ArticleBMC public health2021
Avoidable deaths in Sweden, 1997-2018: temporal trend and the contribution to the gender gap in life expectancy.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Trends in Avoidable Mortality in Kazakhstan From 2015 to 2021.International journal of health policy and management · 2024Article
- Regional and sex inequalities of avoidable mortality in Italy: A time trend analysis.Public health in practice (Oxford, England) · 2023Article
- Contributions of avoidable mortality to the sex gap in life expectancy and life disparity in Iran.Archives of public health = Archives belges de sante publique · 2023Article
- The contributions of injury deaths to the gender gap in life expectancy and life disparity in Eastern Mediterranean Region.Injury epidemiology · 2023Article
- Associations Between Gender Gaps in Life Expectancy, Air Pollution, and Urbanization: A Global Assessment With Bayesian Spatiotemporal Modeling.International journal of public health · 2023Article
- The gap in life expectancy and lifespan inequality between Iran and neighbour countries: the contributions of avoidable causes of death.International journal for equity in health · 2022Article
- Understanding the relationships between health spending, treatable mortality and economic productivity in OECD countries.Frontiers in public health · 2022Article
- The contributions of public health policies and healthcare quality to gender gap and country differences in life expectancy in the UK.Population health metrics · 2021Article
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Abstract
backgroundAvoidable mortality is considered as a potential indicator of the influences of public health policies and healthcare quality on population health. This study aimed to examine the trend in avoidable mortality and its influence on rising life expectancy (LE) and declining gender gap in LE (GGLE) in Sweden.
methodsWe extracted data on causes of death by age, sex, and year from national registry from 1997 to 2018. The UK Office for National Statistics definition was used to divide causes of death into five mutually exclusive categories: amenable, preventable, amenable & preventable, ischemic heart disease (IHD), and non-avoidable causes. We applied Joinpoint regression to analyse temporal trends in age-standardized mortality rates. The Arriaga method was applied to decompose changes in LE and GGLE by age group and causes of death.
resultsAverage annual reductions in avoidable vs. non-avoidable mortality were 2.6% (95% CI:2.5, 2.7) vs. 1.4% (95% CI:1.3, 1.5) in men, and 1.6% (95% CI:1.4, 1.9) vs. 0.9% (95% CI:0.7, 1.0) in women over the study period. LE in men rose by 4.1 years between 1997 and 2018 (from 72.8 to 76.9 years), of which 2.4 years (59.3%) were attributable to reductions in avoidable mortality. Corresponding LE gain was 2.3 years in women (from 78.0 in 1997 to 80.3 in 2018) and avoidable mortality accounted for 1.0 year (45.6%) of this gain. Between 1997 and 2018, the GGLE narrowed by 1.9 years, of which 1.4 years (77.7%) were attributable to avoidable causes. Among avoidable causes, while preventable causes had the largest contribution to the GGLE, IHD had the greatest contributions to LE gains and the narrowing GGLE.
conclusionsOur findings showed that avoidable causes had a substantial contribution to gain in LE with more profound gain in men than in women, resulting in narrowing the GGLE. Lower pace of reductions in preventable than amenable mortality highlights the need for improving the effectiveness of inter-sectoral health policies aimed at behavioural changes.
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