Trends in Belgian premature avoidable deaths over a 20 year period
STUDY OBJECTIVES To analyse over a 20 year period the level and trends in the “EC avoidable death indicators”. DESIGN The Years of Potential Life Lost (YPLL) method applied to curative and preventive avoidable mortality indicators in Belgium for four successive five year periods, countrywide as well...
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| Veröffentlicht in: | Journal of epidemiology and community health (1979) 2000-09, Vol.54 (9), p.687-691 |
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| creator | Humblet, P C Lagasse, R Levêque, A |
| description | STUDY OBJECTIVES To analyse over a 20 year period the level and trends in the “EC avoidable death indicators”. DESIGN The Years of Potential Life Lost (YPLL) method applied to curative and preventive avoidable mortality indicators in Belgium for four successive five year periods, countrywide as well as by district, separately for women and men. Ratios of YPLL rates (age standardised) describe changes between 1974–78 and 1990–94. SETTING Belgium for the periods 1974–78, 1980–84, 1985–89, 1990–94. PARTICIPANTS All avoidable death cases aged 1–64. MAIN RESULTS Ratio of YPLL rates indicated a more favourable development between 1974–78 and 1990–94 in the EC avoidable indicators than in all causes premature mortality. The EC avoidable mortality indicators have been assigned to two categories, curative indicators and preventive indicators. The best ratio of YPLL rates was found in curative indicators for men but the largest gains in YPLL rates over the periods come from the “preventive indicators” in men. For women, malignant neoplasm of the breast rose to the first ranked in 1985–1989 and 1990–1994, where it contributed to more years of YPLL loss than motor vehicle accidents, and malignant neoplasm of the trachea, bronchus and lung had risen to the fifth ranked since 1985–89. The order of the top causes for men did not change between 1974 and 1994, except for cirrhosis of liver, which rose from the fifth to the fourth rank. In the particular case of one “preventive indicator”, malignant neoplasm of the trachea, bronchus and lung, the regional analysis of time trend between 1974–78 and 1990–94 showed more districts with a favourable development for both men and women in the Flemish region than in Wallonia. CONCLUSION The YPLL method combined with the avoidable mortality indicators enabled us to compare the changes of curative and preventive EC avoidable indicators between 1974–78 and 1990–94. In the case of malignant neoplasm of the trachea, bronchus and lung, which is of major concern to the health promotion policies, changes over the periods have widened a “north/south” health contrast. |
| doi_str_mv | 10.1136/jech.54.9.687 |
| format | Article |
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DESIGN The Years of Potential Life Lost (YPLL) method applied to curative and preventive avoidable mortality indicators in Belgium for four successive five year periods, countrywide as well as by district, separately for women and men. Ratios of YPLL rates (age standardised) describe changes between 1974–78 and 1990–94. SETTING Belgium for the periods 1974–78, 1980–84, 1985–89, 1990–94. PARTICIPANTS All avoidable death cases aged 1–64. MAIN RESULTS Ratio of YPLL rates indicated a more favourable development between 1974–78 and 1990–94 in the EC avoidable indicators than in all causes premature mortality. The EC avoidable mortality indicators have been assigned to two categories, curative indicators and preventive indicators. The best ratio of YPLL rates was found in curative indicators for men but the largest gains in YPLL rates over the periods come from the “preventive indicators” in men. For women, malignant neoplasm of the breast rose to the first ranked in 1985–1989 and 1990–1994, where it contributed to more years of YPLL loss than motor vehicle accidents, and malignant neoplasm of the trachea, bronchus and lung had risen to the fifth ranked since 1985–89. The order of the top causes for men did not change between 1974 and 1994, except for cirrhosis of liver, which rose from the fifth to the fourth rank. In the particular case of one “preventive indicator”, malignant neoplasm of the trachea, bronchus and lung, the regional analysis of time trend between 1974–78 and 1990–94 showed more districts with a favourable development for both men and women in the Flemish region than in Wallonia. CONCLUSION The YPLL method combined with the avoidable mortality indicators enabled us to compare the changes of curative and preventive EC avoidable indicators between 1974–78 and 1990–94. In the case of malignant neoplasm of the trachea, bronchus and lung, which is of major concern to the health promotion policies, changes over the periods have widened a “north/south” health contrast.