Abstract
Objective — to estimate demographic losses due to premature death caused by infectious diseases according to the indicators of lost potential years of life (YPLL) in five metropolises of Ukraine in 2005–2019; identify differences in the significance of the two main causes (HIV/AIDS and tuberculosis); and their transformation over time. Materials and methods. Materials — data of the State Statistics Service of Ukraine on the distribution of deaths by sex, age groups and causes of death by year in five largest cities of Ukraine (Dnipro, Kyiv, Lviv, Odessa and Kharkiv) in the dynamics during 2005—2019. Deaths classified as Class I ICD-10 «Certain infectious and parasitic diseases» selected.The method of potential demography and the method of standardization by age (European standard) were used. The absolute number of YPLL from infectious diseases under the age of 65, standardized indicators of lost years of potential life for the largest cities and their average value for all five cities were calculated (with disaggregation by sex). Results and discussion. The average YPLL for all five cities increased in 2005—2019 from 2097.84 to 1666.41 person-years per 100,000 population. For men, the losses are greater, the average for all five cities in 2019 was almost twice as high (1.9 times) than for women.There was a «rotation» of two major diseases of infectious etiology. In all cities, the importance of HIV/AIDS in the formation of losses due to premature mortality increased during the study period. The share of losses from all infectious diseases has increased. In four of the five cities (excluding Kharkiv), it exceeded the proportion of tuberculosis. Conclusions. The use of the method of calculating YPLL as a tool for estimating the burden of premature mortality recommended for the selection of priorities for activities aimed at reducing the loss of human life and achieving Sustainable Development Goals, as well as for monitoring and evaluating its effectiveness.
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