期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：3
页码：564-571
DOI：10.5604/12321966.1168657
出版社：Institute of Agricultural Medicine in Lublin
摘要：The aim of the study was to analyse the level and the trends of Potential Years of Life Lost due to main causes of deathsin Poland in 2002–2011, with consideration of place of residence, urban-rural. The material for the study was the numberof deaths due to main causes in Poland in years 2002–2011, based on data from the Central Statistical Office. Prematuremortality analysis was conducted with the use of PYLL indicator (PYLL – Potential Years of Life Lost). PYLL rate was calculatedaccording to the method proposed by J. Romeder, according to which the premature mortality was defined as death beforethe age of 70. Time trends of PYLL rate and the annual percent change (APC) were assessed using the Joinpoint RegressionProgramme. Rural/urban ratio was used to presented the differences in premature mortality between rural and urban areas.In years2002–2011, the PYLL rate for all-cause deaths decreased by 13.2% among men and 16.0% among women in ruralareas, whereas in urban decreased it decreased by 15.7% among men and 14.9% among women. In 2011, the main causesof PYLL among men in rural areas were: external causes (32.3%), cardiovascular diseases (23.5%) and cancers (19.4%); inurban areas: cardiovascular diseases (24.7%), external causes (24.3%) and cancers (20.9%). Among women in rural areas,the leading causes were: cancers (39.9%), cardiovascular diseases (20.1%) and external causes (15.1%). The main causes ofpremature mortality among women in urban areas were: cancers (41.7%), cardiovascular diseases (19.6%) and external causes(11.1%). Premature mortality among men in rural areas was significantly higher than in urban for all analysed causes of death,with the exception of ischaemic heart diseases and colorectal cancer. Premature mortality among women in rural areaswas significantly lower than in urban for all analysed cause of deaths, except of cerebrovascular diseases, external causes,suicides and traffic accidents. The presented epidemiological situation for premature mortality indicate differences in thestate of health of the inhabitants in urban and rural areas in Poland. The leading causes of premature mortality are causedby preventable deaths, which leads to a need to intensify measures in primary and secondary prevention.
关键词：health inequalities; Potential Years of Life Lost; premature mortality; preventable deaths; urban-rural population