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech.54.9.687</identifier><identifier>PMID: 10942448</identifier><identifier>CODEN: JECHDR</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Accident Prevention ; Adolescent ; Adult ; Age ; Analysis. Health state ; avoidable mortality ; Belgium ; Belgium - epidemiology ; Biological and medical sciences ; Bronchi ; Cancer ; Cardiovascular disease ; Cause of Death - trends ; Causes of death ; Child ; Child, Preschool ; Community health ; Death ; Disease prevention ; Epidemiology ; Female ; General aspects ; Health care ; Health policy ; Health promotion ; Health services ; Humans ; Infant ; Lungs ; Male ; Medical sciences ; Men ; Middle Aged ; Mortality ; Motor vehicles ; Myocardial ischemia ; Neoplasms - mortality ; Neoplasms - prevention & control ; Preventable deaths ; Preventive medicine ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Ratios ; Regional analysis ; Regional planning ; Research Report ; Research Reports ; Sex Distribution ; Sex Factors ; Trachea ; Trends ; Tumors ; Womens health ; YPLL</subject><ispartof>Journal of epidemiology and community health (1979), 2000-09, Vol.54 (9), p.687-691</ispartof><rights>Journal of Epidemiology and Community Health</rights><rights>2000 INIST-CNRS</rights><rights>Copyright: 2000 Journal of Epidemiology and Community Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b562t-e99ea1661c76ba3afbb95ced8b9084122dc8403b773d7cfab81ad55be51bee4d3</citedby><cites>FETCH-LOGICAL-b562t-e99ea1661c76ba3afbb95ced8b9084122dc8403b773d7cfab81ad55be51bee4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25569271$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25569271$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1470554$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10942448$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Humblet, P C</creatorcontrib><creatorcontrib>Lagasse, R</creatorcontrib><creatorcontrib>Levêque, A</creatorcontrib><title>Trends in Belgian premature avoidable deaths over a 20 year period</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>STUDY OBJECTIVES To analyse over a 20 year period the level and trends in the “EC avoidable death indicators”. DESIGN The Years of Potential Life Lost (YPLL) method applied to curative and preventive avoidable mortality indicators in Belgium for four successive five year periods, countrywide as well as by district, separately for women and men. Ratios of YPLL rates (age standardised) describe changes between 1974–78 and 1990–94. SETTING Belgium for the periods 1974–78, 1980–84, 1985–89, 1990–94. PARTICIPANTS All avoidable death cases aged 1–64. MAIN RESULTS Ratio of YPLL rates indicated a more favourable development between 1974–78 and 1990–94 in the EC avoidable indicators than in all causes premature mortality. The EC avoidable mortality indicators have been assigned to two categories, curative indicators and preventive indicators. The best ratio of YPLL rates was found in curative indicators for men but the largest gains in YPLL rates over the periods come from the “preventive indicators” in men. For women, malignant neoplasm of the breast rose to the first ranked in 1985–1989 and 1990–1994, where it contributed to more years of YPLL loss than motor vehicle accidents, and malignant neoplasm of the trachea, bronchus and lung had risen to the fifth ranked since 1985–89. The order of the top causes for men did not change between 1974 and 1994, except for cirrhosis of liver, which rose from the fifth to the fourth rank. In the particular case of one “preventive indicator”, malignant neoplasm of the trachea, bronchus and lung, the regional analysis of time trend between 1974–78 and 1990–94 showed more districts with a favourable development for both men and women in the Flemish region than in Wallonia. CONCLUSION The YPLL method combined with the avoidable mortality indicators enabled us to compare the changes of curative and preventive EC avoidable indicators between 1974–78 and 1990–94. In the case of malignant neoplasm of the trachea, bronchus and lung, which is of major concern to the health promotion policies, changes over the periods have widened a “north/south” health contrast.