Partial contributions and temporal trends of leading causes of death during the last four decades in Spain.
Accidents, Traffic
/ mortality
Acquired Immunodeficiency Syndrome
/ mortality
Adult
Aged
Causality
Cause of Death
/ trends
Dementia
/ mortality
Female
Humans
Longitudinal Studies
Lung Neoplasms
/ mortality
Male
Middle Aged
Mortality
/ trends
Myocardial Ischemia
/ mortality
Pancreatic Neoplasms
/ mortality
Spain
Suicide
/ statistics & numerical data
Cause of death
Joinpoint regression
Monitoring
Mortality
Spain
Trend
Journal
Public health
ISSN: 1476-5616
Titre abrégé: Public Health
Pays: Netherlands
ID NLM: 0376507
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
22
05
2020
revised:
18
08
2020
accepted:
23
08
2020
pubmed:
15
11
2020
medline:
30
1
2021
entrez:
14
11
2020
Statut:
ppublish
Résumé
The study was conducted to assess time trend shifts of leading causes of death and their partial contributions over the years 1975-2016 in Spain. A longitudinal ecological epidemiologic design was conducted to analyse linear trend period shifts using joinpoint regression as the annual percentage of change (APC) in the period 1975-2016. The partial contributions were illustrated as the rate ratio of a singular-cause to their major-cause shift periods. HIV/AIDS shaped the increasing trend period of infectious diseases in 1989-1995 (APC = 25.3, P < 0.05) and the decreasing trend in 1995-1999 and 1999-2016. Lung cancer fell gradually from 1994 in men (-0.4, P < 0.05); however, in women, the condition continued increasing from 1990 (P < 0.05). Dementia types influenced mental and neurological disease drifts. The recent trend for circulatory periods (1980-2016) was mainly modulated by cardiac ischaemia, with increased partial contributions (25%, 32% and 30%). Traffic accidents defined the descending tendency of external causes. Spain showed a Western pattern in descended rates, including non-decreasing trends in mental and neurological diseases, pancreatic cancer, drug abuse and suicide. Trend shifts and partial contributions illustrated targets for further mortality reduction.
Identifiants
pubmed: 33188998
pii: S0033-3506(20)30391-7
doi: 10.1016/j.puhe.2020.08.023
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
81-90Informations de copyright
Copyright © 2020 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.