18.1), while the crude overall rate due to road traffic injuries was 4.6 per 100 000 persons per year (95% CI 2.0 to 8.3). Among men, suicide rates decreased, however not significantly (r(19)=−0.22, p=0.36), and for overdose by narcotics the rates increased significantly (r(19)=0.72, p<0.001) during the study period. Among women, the suicide rates increased, however not significantly (r(19)=0.35, p=0.13), for accidental poisoning, suicide and event of undetermined intent combined the rates increased significantly (r(19)=0.60, p=0.006); and the rates for overdose by sedative and overdose by narcotics both increased significantly r(19)=0.49, p=0.03, and r(19)=0.67, p=0.001, respectively.ConclusionThe suicide rates have not changed during 1996 to 2015; however, the rates for the combined accidental poisoning, suicide and event of undetermined intent increased significantly for women. The rise of the overdose rates for sedative among women and for narcotics among both genders are consistent with reports elsewhere.

scholarly journals Regional evaluation of the reasons of death in the Russian Federation

2020 ◽  
Vol 26 (3) ◽  
pp. 5-16
Author(s):  
Natalia Shartova ◽  
Olga Chereshnia ◽  
Vladimir Tikunov
Keyword(s):  
Causes Of Death ◽  
Circulatory System ◽  
Large Cities ◽  
Mathematical Algorithm ◽  
Spatial Features ◽  
Demographic Indicators ◽  
Causes Of Mortality ◽  
External Causes Of Death ◽  
External Causes ◽  
Individual Scale

Modern studies show significant inequalities in public health and mortality in many countries, and Russia is no exception. Moreover, according to some indicators, inequality in Russia is extremely high, both regionally and between different socio-economic groups. In this regard, a mathematical assessment of the main indicators of the causes of mortality at the regional level seems particularly relevant. This paper presents a study of the geography of causes of death in Russia from 2011 to 2015 in regions and large cities. The assessment was carried out using ranking according to standardized demographic indicators (mortality for reasons: some infectious and parasitic diseases; neoplasms; diseases of the circulatory system; respiratory diseases; diseases of the digestive system; external causes of death). The spatial features of mortality for each of the main causes are determined separately for men and women. Assessment and ranking of cities and regions of Russia was developed on the basis of a mathematical algorithm developed by one of the authors [Tikunov, 1997]. The results were mapped using an individual scale for each cause of death.

scholarly journals Typology of Regions and Cities of Russia by Causes of Death

2020 ◽  
Vol 19 (34) ◽  
pp. 64-81
Author(s):  
Olga Yu. Chereshnia ◽  
Natalia A. Shartova ◽  
Vladimir S. Tikunov
Keyword(s):  
Causes Of Death ◽  
Circulatory System ◽  
Mortality Rates ◽  
Large Cities ◽  
Spatial Features ◽  
Demographic Indicators ◽  
Causes Of Mortality ◽  
External Causes Of Death ◽  
The Russian Federation ◽  
External Causes

The problem of the high mortality rate, in comparison with countries with similar living standards, is extremely urgent in Russia. It is especially noticeable at the regional level, where differences in mortality and its structure are enormous. The regions of Russia are at different stages of epidemiological transition. This is expressed in differences in their mortality rates and differences in the structure of causes of death. The regions and largest cities of the country are sometimes diverge radically, which greatly complicates research. This paper presents a typology of regions and large cities of the Russian Federation according to the main classes of causes of death in 2015 and its cartography. The spatial features of mortality according to the main causes of death are determined separately for men and women. The assessment was carried out using classification by demographic indicators (causes of mortality: some infectious and parasitic diseases; tumours; diseases of the circulatory system; respiratory diseases; diseases of the digestive system; external causes of death). The dataset included 250 territorial units: 85 regions (including cities of federal significance) and 165 large cities with populations of over 100,000. Based on the primary statistics, standardised mortality rates were calculated. The classification was carried out according to an algorithm developed by one of the authors. The classification presented allows us to highlight the specific characteristics of individual groups of regions and analyse them with a greater degree of accuracy.

scholarly journals El designio de los hombres. Años de vida perdidos en Brasil y en sus grandes regiones, 1980 a 2005 / Male Fate – Years of Life Lost in Brazil and its Regions – 1989 / 2005

2011 ◽  
Vol 26 (2) ◽  
pp. 299
Author(s):  
Kaizô Iwakami Beltrão ◽  
Emilio E. Dellasoppa
Keyword(s):  
Young Adults ◽  
Gender Gap ◽  
Causes Of Death ◽  
Age Groups ◽  
Steady Increase ◽  
Years Of Life Lost ◽  
Positive Trend ◽  
Gender And Age ◽  
Its Regions ◽  
External Causes

En este trabajo se analiza la evolución de los años de vida perdidos (AVP) de la población joven y adulta en Brasil según grandes grupos de causas y diversas divisiones geográficas a lo largo de un cuarto de siglo (1980 a 2005). La característica más sobresaliente de los avp es el aumento de la brecha de género en las causas violentas: los valores más elevados corresponden a la población masculina, y en vez de una esperada reducción se observa en los hombres un crecimiento de los avp originados por causas externas. Son de llamar la atención los elevados valores de las muertes por causas violentas en los jóvenes de 15 a 24 años, vulnerabilidad que continúa aumentando más allá del periodo de estudio.AbstractThis research analyzes the evolution of years of life lost (YLL) for young and adult Brazilian population by causes of death and geographical areas, as well as by gender and age-groups during 25 years: from 1980 to 2005. The most striking characteristic of the results of YLL is the widening gender gap: much larger figures for males than for females for violent causes. For males it is also noticeable a steady increase of the indicator driven by external causes. Young adults are especially vulnerable to death by violent causes, with large figures and a positive trend.

scholarly journals Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Anne Abio ◽  
Pascal Bovet ◽  
Joachim Didon ◽  
Till Bärnighausen ◽  
Masood Ali Shaikh ◽  
...  
Keyword(s):  
Causes Of Death ◽  
Road Traffic ◽  
Marked Change ◽  
Total Mortality ◽  
Mortality Rates ◽  
Vital Statistics ◽  
African Region ◽  
Road Traffic Injuries ◽  
External Causes ◽  
Over Time

AbstractData on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989–1998, 1999–2008, and 2009–2018. Mortality rates per 100,000 person-years from external causes were 4–5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989–2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and “other unintentional injuries” (males 14.1, females 8.0), the leading external causes of death in 2009–2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.

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