</description><subject>Accident Prevention</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Analysis. Health state</subject><subject>avoidable mortality</subject><subject>Belgium</subject><subject>Belgium - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Bronchi</subject><subject>Cancer</subject><subject>Cardiovascular disease</subject><subject>Cause of Death - trends</subject><subject>Causes of death</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Community health</subject><subject>Death</subject><subject>Disease prevention</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care</subject><subject>Health policy</subject><subject>Health promotion</subject><subject>Health services</subject><subject>Humans</subject><subject>Infant</subject><subject>Lungs</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Motor vehicles</subject><subject>Myocardial ischemia</subject><subject>Neoplasms - mortality</subject><subject>Neoplasms - prevention & control</subject><subject>Preventable deaths</subject><subject>Preventive medicine</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Ratios</subject><subject>Regional analysis</subject><subject>Regional planning</subject><subject>Research Report</subject><subject>Research Reports</subject><subject>Sex Distribution</subject><subject>Sex Factors</subject><subject>Trachea</subject><subject>Trends</subject><subject>Tumors</subject><subject>Womens health</subject><subject>YPLL</subject><issn>0143-005X</issn><issn>1470-2738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0c-L1DAUB_AgijuuHj0qAUW8dEyapGkuC-74ExaFYZXFS3hpX3da-2NM2sH9783QYXb14imB9-HLe3wJecrZknORvWmw2CyVXJpllut7ZMGlZkmqRX6fLBiXImFMXZ2QRyE0LH51ah6SE86MTKXMF-T80mNfBlr39Bzb6xp6uvXYwTh5pLAb6hJci7REGDeBDjv0FGjK6A2Cp1v09VA-Jg8qaAM-Obyn5NuH95erT8nF14-fV28vEqeydEzQGASeZbzQmQMBlXNGFVjmzrBc8jQti1wy4bQWpS4qcDmHUimHijtEWYpTcjbnbifXYVlgP3po7dbXHfgbO0Bt_5709cZeDzvLteBaihjw6hDgh18ThtF2dSiwbaHHYQpWR2U00xG--Ac2w-T7eFzM0sYoo9J9XDKrwg8heKyOq3Bm993YfTdWSWts7Cb653f3v6PnMiJ4eQAQCmgrD31Rh1sXm1VKRvZsZk0YB38cp0plJtX8dq86jPj7OAf_02ZaaGW_fF_Z9Y_11TuljV1H_3r2rmv-c8IfxyK9pg</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>Humblet, P C</creator><creator>Lagasse, R</creator><creator>Levêque, A</creator><general>BMJ Publishing Group Ltd</general><general>British Medical Association</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20000901</creationdate><title>Trends in Belgian premature avoidable deaths over a 20 year period</title><author>Humblet, P C ; Lagasse, R ; Levêque, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b562t-e99ea1661c76ba3afbb95ced8b9084122dc8403b773d7cfab81ad55be51bee4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Accident Prevention</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Analysis. Health state</topic><topic>avoidable mortality</topic><topic>Belgium</topic><topic>Belgium - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Bronchi</topic><topic>Cancer</topic><topic>Cardiovascular disease</topic><topic>Cause of Death - trends</topic><topic>Causes of death</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Community health</topic><topic>Death</topic><topic>Disease prevention</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health care</topic><topic>Health policy</topic><topic>Health promotion</topic><topic>Health services</topic><topic>Humans</topic><topic>Infant</topic><topic>Lungs</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Motor vehicles</topic><topic>Myocardial ischemia</topic><topic>Neoplasms - mortality</topic><topic>Neoplasms - prevention & control</topic><topic>Preventable deaths</topic><topic>Preventive medicine</topic><topic>Public health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Ratios</topic><topic>Regional analysis</topic><topic>Regional planning</topic><topic>Research Report</topic><topic>Research Reports</topic><topic>Sex Distribution</topic><topic>Sex Factors</topic><topic>Trachea</topic><topic>Trends</topic><topic>Tumors</topic><topic>Womens