Abstract
BackgroundIn Austria, mortality from diseases of the circulatory system and malignant neoplasms is high and varies among the federal states. Lower mortality in some states indicates a preventive potential in those states with higher mortality.MethodsWe computed the number of premature deaths, for women and men separately, from the two leading causes of death, diseases of the circulatory system (ICD-10: I00-I09) and cancer (ICD-10: C00-C97), in the nine Austrian federal states between 2010-2012. The potentially preventable deaths per federal state and sex were calculated by subtracting expected deaths from observed deaths.ResultsThe western federal states had the lowest death rates, and thus the smallest preventive potential. In death from circulatory diseases and from cancer the differences between women and men varied remarkably between the federal states. For circulatory diseases among all federal states the highest difference in percent was given in Vorarlberg (6.2 %) with more potentially preventable deaths for men. For cancer, Burgenland had the highest difference (8.6 %) in comparison with the other federal states, again with the higher preventive potential for men.ConclusionsIntervention programs as lifestyle modification interventions as well as improvements in health care services provision, should focus on the characteristics of the specific federal state, which are setting-oriented and account for social determinants including sex/gender differences and economic factors. Relevant data gathering is therefore, urgently needed.
Highlights
In Austria, mortality from diseases of the circulatory system and malignant neoplasms is high and varies among the federal states
We found the lowest death rates for cancer in Salzburg for both men (1,612) and women (1,158), for cardiovascular diseases in Tyrol for men (1,244), and for women in Vorarlberg (957)
The western federal states Salzburg, Tyrol, and Vorarlberg had the least potential of preventable premature deaths in the two leading causes of death among women and among men
Summary
In Austria, mortality from diseases of the circulatory system and malignant neoplasms is high and varies among the federal states. The two leading causes of death between 2010 and 2012 were identical for women and men. Especially smoking cessation, could prevent 40 % of the cancer incidence [11] These lifestyle-related risk factors vary in their significance for the two leading causes of deaths in Austria, prevention could be an important measure to decrease specific mortality and, overall mortality. In each of the nine federal states of Austria, the two leading causes of death are identical for women and men. We assume that lower sex-specific mortality in certain states indicates a preventive potential in those federal states presenting higher sex-specific mortality. In Austria, cardiovascular mortality [15, 16] is probably linked to regional socioeconomic disparities between the wealthier western and poorer eastern federal states, with the exception of the capital city and federal state Vienna in the east of Austria [17]
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