health</topic><topic>YPLL</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Humblet, P C</creatorcontrib><creatorcontrib>Lagasse, R</creatorcontrib><creatorcontrib>Levêque, A</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of epidemiology and community health (1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Humblet, P C</au><au>Lagasse, R</au><au>Levêque, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Belgian premature avoidable deaths over a 20 year period</atitle><jtitle>Journal of epidemiology and community health (1979)</jtitle><addtitle>J Epidemiol Community Health</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>54</volume><issue>9</issue><spage>687</spage><epage>691</epage><pages>687-691</pages><issn>0143-005X</issn><eissn>1470-2738</eissn><coden>JECHDR</coden><abstract>STUDY OBJECTIVES To analyse over a 20 year period the level and trends in the “EC avoidable death indicators”. DESIGN The Years of Potential Life Lost (YPLL) method applied to curative and preventive avoidable mortality indicators in Belgium for four successive five year periods, countrywide as well as by district, separately for women and men. Ratios of YPLL rates (age standardised) describe changes between 1974–78 and 1990–94. SETTING Belgium for the periods 1974–78, 1980–84, 1985–89, 1990–94. PARTICIPANTS All avoidable death cases aged 1–64. MAIN RESULTS Ratio of YPLL rates indicated a more favourable development between 1974–78 and 1990–94 in the EC avoidable indicators than in all causes premature mortality. The EC avoidable mortality indicators have been assigned to two categories, curative indicators and preventive indicators. The best ratio of YPLL rates was found in curative indicators for men but the largest gains in YPLL rates over the periods come from the “preventive indicators” in men. For women, malignant neoplasm of the breast rose to the first ranked in 1985–1989 and 1990–1994, where it contributed to more years of YPLL loss than motor vehicle accidents, and malignant neoplasm of the trachea, bronchus and lung had risen to the fifth ranked since 1985–89. The order of the top causes for men did not change between 1974 and 1994, except for cirrhosis of liver, which rose from the fifth to the fourth rank. In the particular case of one “preventive indicator”, malignant neoplasm of the trachea, bronchus and lung, the regional analysis of time trend between 1974–78 and 1990–94 showed more districts with a favourable development for both men and women in the Flemish region than in Wallonia. CONCLUSION The YPLL method combined with the avoidable mortality indicators enabled us to compare the changes of curative and preventive EC avoidable indicators between 1974–78 and 1990–94. In the case of malignant neoplasm of the trachea, bronchus and lung, which is of major concern to the health promotion policies, changes over the periods have widened a “north/south” health contrast.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>10942448</pmid><doi>10.1136/jech.54.9.687</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of epidemiology and community health (1979), 2000-09, Vol.54 (9), p.687-691 |
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| language | eng |
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| source | Jstor Complete Legacy; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Accident Prevention Adolescent Adult Age Analysis. Health state avoidable mortality Belgium Belgium - epidemiology Biological and medical sciences Bronchi Cancer Cardiovascular disease Cause of Death - trends Causes of death Child Child, Preschool Community health Death Disease prevention Epidemiology Female General aspects Health care Health policy Health promotion Health services Humans Infant Lungs Male Medical sciences Men Middle Aged Mortality Motor vehicles Myocardial ischemia Neoplasms - mortality Neoplasms - prevention & control Preventable deaths Preventive medicine Public health Public health. Hygiene Public health. Hygiene-occupational medicine Ratios Regional analysis Regional planning Research Report Research Reports Sex Distribution Sex Factors Trachea Trends Tumors Womens health YPLL |
| title | Trends in Belgian premature avoidable deaths over a 20 year period |
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